Hancock K M, Craig A R, Dickson H G, Chang E, Martin J
School of Nursing Health Studies, University of Technology, Sydney, Australia.
Paraplegia. 1993 Jun;31(6):349-57. doi: 10.1038/sc.1993.59.
The literature concerning the psychological consequences following spinal cord injury (SCI) indicates a discordance between clinical impressions and empirical research. Although many studies report that psychological morbidity is not an inevitable consequence of SCI, much of this research is characterised by methodological inadequacies and the conclusions are therefore tenuous. The present study assessed 41 persons with SCI for depression and anxiety using objective psychological measures on three occasions over the first year of SCI and compared them with 41 able bodied controls matched for age, sex, education and, as far as possible, occupation. Results demonstrated significant differences between the two groups, with the SCI group being more anxious and depressed. However, psychological morbidity was not an inevitable consequence of SCI, with group means reflecting mild levels of depression and anxiety. No significant differences were found across time and no interactions between groups and time were detected. Implications for the treatment of SCI are discussed.
关于脊髓损伤（SCI）后心理影响的文献表明，临床印象与实证研究之间存在不一致。尽管许多研究报告称心理疾病并非SCI的必然结果，但这项研究大多存在方法上的不足，因此得出的结论很牵强。本研究在SCI后的第一年对41名脊髓损伤患者进行了三次客观心理测量，以评估其抑郁和焦虑情况，并将他们与41名年龄、性别、教育程度以及尽可能在职业方面相匹配的健全对照组进行比较。结果显示两组之间存在显著差异，脊髓损伤组更为焦虑和抑郁。然而，心理疾病并非SCI的必然结果，两组的平均水平反映出轻度的抑郁和焦虑。在不同时间未发现显著差异，也未检测到组与时间之间的相互作用。本文还讨论了对脊髓损伤治疗的启示。
