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Article
Psychosocial Responses to Spinal Cord Injury as Predictors of Pressure Sores
International Journal of Clinical and Health Psychology
  • Hanoch Livneh, Portland State University
  • Samuel T. Gontkovsky, Center for Neuroscience and Neurological Recovery
  • Dobrivoje S. Stokic, Center for Neuroscience and Neurological Recovery
  • Erin Martz, University of Arkansas
Document Type
Article
Publication Date
1-1-2010
Subjects
  • Bedsores -- Research -- United States,
  • Bedsores -- Prevention,
  • Spinal cord -- Wounds and injuries,
  • Depression -- Psychology,
  • Rehabilitation counseling
Abstract

Pressure sores are a preventable, but common, secondary complication of a spinal cord injury (SCI). Research is limited concerning the influence of psychological factors in the development of pressure sores. The purpose of our ex post facto study was to examine the role that emotional responses and coping strategies play in moderating the relationships between demographic and SCI-related medical variables and the frequency and severity of pressure sores. Ninety-five individuals, who sustained a sudden-onset SCI, completed a self-report questionnaire sent to the population of patients that received post-injury rehabilitation services at a rehabilitation center in the southern U.S. Multiple regression analyses indicated that depression significantly predicted pressure sore severity, whereas disengagement-coping significantly predicted pressure sore occurrence (although in the opposite direction than expected). An interaction of time since injury and depression influenced both pressure sore occurrence and severity. These results have important implications for rehabilitation professionals in the clinical evaluation and treatment of persons with SCI.

Description

This is the publisher's final PDF. Originally published in International Journal of Clinical and Health Psychology

Persistent Identifier
http://archives.pdx.edu/ds/psu/9424
Citation Information
Martz, E., Livneh, H., Stokic, D. S., & Gontkovsky, S. T. (2010). Psychosocial responses to spinal cord injury as predictors of pressure sores. International Journal of Clinical and Health Psychology, 10(2), 203-223.