Leibach Gillian G, Perrin Paul B, Nicholls Elizabeth, Leonor Olivera Silvia, Medina Quintero Lorena, Mauricio Velasco Trujillo Diego, Carlos Arango-Lasprilla Juan
Virginia Commonwealth University, Richmond, VA, USA.
Drexel University, Philadelphia, PA, USA.
NeuroRehabilitation. 2015;36(2):215-21. doi: 10.3233/NRE-151209.
To date, no research has been published on the health related quality of life (HRQOL) and mental health of children with spinal cord injury and disorders (SCI/D) in Latin America, although limited previous research in Western countries has demonstrated the debilitating and chronic nature of these conditions in children. The aim was to examine the connections between HRQOL and mental health in children with SCI/D from Neiva, Colombia.
Thirty children (8- 17 years) were recruited from the Hospital Universatario Hernando Mocaleano Perdomo in Neiva, Colombia. Participants completed self-report measures administered verbally by trained research staff.
A correlation matrix generally suggested that higher HRQOL was robustly associated with better mental health. A series of multiple regressions found that HRQOL explained 50.5% of the variance in children's depression, 31.5% of the variance in worry, and 41.9% of the variance in social anxiety. Within these regressions, emotional and social functioning were uniquely associated with depression, and emotional functioning was uniquely associated with social anxiety.
This is the first published study to examine psychosocial outcomes in children with SCI/D in Latin America, and its findings suggest that future research and interventions for children with SCI/D in Colombia - and possibly in other regions of Latin America - would benefit from emphasizing emotional and social functioning.
迄今为止，拉丁美洲尚未发表关于脊髓损伤和疾病（SCI/D）儿童的健康相关生活质量（HRQOL）和心理健康的研究，尽管西方国家先前的有限研究已证明这些情况在儿童中具有衰弱性和慢性特征。目的是研究哥伦比亚内瓦患有SCI/D的儿童的HRQOL与心理健康之间的联系。
从哥伦比亚内瓦的埃尔南多·莫卡莱亚诺·佩尔多莫大学医院招募了30名儿童（8至17岁）。参与者完成了由训练有素的研究人员口头进行的自我报告测量。
相关矩阵总体表明，较高的HRQOL与较好的心理健康密切相关。一系列多元回归发现，HRQOL解释了儿童抑郁症方差的50.5%、担忧方差的31.5%和社交焦虑方差的41.9%。在这些回归中，情绪和社交功能与抑郁症有独特关联，情绪功能与社交焦虑有独特关联。
这是拉丁美洲首次发表的关于患有SCI/D的儿童心理社会结果的研究，其结果表明，哥伦比亚以及可能拉丁美洲其他地区未来针对患有SCI/D的儿童的研究和干预将受益于强调情绪和社交功能。
