Molina-Gallego Brigida, Ugarte-Gurrutxaga María Idoia, Molina-Gallego Laura, Plaza Del Pino Fernando Jesús, Carmona-Torres Juan Manuel, Santacruz-Salas Esmeralda
Faculty of Physiotherapy and Nursing of Toledo, Castilla-La Mancha University, Campus Toledo, 45003 Toledo, Spain.
Department of Nursing, Primary Health Center (Toledo Area), C/Argentina 19, Madridejos, 45710 Toledo, Spain.
Healthcare (Basel). 2024 Sep 3;12(17):1759. doi: 10.3390/healthcare12171759.
Spinal cord injury (SCI) is a life-changing event that often results in chronic physical damage and challenges in maintaining a good quality of life as it affects every aspect of life. These situations require adjustment, increasing vulnerability to psychological disorders. The objective of this study was to evaluate the impact of SCI on psychological morbidity in individuals with subacute and chronic SCI. The present investigation was designed to determine the presence and extent of psychological complications following SCI. We used two reliable questionnaires and validated psychological assessments to study depression (BDI) and anxiety (STAI), a broad range of factors derived from SCI that may be predictors of certain psychological problems. The psychological assessment revealed alterations in depression and anxiety, although the data do not exceed those of previous investigations. No clear predisposing factors leading to certain psychological pathologies were found. In addition, individuals in the subacute and chronic stages differed in their scores. In individuals with SCI, identifying predictors of psychological problems is difficult, but premature assessment of mental state is essential. This early diagnosis of possible problems or changes at the mental level is fundamental and necessary to avoid possible alterations at the cognitive level and, of course, more serious mental complications.
脊髓损伤(SCI)是一种改变人生的事件,常常导致慢性身体损伤,并在维持良好生活质量方面带来挑战,因为它会影响生活的方方面面。这些情况需要适应,从而增加了患心理障碍的易感性。本研究的目的是评估脊髓损伤对亚急性和慢性脊髓损伤患者心理发病情况的影响。本调查旨在确定脊髓损伤后心理并发症的存在情况及程度。我们使用了两份可靠的问卷和经过验证的心理评估工具来研究抑郁(贝克抑郁量表,BDI)和焦虑(状态特质焦虑问卷,STAI),以及一系列源自脊髓损伤的因素,这些因素可能是某些心理问题的预测指标。心理评估揭示了抑郁和焦虑方面的变化,尽管数据并未超过以往调查的结果。未发现导致特定心理病理的明确诱发因素。此外,亚急性和慢性阶段的个体在得分上存在差异。在脊髓损伤患者中,识别心理问题的预测指标很困难,但对精神状态进行早期评估至关重要。对可能的问题或心理层面的变化进行这种早期诊断对于避免认知层面的可能改变,当然还有更严重的精神并发症而言是根本且必要的。