Psychosocial and Health Outcomes of Adults With Violently Acquired Pediatric Spinal Cord Injury

To describe the psychosocial and medical outcomes of individuals with pediatric-onset spinal cord injury (SCI) as a result of violent injuries. This was a cross-sectional study assessing adult outcomes associated with pediatric-onset SCI. Participants completed measures assessing demographics, injur...

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Veröffentlicht in:Topics in spinal cord injury rehabilitation 2018-09, Vol.24 (4), p.363-370
Hauptverfasser: January, Alicia M, Kirk, Suzanne, Zebracki, Kathy, Chlan, Kathleen M, Vogel, Lawrence C
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Sprache:eng
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Zusammenfassung:To describe the psychosocial and medical outcomes of individuals with pediatric-onset spinal cord injury (SCI) as a result of violent injuries. This was a cross-sectional study assessing adult outcomes associated with pediatric-onset SCI. Participants completed measures assessing demographics, injury characteristics, secondary conditions, and psychosocial functioning. Participants included 483 adults (ages 19-51 years; = 32.89, = 6.81) who sustained an SCI prior to age 19 (0-18 years; = 14.25, = 4.40). Participants tended to have complete injuries (68%) and tetraplegia (53%) and were predominantly male (63%) and Caucasian (85%). The violent ( = 42) and nonviolent ( = 441) etiology groups tended to be similar in terms of gender. The violent etiology (VE) group, however, was significantly more likely to have paraplegia (χ = 7.45, = .01), identify as an ethnic minority (χ = 5.40, = .02), and have decreased odds of completing a college degree (odds ratio [OR], 0.40; 95% CI, 0.19-0.83). After controlling for significant covariates, individuals in the VE group were more likely to have moderate depression symptoms (OR, 3.73; 95% CI, 1.35-10.30) and significantly lower odds of economic independence (OR, 0.39; 95% CI, 0.19-0.84). The VE group was also 2 times as likely as the nonviolent group to report a pressure injury (OR, 2.04; 95% CI, 1.05-3.94) or activity interfering pain (OR, 2.34; 95% CI, 1.15-4.74). The results of this study reveal significantly greater psychosocial health concerns and more medical complications for individuals with violent SCI than those with nonviolent SCI. Children with an SCI from a violent etiology may warrant additional attention and services aimed at promoting stability and long-term resilience.
ISSN:1082-0744
1945-5763
DOI:10.1310/sci17-00012