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Psychosocial Consequences of Spinal Cord Injury: A Narrative Review

Consequences of a spinal cord injury (SCI) entail much more than damage to the spinal cord. The lives of people with SCI, along with those around them, experience profound long-lasting changes in nearly every life domain. SCI is a physical (biological) injury that is inextricably combined with vario...

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Autores principales: Budd, Maggi A., Gater, David R., Channell, Isabella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9320050/
https://www.ncbi.nlm.nih.gov/pubmed/35887675
http://dx.doi.org/10.3390/jpm12071178
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author Budd, Maggi A.
Gater, David R.
Channell, Isabella
author_facet Budd, Maggi A.
Gater, David R.
Channell, Isabella
author_sort Budd, Maggi A.
collection PubMed
description Consequences of a spinal cord injury (SCI) entail much more than damage to the spinal cord. The lives of people with SCI, along with those around them, experience profound long-lasting changes in nearly every life domain. SCI is a physical (biological) injury that is inextricably combined with various psychological and social consequences. The objective of this review is to present psychosocial challenges following SCI through the biopsychosocial model, beginning with acknowledgement of the larger societal effects of ableism and stigma before addressing the many unique psychosocial aspects of living with SCI. Included in this review are qualitative studies and systematic reviews on current psychosocial outcomes and consequences. This paper attempts to structure this information by dividing it into the following sections: relationships and family; changes in finances and employment; issues related to the person’s living situation; community reintegration; factors associated with mood and coping (e.g., depression, anxiety, substance use, and PTSD); self-harm behaviors (ranging from nonadherence to suicide); effects of traumatic brain injury; considerations regarding sexual health; aging with SCI; and concludes with a brief discussion about post-traumatic growth. Cultivating an understanding of the unique and interrelated psychosocial consequences of people living with SCI may help mitigate the psychosocial aftermath and serve as a reminder to providers to maintain a person-centered approach to care.
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spelling pubmed-93200502022-07-27 Psychosocial Consequences of Spinal Cord Injury: A Narrative Review Budd, Maggi A. Gater, David R. Channell, Isabella J Pers Med Review Consequences of a spinal cord injury (SCI) entail much more than damage to the spinal cord. The lives of people with SCI, along with those around them, experience profound long-lasting changes in nearly every life domain. SCI is a physical (biological) injury that is inextricably combined with various psychological and social consequences. The objective of this review is to present psychosocial challenges following SCI through the biopsychosocial model, beginning with acknowledgement of the larger societal effects of ableism and stigma before addressing the many unique psychosocial aspects of living with SCI. Included in this review are qualitative studies and systematic reviews on current psychosocial outcomes and consequences. This paper attempts to structure this information by dividing it into the following sections: relationships and family; changes in finances and employment; issues related to the person’s living situation; community reintegration; factors associated with mood and coping (e.g., depression, anxiety, substance use, and PTSD); self-harm behaviors (ranging from nonadherence to suicide); effects of traumatic brain injury; considerations regarding sexual health; aging with SCI; and concludes with a brief discussion about post-traumatic growth. Cultivating an understanding of the unique and interrelated psychosocial consequences of people living with SCI may help mitigate the psychosocial aftermath and serve as a reminder to providers to maintain a person-centered approach to care. MDPI 2022-07-20 /pmc/articles/PMC9320050/ /pubmed/35887675 http://dx.doi.org/10.3390/jpm12071178 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Budd, Maggi A.
Gater, David R.
Channell, Isabella
Psychosocial Consequences of Spinal Cord Injury: A Narrative Review
title Psychosocial Consequences of Spinal Cord Injury: A Narrative Review
title_full Psychosocial Consequences of Spinal Cord Injury: A Narrative Review
title_fullStr Psychosocial Consequences of Spinal Cord Injury: A Narrative Review
title_full_unstemmed Psychosocial Consequences of Spinal Cord Injury: A Narrative Review
title_short Psychosocial Consequences of Spinal Cord Injury: A Narrative Review
title_sort psychosocial consequences of spinal cord injury: a narrative review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9320050/
https://www.ncbi.nlm.nih.gov/pubmed/35887675
http://dx.doi.org/10.3390/jpm12071178
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