Volume 4, Issue 2 (Spring 2018)                   Caspian J Neurol Sci 2018, 4(2): 39-48 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Alijani Roudbaneh Z, Rezaei S, Mousavi S V, Heidary H. The Role of Post-Traumatic Stress Disorder and Self-Efficacy Beliefs on the Quality of Life of Patients With Traumatic Spinal Cord Injury. Caspian J Neurol Sci 2018; 4 (2) :39-48
URL: http://cjns.gums.ac.ir/article-1-239-en.html
1- Department of Psychology, Guilan Science and Research Branch, Islamic Azad University, Rasht, Iran
2- Department of Psychology, Faculty of Literature and Humanities, University of Guilan, Rasht, Iran , rezaei_psy@hotmail.com
3- Department of Psychology, Faculty of Literature and Humanities, University of Guilan, Rasht, Iran
4- MD, Guilan Road Trauma Research Center (GRTRC), Rasht, Iran
Abstract:   (3671 Views)
Background: Spinal Cord Injury (SCI) and its post-traumatic stress remarkably influence the patients’ Quality of Life (QOL). Besides, some health determinants such as self-efficacy beliefs can change QOL of patients, too.
Objectives: To determine the role of Post-Traumatic Stress Disorder (PTSD) and self-efficacy beliefs on the QOL after traumatic SCI.
Materials & Methods: Out of 133 SCI patients studied from Spinal Cord Injury Center of Rasht City (North of Iran), 90 qualified for this cross-sectional study. A senior psychologist conducted structured interviews for 70 people at the center and another 20 patients at their homes, because of their inability to come to the center. Data collection instruments were researcher-made questionnaire containing both individual-social and lesion-related variables, post-traumatic stress scale for DSM-5, Sherer general self-efficacy questionnaire and the SCIQL-23 (Spinal Cord Injury Quality-of-Life-23) questionnaire (to assess the QOL in patients with SCI). The obtained data were analyzed by SPSS through the Pearson correlation coefficient, Independent student t test and hierarchical regression analysis (after adjusting confounding demographic factors).
Results: Correlation coefficients showed that the QOL of SCI patients decreases (P<0.0001) with an increase in symptoms of PTSD and improves (P<0.0001) with increasing self-efficacy beliefs. Hierarchical regression analysis also revealed that after removing the effect of the confounding variables (duration of lesion, gender, type of lesion, having a bedsore, catheter, nurse, diaper, wheelchair), signs of PTSD (F=7.38, P<0.0001) and self-efficacy beliefs (F=18.35, P<0.0001) significantly explained 66% of the total variance of SCIQL-23 scores.
Conclusion: The results of this research stresses on the prevention and treatment of PTSD and promoting self-efficacy beliefs in SCI patients in order to improve their QOL.
Full-Text [PDF 1052 kb]   (1079 Downloads) |   |   Full-Text (HTML)  (1037 Views)  
Type of Study: Review | Subject: Special
Received: 2017/10/12 | Accepted: 2018/02/9 | Published: 2018/04/1

References
1. Schönenberg M, Reimitz M, Jusyte A, Maier D, Badke A, Hautzinger M. Depression, posttraumatic stress, and risk factors following spinal cord injury. Int J Behav Med. 2014; 21(1):169-76. [DOI:10.1007/s12529-012-9284-8] [DOI:10.1007/s12529-012-9284-8]
2. Khodayarian M, Vaezi AA, Jalalpour S, Jalalpour T, Haji Hosseini H. [The survey of quality of life of spinal cord injured people in Yazd in 2014 (Persian)]. Mil Car Sci. 2015; 1(2):88-98. [DOI:10.18869/acadpub.mcs.1.2.88] [DOI:10.18869/acadpub.mcs.1.2.88]
3. Kemp B, Tsukerman D, Kahan J, Adkins R. Predicting psychosocial outcomes using a brief measure of quality of life in a sample of people with spinal cord injury. Top Spinal Cord Inj Rehabil. 2014; 20(3):191-6. [DOI:10.1310/sci2003-191] [DOI:10.1310/sci2003-191]
4. Law M, Hanna S, Anaby D, Kertoy M, King G, Xu L. Health-related quality of life of children with physical disabilities: a longitudinal study. BMC Pediatr. 2014; 14(1):26. [DOI:10.1186/1471-2431-14-26] [DOI:10.1186/1471-2431-14-26]
5. Shahandeh H, Wameghi R, Hatamizadeh N, Kazemnejad AN. [Quality of life among people with spinal cord injuries (Persian)]. J Sch Public Health Inst Public Health Res. 2005; 3(3):1-8.
6. Post MW, Van Leeuwen CM. Psychosocial issues in spinal cord injury: A review. Spinal Cord. 2012; 50(5):382-9. [DOI:10.1038/sc.2011.182] [DOI:10.1038/sc.2011.182]
7. Khodadadi Hassankiadeh N, Dehghan Nayeri N, Shahsavari H, Yousefzadeh Chabok S, Haghani H. Psycho-social and mental variables and post-traumatic stress disorder in traffic accident survivors in northern Iran. Bull Emerg Trauma. 2017; 5(3):197-205. [PMID] [PMCID] [PMID] [PMCID]
8. Sadeghi Bazargani H, Maghsoudi H, Soudmand Niri M, Ranjbar F, Mashadi Abdollahi H. Stress disorder and PTSD after burn injuries: A prospective study of predictors of PTSD at Sina Burn Center, Iran. Neuropsychiatr Dis Treat. 2011; 7:425-9. [DOI:10.2147/NDT.S23041] [DOI:10.2147/NDT.S23041]
9. Elhai JD, Miller ME, Ford JD, Biehn TL, Palmieri PA, Frueh BC. Posttraumatic stress disorder in DSM-5: Estimates of prevalence and symptom structure in a nonclinical sample of college students. J Anxiety Disord. 2012; 26(1):58-64. [DOI:10.1016/j.janxdis.2011.08.013] [DOI:10.1016/j.janxdis.2011.08.013]
10. Trusz SG, Wagner AW, Russo J, Love J, Zatzick DF. Assessing barriers to care and readiness for cognitive behavioral therapy in early acute care PTSD interventions. Psychiatry. 2011; 74(3):207-23. [DOI:10.1521/psyc.2011.74.3.207] [DOI:10.1521/psyc.2011.74.3.207]
11. Otis C, Marchand A, Courtois F. Risk factors for posttraumatic stress disorder in persons with spinal cord injury. Top Spinal Cord Inj Rehabil. 2012; 18(3):253-63. [DOI:10.1310/sci1803-253] [DOI:10.1310/sci1803-253]
12. Naseh L, Shaikhy R, Rafiei H. [General self-efficacy and associated factors among elderly residents of nursing home (Persian)]. J Holist Nurs Midwifery. 2016, 26(2): 90-7.
13. Tahmassian K, Anari A. [The relation between domains of self-efficacy and depression in adolescence (Persian)]. J Appl Psychol. 2009; 3(1):84-94.
14. Blackburn L, Owens GP. The effect of self efficacy and meaning in life on posttraumatic stress disorder and depression severity among veterans. J Clin Psychol. 2015; 71(3):219-28. [DOI:10.1002/jclp.22133] [DOI:10.1002/jclp.22133]
15. Middleton J, Tran Y, Craig A. Relationship between quality of life and self-efficacy in persons with spinal cord injuries. Arch Phys Med Rehabil. 2007; 88(12):1643-8. [DOI:10.1016/j.apmr.2007.09.001] [DOI:10.1016/j.apmr.2007.09.001]
16. Van Leeuwen CM, Kraaijeveld S, Lindeman E, Post MW. Associations between psychological factors and quality of life ratings in persons with spinal cord injury: A systematic review. Spinal Cord. 2012; 50(3):174-87. [DOI:10.1038/sc.2011.120] [DOI:10.1038/sc.2011.120]
17. Elfstrom M, Rydén A, Kreuter M, Taft C, Sullivan M. Relations between coping strategies and health-related quality of life in patients with spinal cord lesion. J Rehabil Med. 2005; 37(1):9-16. [DOI:10.1080/16501970410034414] [DOI:10.1080/16501970410034414]
18. Jain NB, Sullivan M, Kazis LE, Tun CG, Garshick E. Factors associated with health-related quality of life in chronic spinal cord injury. Am J Phys Med Rehabil. 2007; 86(5):387-96. [DOI:10.1097/PHM.0b013e31804a7d00] [DOI:10.1097/PHM.0b013e31804a7d00]
19. Ebrahimzadeh MH, Makhmalbaf H, Soltani-Moghaddas SH, Mazloumi SM. The spinal cord injury quality-of-life-23 questionnaire, Iranian validation study. J Res Med Sci. 2014; 19(4):349-54. [PMID] [PMCID] [PMID] [PMCID]
20. Sherer M, Maddux JE, Mercandante B, Prentice Dunn S, Jacobs B, Rogers RW. The self-efficacy scale: Construction and validation. Psychol Rep. 1982; 51(2):663-71. [DOI:10.2466/pr0.1982.51.2.663] [DOI:10.2466/pr0.1982.51.2.663]
21. Asgharnejad T, KhodaPanahi MK, Heidari M. [The relationship between general self-efficacy, locus of control and academic achievement (Persian)]. J Psychol. 2004; 8(3):218-26.
22. Najafi M, Fouladvand M. [The relationship between self-efficacy and mental health among high school students (Persian)]. Clin Psychol Pers. 2007; 1(22):69-83.
23. Foa EB, Riggs DS, Dancu CV, Rothbaum BO. Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. J Trauma Stress. 1993; 6(4):459-73. [DOI:10.1002/jts.2490060405] [DOI:10.1002/jts.2490060405]
24. Khodadadi N, Ghanbari A, Yosefzadeh S, Meskini F, Asgari F, Koochaki Nejad L. [A study on acute stress, post-traumatic stress disorder and quality of life in injured accident survivors admitted to Rasht Porsina Hospital during 2009-10 (Persian)]. Feyz. 2011; 14(5):520-5.
25. Giacco D, Matanov A, Priebe S. Symptoms and subjective quality of life in post-traumatic stress disorder: A longitudinal study. PLoS One. 2013; 8(4):e60991. [DOI:10.1371/journal.pone.0060991] [DOI:10.1371/journal.pone.0060991]
26. Haagsma JA, Scholten AC, Andriessen TM, Vos PE, Van Beeck EF, Polinder S. Impact of depression and post-traumatic stress disorder on functional outcome and health-related quality of life of patients with mild traumatic brain injury. J Neurotrauma. 2015; 32(11):853-62. [DOI:10.1089/neu.2013.3283] [DOI:10.1089/neu.2013.3283]
27. Prati G, Pietrantoni L, Cicognani E. Self-efficacy moderates the relationship between stress appraisal and quality of life among rescue workers. Anxiety Stress Coping. 2009; 23:463-70. [DOI:10.1080/10615800903431699] [DOI:10.1080/10615800903431699]
28. Brands I, Köhler S, Stapert S, Wade D, van Heugten C. Influence of self-efficacy and coping on quality of life and social participation after acquired brain injury: A 1-year follow-up study. Arch Phys Med Rehabil. 2014; 95(12):2327-34. [DOI:10.1016/j.apmr.2014.06.006] [DOI:10.1016/j.apmr.2014.06.006]
29. Jerusalem M, Mittag W. Self-efficacy in stressful life transitions. In: Bandura A, editor. Self-efficacy in Changing Societies. Cambridge: Cambridge University Press; 1995. [DOI:10.1017/CBO9780511527692.008] [DOI:10.1017/CBO9780511527692.008]
30. Bandura A. Self-efficacy: The exercise of control. New York: W.H. Freeman and Company; 1997.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Caspian Journal of Neurological Sciences

Designed & Developed by : Yektaweb