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Titre : | Trajectories and Predictors of the Course of Mental Health After Spinal Cord Injury (2012) |
Auteurs : | Christel Van Leeuwen ; Trynke Hoekstra ; Casper F. Van koppenhagen ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2012/12, 2012) |
Article en page(s) : | pp. 2170-2176 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Rééducation et réadaptation ; Santé mentale ; Traumatismes de la moelle épinière |
Résumé : |
"Objective To study the course and predictors of mental health in the period between the start of active spinal cord injury (SCI) rehabilitation and 5 years after discharge. The hypothesis was that different mental health trajectories would be identified. Design Multicenter prospective cohort study with measurements at the start of active rehabilitation, after 3 months, at discharge, 1, 2, and 5 years after discharge. Setting Eight Dutch rehabilitation centers with specialized SCI units. Participants Persons (N=206) with recently acquired SCI aged between 18 and 65 years. Interventions Not applicable. Main Outcome Measure The 5-item Mental Health Index with a total score between 0 (lowest mental health) and 100 (highest mental health). Results Levels of mental health increased between the start of active rehabilitation and 3 months later, remained stable thereafter, and increased again between 2 and 5 years after discharge. Latent class growth mixture modeling revealed 5 trajectories: (1) high scores (above 80) at all time-points (52%), (2) low scores (≤60) at all time-points (4%), (3) early recovery from 40 to scores above 70 (13%), (4) intermediate scores from 60 to scores above 70 (29%), and (5) severe deterioration of scores above 70 to scores below 30 (2%). Pain, sex, and education level were predictors to distinguish between the 5 trajectories. Conclusions Five different mental health trajectories were identified between the start of active rehabilitation and 5 years after discharge. About one third of the persons with SCI still perceived moderate to severe mental health problems 5 years after discharge. Pain, sex, and education level only predicted a small part of the variance in mental health trajectories." |
Disponible en ligne : | Oui |
En ligne : | http://www.archives-pmr.org/article/S0003-9993(12)00541-2/abstract |