Please use this identifier to cite or link to this item:
http://hdl.handle.net/10397/5736
Title: | Association of depression and pain interference with disease-management self-efficacy in community-dwelling individuals with spinal cord injury | Authors: | Pang, MYC Eng, JJ Lin, KH Tang, PF Hung, C Wang, YH |
Issue Date: | Nov-2009 | Source: | Journal of rehabilitation medicine, Nov. 2009, v. 41, no. 13, p. 1068-1073 | Abstract: | OBJECTIVE: To determine factors influencing disease-management self-efficacy in individuals with spinal cord injury. DESIGN: A cross-sectional study. Subjects/patients: Forty-nine community-dwelling individuals with chronic spinal cord injury (mean age 44 years) participated in the study. METHODS: Each subject was evaluated for disease-management self-efficacy (Self-efficacy for Managing Chronic Disease), depression (10-item Center for Epidemiologic Studies Depression Scale), pain interference (Pain Interference Scale), and availability of support (Interpersonal Support Evaluation List short form). Multiple regression analysis was performed to determine the relative contributions of these factors to disease-management self-efficacy. RESULTS: The mean disease-management self-efficacy score was 6.5 out of 10 (standard deviation 1.6). Bivariate correlation analysis showed that higher self-efficacy was significantly correlated with longer time since injury (r = 0.367, p = 0.010), better social support (r = 0.434, p = 0.002), lower pain interference (r = –0.589, p < 0.001), and less severe depressive symptoms (r = –0.463, p = 0.001). In multiple regression analysis, only lower pain interference and less severe depressive symptoms were significantly associated with higher disease-management self-efficacy (F4,44 = 10.249, R2 = 0.482, p < 0.001). CONCLUSION: Disease-management self-efficacy is suboptimal in many community-living people with spinal cord injury. This research suggests that rehabilitation of patients with spinal cord injury should include self-efficacy-enhancing strategies. Alleviation of depressive symptoms and pain self-management may be important for improving disease-management self-efficacy in this population, but this requires further study. |
Keywords: | Depression Pain Quality of life Spinal cord injury |
Publisher: | Foundation for Rehabilitation Information | Journal: | Journal of rehabilitation medicine | ISSN: | 1650-1977 | EISSN: | 1651-2081 | DOI: | 10.2340/16501977-0455 | Rights: | © 2009 The Authors. Journal Compilation © 2009 Foundation of Rehabilitation Information. The article is available at <http://www.medicaljournals.se/jrm/content/?doi=10.2340/16501977-0455> |
Appears in Collections: | Journal/Magazine Article |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Pang_Depression_Pain_Spinal.pdf | 497.5 kB | Adobe PDF | View/Open |
Page views
138
Last Week
2
2
Last month
Citations as of Oct 1, 2023
Downloads
97
Citations as of Oct 1, 2023
SCOPUSTM
Citations
46
Last Week
0
0
Last month
1
1
Citations as of Sep 28, 2023
WEB OF SCIENCETM
Citations
41
Last Week
0
0
Last month
0
0
Citations as of Sep 28, 2023

Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.