Psychosocial Consequences of Spinal Cord Injury: A Narrative Review.
Psychosocial Consequences of Spinal Cord Injury: A Narrative Review.
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DOI：
10.3390/jpm12071178
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发表时间：
2022-07-20
影响因子：
--
通讯作者：
Channell, Isabella
中科院分区：
文献类型：
--
作者：
Budd, Maggi A.;Gater, David R., Jr.;Channell, Isabella
关键词：
脊髓损伤（SCI）的后果不仅仅是脊髓损伤。脊髓损伤患者的生活，以及他们周围的人，几乎在每个生活领域都经历了深刻而持久的变化。脊髓损伤是一种物理（生物）损伤，与各种心理和社会后果密不可分。本综述的目的是通过生物心理社会模型来呈现脊髓损伤后的社会心理挑战，首先承认残疾歧视和耻辱的更大社会影响，然后解决脊髓损伤患者生活的许多独特的社会心理方面。本综述包括对当前社会心理结果和后果的定性研究和系统综述。本文试图通过将这些信息分为以下几个部分来构建这些信息：关系和家庭；财政和就业的变化；与该人的生活状况有关的问题；社区融合;与情绪和应对相关的因素（如抑郁、焦虑、物质使用和创伤后应激障碍）；自残行为（从不遵守规定到自杀）；外伤性脑损伤的影响；关于性健康的考虑；伴SCI衰老；最后简短地讨论了创伤后成长。培养对脊髓损伤患者独特且相互关联的心理社会后果的理解，可能有助于减轻心理社会后果，并提醒提供者保持以人为本的护理方法。
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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