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Posttraumatic stress disorder after spinal cord injury
Yue Cao1, Chao Li1, Susan Newman2
1Department of Health Sciences and Research.
Rehabilitation Psychology
|April 28, 2017
Summary
Posttraumatic stress disorder (PTSD) affects nearly 25% of individuals with spinal cord injury. PTSD is linked to depression and recent medical care for injury.
Area of Science:
- Neuroscience
- Psychiatry
- Rehabilitation Medicine
Background:
- Spinal cord injury (SCI) presents significant physical and psychological challenges.
- Posttraumatic stress disorder (PTSD) is a common mental health concern following traumatic events like SCI.
Purpose of the Study:
- To investigate the prevalence of PTSD in individuals with SCI.
- To identify demographic, injury-related, employment, mental health, and health event factors associated with PTSD in this population.
Main Methods:
- A cohort of 1,063 participants with SCI was recruited from three US regions.
- Data on demographics, injury characteristics, employment, depressive symptoms, and health events were collected via self-report.
- Multivariate logistic regression models were used to analyze the associations with PTSD, measured by the Purdue PTSD Scale-Revised.
Main Results:
- The prevalence of PTSD was 24.9% among the participants.
- Higher PTSD scores were associated with depressive symptoms, frequent medication use for depression/stress, and recent medical care for injury.
- Race-ethnicity was also associated with PTSD, with lower prevalence observed in non-Hispanic Whites.
Conclusions:
- PTSD is a prevalent condition in individuals with spinal cord injury.
- Depressive disorders are highly comorbid with PTSD in this population.
- Recent injury-related medical care is associated with increased PTSD risk following SCI.
