Assessment of psychoemotional conditions in patients with consequences of spinal cord injury

Nesterova I.N., Prudnikova O.G.

Abstract


Introduction
Assessment of patients' psychoemotional condition (PEC) is a standard aspect of clinical care within traumatic spinal cord injury (SCI) rehabilitation.
Materials and methods
The evaluation was performed for 40 patients with SCI aged more than one year and ASIA grades B, C, D. HAM (Health, Activity, Mood) tests, the Beck Depression Inventory (BDI) and the Spielberger-Khanin Anxiety Scale were used to assess psychoemotional conditions in the patients.
Results
Patients with traumatic SCI did not reveal high level of state anxiety and depression at a long-term follow-up with evidently limited motor function (ASIA grades B, C). Even the presence of baseline trait anxiety did not result in severe psychoemotional disorders like depression. This can be described as a regulating effect of the autonomic nervous system through both recovery and compensation of autonomic dysfunctions employing reparative and adjustment mechanisms including coping efforts.
Conclusions
The majority of the patients could successfully cope with consequences of SCI at mid- and long-term follow-up. Most of them were able to adapt to the circumstances, learn to live with a new status, and successfully overcome SCI related physical, psychological and social difficulties.

Keywords


spine and spinal cord injury, long-term condition, psychoemotional disorders, depression, anxiety, autonomic nervous system

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