Pain, Depression, and Resilience and their Relation to Life Satisfaction in Spinal Cord Injury
TIRR Memorial Hermann, Houston, Texas, US
Objective: Spinal Cord Injury (SCI) is a debilitating condition that can result in devastating effects, not only on physical functioning and independence, but on psychological functioning. Pain and depression often co-occur in SCI population and have a compounding impact on one another. Research has shown moderate to strong associations between resilience and pain severity, physical functioning, and psychological well-being. However, few have evaluated the relation of resilience. The purpose of this study is to evaluate relations among pain, depression, and resilience and their prediction of life satisfaction in men and women with SCI.
Design/Methods: This study uses baseline data from a larger,ongoing longitudinal NIDILRR funded project. The presentation reports on the evaluation of the relation between pain, depression, and resilience and the extent they relate to life satisfaction among men and women with chronic pain secondary to SCI at baseline. The purpose was to investigate the extent to which men and women with SCI differ in the relation of chronic pain and depression to physical, psychological, and social functioning, resilience characteristics, and the relation of resilience characteristics to pain and depression and physical, psychological, and social functioning. A national sample of 149 men (60%) and women (40%) with chronic pain secondary to SCI were recruited from postings on social media sites, community based public and private clinics, and email notifications by national organizations, over a five-month period. The baseline assessments were conducted via a telephone-administrated oral questionnaire and an online self-administered questionnaire with standardized instruments for measuring pain, depression, resilience, and satisfaction with life.
Results: Men and women with SCI did not differ significantly on outcome measures. Depression, loneliness, and resilience predicted 45% of the variance in satisfaction with life, however pain interference did not contribute. Detailed results on resilience characteristics and their relation will be discussed.
Conclusion: Resilience is an important factor to consider regarding satisfaction with life in the context of SCI. Future research needs focus on these relations longitudinally and consider their varying impact over time.
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