Bladder and bowel function effects on emotional functioning in youth with spinal cord injury: a serial multiple mediator analysis
Study design Preliminary explanatory or mechanistic cross-sectional study. Objectives This preliminary cross-sectional study investigates the hypothesized serial mediating effects of bladder/bowel worry, social worry, and social participation in the relationship between bladder function or bowel fun...
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| Veröffentlicht in: | Spinal cord 2023-08, Vol.61 (8), p.415-421 |
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| creator | Varni, James W. Zebracki, Kathy Hwang, Miriam Mulcahey, Mary Jane Vogel, Lawrence C. |
| description | Study design
Preliminary explanatory or mechanistic cross-sectional study.
Objectives
This preliminary cross-sectional study investigates the hypothesized serial mediating effects of bladder/bowel worry, social worry, and social participation in the relationship between bladder function or bowel function and emotional functioning in youth with spinal cord injury (SCI) from their perspective.
Methods
The Bladder Function, Bowel Function, Worry Bladder Bowel, Worry Social, and Social Participation Scales from the PedsQL™ Spinal Cord Injury Module and the Emotional Functioning Scale from the PedsQL™ 4.0 Generic Core Scales Short Form SF15 were completed by 127 youth with SCI ages 8–24. Serial multiple mediator model analyses were conducted to test the hypothesized sequential mediating effects of bladder/bowel worry, social worry, and social participation as intervening variables separately for the cross-sectional association between bladder function or bowel function and emotional functioning.
Results
The separate cross-sectional negative association of bladder function and bowel function with emotional functioning were serially mediated by bladder/bowel worry, social worry and social participation, accounting for 28% and 31%, respectively, of the variance in youth-reported emotional functioning (
p
|
| doi_str_mv | 10.1038/s41393-023-00912-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2835273116</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2851515608</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-b06a4e583da0d1b224cff2318fc78cf6b2dcd8c4927890799c94a4a80f6726673</originalsourceid><addsrcrecordid>eNp9kU1r3DAQhkVo6G6S_oEeiqCXXNzoy5KcWxOStrCQS3IWsj42WmxrI9mEPfafR85uu9BDEZKGmWfeEXoB-IzRN4yovMoM04ZWiJSNGkwqegKWmAle1ZywDyWmnFSsMAtwlvMGzVQjP4IFFQwzSfkS_L7ptLUuQT1Y2MZX10E_DWYMcYDOe2fGDOewj3NKH6thWMMwwF2cxmf4GsqRt2EGTEy2VDZT2l1DDbNLoWT7qRvDtnOwdzboMc4DdbfLIV-AU6-77D4d7nPwdH_3ePuzWj38-HX7fVUZKuqxahHXzNWSWo0sbglhxntCsfRGSON5S6yx0rCGCNkg0TSmYZppiTwXhHNBz8HlXneb4svk8qj6kI3rOj24OGVFJK2JoBjzgn79B93EKZX3zlSNy-JIForsKZNizsl5tU2h12mnMFKzQWpvkCoGqXeDFC1NXw7SU1u-4m_LH0cKQPdALqVh7dJx9n9k3wBHopz0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2851515608</pqid></control><display><type>article</type><title>Bladder and bowel function effects on emotional functioning in youth with spinal cord injury: a serial multiple mediator analysis</title><source>Springer Nature - Complete Springer Journals</source><creator>Varni, James W. ; Zebracki, Kathy ; Hwang, Miriam ; Mulcahey, Mary Jane ; Vogel, Lawrence C.</creator><creatorcontrib>Varni, James W. ; Zebracki, Kathy ; Hwang, Miriam ; Mulcahey, Mary Jane ; Vogel, Lawrence C.</creatorcontrib><description>Study design
Preliminary explanatory or mechanistic cross-sectional study.
Objectives
This preliminary cross-sectional study investigates the hypothesized serial mediating effects of bladder/bowel worry, social worry, and social participation in the relationship between bladder function or bowel function and emotional functioning in youth with spinal cord injury (SCI) from their perspective.
Methods
The Bladder Function, Bowel Function, Worry Bladder Bowel, Worry Social, and Social Participation Scales from the PedsQL™ Spinal Cord Injury Module and the Emotional Functioning Scale from the PedsQL™ 4.0 Generic Core Scales Short Form SF15 were completed by 127 youth with SCI ages 8–24. Serial multiple mediator model analyses were conducted to test the hypothesized sequential mediating effects of bladder/bowel worry, social worry, and social participation as intervening variables separately for the cross-sectional association between bladder function or bowel function and emotional functioning.
Results
The separate cross-sectional negative association of bladder function and bowel function with emotional functioning were serially mediated by bladder/bowel worry, social worry and social participation, accounting for 28% and 31%, respectively, of the variance in youth-reported emotional functioning (
p
< 0.001), representing large effect sizes.
Conclusions
In this preliminary study, bladder/bowel worry, social worry, and social participation explain in part the cross-sectional negative association of bladder function and bowel function with emotional functioning in youth with SCI from the youth perspective. Identifying the hypothesized associations of bladder function and bowel function, bladder/bowel worry, social worry, and social participation with emotional functioning may help inform future clinical research and practice for youth with SCI.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/s41393-023-00912-3</identifier><identifier>PMID: 37414836</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/477/2811 ; 692/499 ; 9/10 ; Anatomy ; Biomedical and Life Sciences ; Biomedicine ; Bladder ; Cross-sectional studies ; Emotions ; Human Physiology ; Injury analysis ; Intervening variables ; Intestine ; Neurochemistry ; Neuropsychology ; Neurosciences ; Social factors ; Spinal cord injuries</subject><ispartof>Spinal cord, 2023-08, Vol.61 (8), p.415-421</ispartof><rights>The Author(s), under exclusive licence to International Spinal Cord Society 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to International Spinal Cord Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-b06a4e583da0d1b224cff2318fc78cf6b2dcd8c4927890799c94a4a80f6726673</citedby><cites>FETCH-LOGICAL-c375t-b06a4e583da0d1b224cff2318fc78cf6b2dcd8c4927890799c94a4a80f6726673</cites><orcidid>0000-0002-0685-4352 ; 0000-0001-6325-441X ; 0000-0003-4816-4357</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41393-023-00912-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41393-023-00912-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37414836$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Varni, James W.</creatorcontrib><creatorcontrib>Zebracki, Kathy</creatorcontrib><creatorcontrib>Hwang, Miriam</creatorcontrib><creatorcontrib>Mulcahey, Mary Jane</creatorcontrib><creatorcontrib>Vogel, Lawrence C.</creatorcontrib><title>Bladder and bowel function effects on emotional functioning in youth with spinal cord injury: a serial multiple mediator analysis</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><addtitle>Spinal Cord</addtitle><description>Study design
Preliminary explanatory or mechanistic cross-sectional study.
Objectives
This preliminary cross-sectional study investigates the hypothesized serial mediating effects of bladder/bowel worry, social worry, and social participation in the relationship between bladder function or bowel function and emotional functioning in youth with spinal cord injury (SCI) from their perspective.
Methods
The Bladder Function, Bowel Function, Worry Bladder Bowel, Worry Social, and Social Participation Scales from the PedsQL™ Spinal Cord Injury Module and the Emotional Functioning Scale from the PedsQL™ 4.0 Generic Core Scales Short Form SF15 were completed by 127 youth with SCI ages 8–24. Serial multiple mediator model analyses were conducted to test the hypothesized sequential mediating effects of bladder/bowel worry, social worry, and social participation as intervening variables separately for the cross-sectional association between bladder function or bowel function and emotional functioning.
Results
The separate cross-sectional negative association of bladder function and bowel function with emotional functioning were serially mediated by bladder/bowel worry, social worry and social participation, accounting for 28% and 31%, respectively, of the variance in youth-reported emotional functioning (
p
< 0.001), representing large effect sizes.
Conclusions
In this preliminary study, bladder/bowel worry, social worry, and social participation explain in part the cross-sectional negative association of bladder function and bowel function with emotional functioning in youth with SCI from the youth perspective. Identifying the hypothesized associations of bladder function and bowel function, bladder/bowel worry, social worry, and social participation with emotional functioning may help inform future clinical research and practice for youth with SCI.</description><subject>631/477/2811</subject><subject>692/499</subject><subject>9/10</subject><subject>Anatomy</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Bladder</subject><subject>Cross-sectional studies</subject><subject>Emotions</subject><subject>Human Physiology</subject><subject>Injury analysis</subject><subject>Intervening variables</subject><subject>Intestine</subject><subject>Neurochemistry</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>Social factors</subject><subject>Spinal cord injuries</subject><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kU1r3DAQhkVo6G6S_oEeiqCXXNzoy5KcWxOStrCQS3IWsj42WmxrI9mEPfafR85uu9BDEZKGmWfeEXoB-IzRN4yovMoM04ZWiJSNGkwqegKWmAle1ZywDyWmnFSsMAtwlvMGzVQjP4IFFQwzSfkS_L7ptLUuQT1Y2MZX10E_DWYMcYDOe2fGDOewj3NKH6thWMMwwF2cxmf4GsqRt2EGTEy2VDZT2l1DDbNLoWT7qRvDtnOwdzboMc4DdbfLIV-AU6-77D4d7nPwdH_3ePuzWj38-HX7fVUZKuqxahHXzNWSWo0sbglhxntCsfRGSON5S6yx0rCGCNkg0TSmYZppiTwXhHNBz8HlXneb4svk8qj6kI3rOj24OGVFJK2JoBjzgn79B93EKZX3zlSNy-JIForsKZNizsl5tU2h12mnMFKzQWpvkCoGqXeDFC1NXw7SU1u-4m_LH0cKQPdALqVh7dJx9n9k3wBHopz0</recordid><startdate>20230801</startdate><enddate>20230801</enddate><creator>Varni, James W.</creator><creator>Zebracki, Kathy</creator><creator>Hwang, Miriam</creator><creator>Mulcahey, Mary Jane</creator><creator>Vogel, Lawrence C.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0685-4352</orcidid><orcidid>https://orcid.org/0000-0001-6325-441X</orcidid><orcidid>https://orcid.org/0000-0003-4816-4357</orcidid></search><sort><creationdate>20230801</creationdate><title>Bladder and bowel function effects on emotional functioning in youth with spinal cord injury: a serial multiple mediator analysis</title><author>Varni, James W. ; Zebracki, Kathy ; Hwang, Miriam ; Mulcahey, Mary Jane ; Vogel, Lawrence C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-b06a4e583da0d1b224cff2318fc78cf6b2dcd8c4927890799c94a4a80f6726673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>631/477/2811</topic><topic>692/499</topic><topic>9/10</topic><topic>Anatomy</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Bladder</topic><topic>Cross-sectional studies</topic><topic>Emotions</topic><topic>Human Physiology</topic><topic>Injury analysis</topic><topic>Intervening variables</topic><topic>Intestine</topic><topic>Neurochemistry</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>Social factors</topic><topic>Spinal cord injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Varni, James W.</creatorcontrib><creatorcontrib>Zebracki, Kathy</creatorcontrib><creatorcontrib>Hwang, Miriam</creatorcontrib><creatorcontrib>Mulcahey, Mary Jane</creatorcontrib><creatorcontrib>Vogel, Lawrence C.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Varni, James W.</au><au>Zebracki, Kathy</au><au>Hwang, Miriam</au><au>Mulcahey, Mary Jane</au><au>Vogel, Lawrence C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bladder and bowel function effects on emotional functioning in youth with spinal cord injury: a serial multiple mediator analysis</atitle><jtitle>Spinal cord</jtitle><stitle>Spinal Cord</stitle><addtitle>Spinal Cord</addtitle><date>2023-08-01</date><risdate>2023</risdate><volume>61</volume><issue>8</issue><spage>415</spage><epage>421</epage><pages>415-421</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><abstract>Study design
Preliminary explanatory or mechanistic cross-sectional study.
Objectives
This preliminary cross-sectional study investigates the hypothesized serial mediating effects of bladder/bowel worry, social worry, and social participation in the relationship between bladder function or bowel function and emotional functioning in youth with spinal cord injury (SCI) from their perspective.
Methods
The Bladder Function, Bowel Function, Worry Bladder Bowel, Worry Social, and Social Participation Scales from the PedsQL™ Spinal Cord Injury Module and the Emotional Functioning Scale from the PedsQL™ 4.0 Generic Core Scales Short Form SF15 were completed by 127 youth with SCI ages 8–24. Serial multiple mediator model analyses were conducted to test the hypothesized sequential mediating effects of bladder/bowel worry, social worry, and social participation as intervening variables separately for the cross-sectional association between bladder function or bowel function and emotional functioning.
Results
The separate cross-sectional negative association of bladder function and bowel function with emotional functioning were serially mediated by bladder/bowel worry, social worry and social participation, accounting for 28% and 31%, respectively, of the variance in youth-reported emotional functioning (
p
< 0.001), representing large effect sizes.
Conclusions
In this preliminary study, bladder/bowel worry, social worry, and social participation explain in part the cross-sectional negative association of bladder function and bowel function with emotional functioning in youth with SCI from the youth perspective. Identifying the hypothesized associations of bladder function and bowel function, bladder/bowel worry, social worry, and social participation with emotional functioning may help inform future clinical research and practice for youth with SCI.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>37414836</pmid><doi>10.1038/s41393-023-00912-3</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0685-4352</orcidid><orcidid>https://orcid.org/0000-0001-6325-441X</orcidid><orcidid>https://orcid.org/0000-0003-4816-4357</orcidid></addata></record> |
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| ispartof | Spinal cord, 2023-08, Vol.61 (8), p.415-421 |
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| language | eng |
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| source | Springer Nature - Complete Springer Journals |
| subjects | 631/477/2811 692/499 9/10 Anatomy Biomedical and Life Sciences Biomedicine Bladder Cross-sectional studies Emotions Human Physiology Injury analysis Intervening variables Intestine Neurochemistry Neuropsychology Neurosciences Social factors Spinal cord injuries |
| title | Bladder and bowel function effects on emotional functioning in youth with spinal cord injury: a serial multiple mediator analysis |
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