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Resilience and mental health in individuals with spinal cord injury during the COVID-19 pandemic.
Mikolajczyk, Brian; Draganich, Christina; Philippus, Angela; Goldstein, Richard; Pilarski, Carrie; Wudlick, Robert; Morse, Leslie R; Monden, Kimberley R.
  • Mikolajczyk B; Department of Rehabilitation Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
  • Draganich C; Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, CO, USA.
  • Philippus A; Research Department, Craig Hospital, Englewood, CO, USA.
  • Goldstein R; Department of Rehabilitation Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
  • Erin Andrews; VA Texas Valley Coastal Bend Health Care System, Harlingen, TX, USA.
  • Pilarski C; The University of Texas at Austin Dell Medical School, Austin, TX, USA.
  • Wudlick R; Department of Physical Medicine and Rehabilitation, Division of Rehabilitation Psychology/Neuropsychology, University of Michigan, Ann Arbor, MI, USA.
  • Morse LR; Department of Rehabilitation Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
  • Monden KR; Department of Rehabilitation Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
Spinal Cord ; 59(12): 1261-1267, 2021 12.
Article in English | MEDLINE | ID: covidwho-1437670
ABSTRACT
STUDY

DESIGN:

Cross-sectional, observational study.

OBJECTIVES:

To understand how resilience, access to personal care attendants (PCAs) and medical supplies, and concerns about medical rationing, finances, and social isolation are related to overall and mental health in individuals with spinal cord injury (SCI) in the context of the COVID-19 pandemic.

SETTING:

Community dwelling adults (N = 187) with SCI.

METHODS:

Data were collected online between May 1, 2020 and August 31, 2020. Outcomes were overall and mental health, depression and anxiety symptoms, and quality of life (QoL). Predictors were resilience, access to PCAs and medical supplies, and concerns about medical rationing, finances, and social isolation.

RESULTS:

Incomplete injury, concern about medical rationing, medical supply disruption, and social isolation predicted a greater perceived impact of the pandemic on overall heath. Younger age, decreased resilience, and concern about medical rationing and social isolation predicted greater perceived impact of the pandemic on mental health. Decreased resilience and concern about medical rationing and finances predicted increased anxiety symptoms. Incomplete injury, believing that medical rationing was occurring, decreased resilience, and concern about finances and social isolation predicted increased depressive symptoms. Decreased resilience and concern about finances, medical rationing, and social isolation predicted lower QoL.

CONCLUSIONS:

The negative effects of the pandemic on the overall and mental health of individuals with SCI may be ameliorated by resilience. In future crises, it may be beneficial to screen individuals for resilience so that those with decreased resilience are offered the appropriate resources to enhance resilience and improve overall wellbeing.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Spinal Cord Injuries / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adult / Humans Language: English Journal: Spinal Cord Journal subject: Neurology Year: 2021 Document Type: Article Affiliation country: S41393-021-00708-3

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Spinal Cord Injuries / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adult / Humans Language: English Journal: Spinal Cord Journal subject: Neurology Year: 2021 Document Type: Article Affiliation country: S41393-021-00708-3