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The impact of COVID-19 on community integration, quality of life, depression and anxiety in people with chronic spinal cord injury.
| Content Provider | Europe PMC |
|---|---|
| Author | García-Rudolph, Alejandro Saurí, Joan López Carballo, Jaume Cegarra, Blanca Wright, Mark Andrew Opisso, Eloy Tormos, Josep María |
| Copyright Year | 2021 |
| Abstract | Context/objective Compare community integration, quality of life, anxiety and depression of people with chronic spinal cord injury (SCI) living in the community before the outbreak of coronavirus SARS-CoV-2 disease (COVID-19) and during it. Design Prospective observational cohort study. Setting In-person follow-up visits (before COVID-19 outbreak) to a rehabilitation hospital in Spain and on-line during COVID-19. Participants Community dwelling adults (≥ 18 years) with chronic SCI. Outcome measures Hospital Anxiety and Depression Scale (HADS), Community Integration Questionnaire (CIQ) and World Health Organization Quality of Life (WHOQOL-BREF) were compared using the Wilcoxon ranked test or paired t-test when appropriate. Results One hundred and seventy five people with SCI assessed on-line between June 2020 and November 2020 were compared to their own assessments before COVID-19. Participants reported significantly decreased Social Integration during COVID-19 compared to pre-pandemic scores (P = 0.037), with a small effect size (d = −0.15). Depression (measured using HADS) was significantly higher than before COVID-19 (P < 0.001) with a moderate effect size (d = −0.29). No significant differences were found in any of the 4 WHOQOL-BREF dimensions (Physical, Psychological, Social and Environmental). Nevertheless, when all participants were stratified in two groups according to their age at on-line assessment, the younger group (19–54 years, N = 85) scored lower during COVID-19 than before, in WHOQOL-BREF Physical (P = 0.004), (d = −0.30) and Psychological dimensions (P = 0.007) (d = −0.29). The older group (55–88 years, N = 0) reported no significant differences in any dimension. Conclusions COVID-19 impacted HADS’ depression and CIQ’s social integration. Participants younger than 55 years were impacted in WHOQOL-BREF’s physical and psychological dimensions, meanwhile participants older than 55, were not. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC9542626&blobtype=pdf |
| Page Count | 10 |
| ISSN | 10790268 |
| Volume Number | 45 |
| DOI | 10.1080/10790268.2021.1922230 |
| PubMed Central reference number | PMC9542626 |
| Issue Number | 5 |
| PubMed reference number | 34061728 |
| Journal | The Journal of Spinal Cord Medicine [J Spinal Cord Med] |
| e-ISSN | 20457723 |
| Language | English |
| Publisher | Taylor & Francis |
| Publisher Date | 2021-06-01 |
| Access Restriction | Open |
| Rights License | © The Academy of Spinal Cord Injury Professionals, Inc. 2021 |
| Subject Keyword | COVID-19 Quality of life Depression Anxiety Community integration |
| Content Type | Text |
| Resource Type | Article |
| Subject | Neurology (clinical) |
