Document Detail


Relationship of psychology inpatient rehabilitation services and patient characteristics to outcomes following spinal cord injury: the SCIRehab project.
MedLine Citation:
PMID:  23318038     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT AND OBJECTIVE: To evaluate the effects of psychological interventions on rehabilitation outcomes, including residence and functional status at discharge, and residence, school attendance, or employment, and physical, social, occupational, and mobility aspects of participation 1 year after spinal cord injury (SCI).
DESIGN: Prospective observational cohort study.
SETTING: Six inpatient rehabilitation facilities in the United States.
PARTICIPANTS: Inpatients with SCI 12 years of age and older.
INTERVENTIONS: Usual rehabilitation care.
OUTCOME MEASURES: Functional Independence Measure at rehabilitation discharge and 1-year injury anniversary; discharge destination and residence at 1-year anniversary; Craig Handicap Assessment and Reporting Technique, Diener Satisfaction with Life Scale, Patient Health Questionnaire, employment or school attendance, rehospitalization, and occurrence of a pressure ulcer at 1-year anniversary.
RESULTS: More time in psycho-educational interventions was associated with better function, discharge to home, home residence at 1 year, and the absence of pressure ulcers at 1 year. More psychotherapeutic sessions focusing on processing emotions and/or locus of control were associated with poorer function at discharge and 1 year, less physical independence and community mobility, lower satisfaction with life, and the presence of pressure sores at 1 year.
CONCLUSIONS: Psychological services are an important component of comprehensive medical rehabilitation and tailored to patient needs and readiness to benefit from rehabilitation. Services focused on remediating deficits tend to be associated with negative outcomes, while services intended to foster adjustment and growth tend to be associated with favorable outcomes. Further research is needed to determine the optimal type and timing of psychological services during inpatient rehabilitation based on individuals' strengths and vulnerabilities. Note: This is the sixth in this third series of SCIRehab articles.
Authors:
Allen W Heinemann; Catherine S Wilson; Toby Huston; Jill Koval; Samuel Gordon; Julie Gassaway; Scott E D Kreider; Gale Whiteneck
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The journal of spinal cord medicine     Volume:  35     ISSN:  1079-0268     ISO Abbreviation:  J Spinal Cord Med     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2013-01-15     Completed Date:  2013-02-26     Revised Date:  2013-11-05    
Medline Journal Info:
Nlm Unique ID:  9504452     Medline TA:  J Spinal Cord Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  578-92     Citation Subset:  IM    
Affiliation:
Rehabilitation Institute of Chicago, Chicago, IL, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cohort Studies
Evidence-Based Medicine
Female
Humans
Inpatients
Length of Stay
Male
Middle Aged
Observation
Patient Discharge
Patient Satisfaction
Psychotherapy / methods*
Questionnaires
Rehabilitation Centers
Spinal Cord Injuries / complications,  psychology*,  rehabilitation*
Treatment Outcome
Young Adult
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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