The Correlation of Patients with Spinal Cord Injury and Psychiatric Disorders

2.50
Hdl Handle:
http://hdl.handle.net/10755/621893
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
The Correlation of Patients with Spinal Cord Injury and Psychiatric Disorders
Author(s):
Chuang, Chinghui
Lead Author STTI Affiliation:
Non-member
Author Details:
Chinghui Chuang, MSN, RN, Professional Experience: Chinghui Chuang works in Department of Nursing, the Chang Gung University of Science and Technology and Nursing Department, the Kaohsiung Chang Gung Memorial Hospital. She developed novel evidence base nursing effectiveness, medical treatment and patient rehabilitation in meta-analysis by using Bayesian theory. Author Summary: Chinghui Chuang now is Assistant Professor of Department of Nursing, the Chang Gung University of Science and Technology and Nursing Department, and Kaohsiung Chang Gung Memorial Hospital.
Abstract:

Purpose:

Psychiatric disorders often occur concomitantly with spinal cord injury. However, the relationship between psychiatric disorders and spinal cord injury (SCI) remains unclear.

The study was to investigate the correlation between psychiatric disorders and SCI.

Methods:

During the 10-year study period, 71253 patients spinal cord injury were enrolled for analysis. The study was to conduct a retrospective cohort study to assess whether psychiatric disorders were an independent risk factor of SCI. Newly diagnosed SCI outpatients (N=71253) during the years 2000-2009 by the Taiwan National Health Research Institute. We categorized psychiatric disorders into four main disorders, including depression disorders, schizophrenia, anxiety disorders, and major depressive disorder recurrent episode. The prevalence of each psychiatric disorder before and after SCI was estimated respectively. McNemar’s test was performed to compare the paired prevalence of each disorder before and after SCI.

Results:

There was significantly higher prevalence after SCI than before SCI in depression disorders (12.1% vs. 9.2%, P <0.0001), schizophrenia (1.4% vs. 1.1%, P <0.02). It was significantly lower prevalence after SCI than before SCI in anxiety disorders (3.8% vs. 6.0%, P < 0.0001), and major depressive disorder recurrent episode (0.2% vs. 0.6%, P < 0.001). Among the subgroups of cognitive disorders, the prevalence of schizophrenia and other psychotic disorders was significantly elevated after SCI (2.1% vs. 1.4%, P = 0.001). Among the subgroups of mood disorders, the prevalence of Unspecified schizophrenia was elevated after SCI (1.4% vs. 1.1%, P < 0.02).

Conclusion:

The prevalence of schizophrenia and depression disorders, and other psychotic disorders otherwise specified tended to increase after SCI.Our current study is a population-based study with a large, nationally cohort sample. The study showed that psychiatric disorders in patients may be associated with the development of spinal cord injury, and that this risk was more predominant in young patients. The comorbidities of chronic kidney disease, hyperlipidemia, this may have had an impact among spinal cord injury patients.

Keywords:
cohort study; psychiatric disorders; spinal cord injury
Repository Posting Date:
17-Jul-2017
Date of Publication:
17-Jul-2017
Other Identifiers:
INRC17PST572
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleThe Correlation of Patients with Spinal Cord Injury and Psychiatric Disordersen_US
dc.contributor.authorChuang, Chinghuien
dc.contributor.departmentNon-memberen
dc.author.detailsChinghui Chuang, MSN, RN, Professional Experience: Chinghui Chuang works in Department of Nursing, the Chang Gung University of Science and Technology and Nursing Department, the Kaohsiung Chang Gung Memorial Hospital. She developed novel evidence base nursing effectiveness, medical treatment and patient rehabilitation in meta-analysis by using Bayesian theory. Author Summary: Chinghui Chuang now is Assistant Professor of Department of Nursing, the Chang Gung University of Science and Technology and Nursing Department, and Kaohsiung Chang Gung Memorial Hospital.en
dc.identifier.urihttp://hdl.handle.net/10755/621893-
dc.description.abstract<p><strong>Purpose:</strong></p> <p>Psychiatric disorders often occur concomitantly with spinal cord injury. However, the relationship between psychiatric disorders and spinal cord injury (SCI) remains unclear.</p> <p>The study was to investigate the<strong> </strong>correlation between psychiatric disorders and SCI.</p> <p><strong>Methods:</strong></p> <p>During the 10-year study period, 71253 patients spinal cord injury were enrolled for analysis. The study was to conduct a retrospective cohort study to assess whether psychiatric disorders were an independent risk factor of SCI. Newly diagnosed SCI outpatients (N=71253) during the years 2000-2009 by the Taiwan National Health Research Institute. We categorized psychiatric disorders into four main disorders, including depression disorders, schizophrenia, anxiety disorders, and major depressive disorder recurrent episode. The prevalence of each psychiatric disorder before and after SCI was estimated respectively. McNemar’s test was performed to compare the paired prevalence of each disorder before and after SCI.</p> <p><strong>Results:</strong></p> <p>There was significantly higher prevalence after SCI than before SCI in depression disorders (12.1% vs. 9.2%, P <0.0001), schizophrenia (1.4% vs. 1.1%, P <0.02). It was significantly lower prevalence after SCI than before SCI in anxiety disorders (3.8% vs. 6.0%, P < 0.0001), and major depressive disorder recurrent episode (0.2% vs. 0.6%, P < 0.001). Among the subgroups of cognitive disorders, the prevalence of schizophrenia and other psychotic disorders was significantly elevated after SCI (2.1% vs. 1.4%, P = 0.001). Among the subgroups of mood disorders, the prevalence of Unspecified schizophrenia was elevated after SCI (1.4% vs. 1.1%, P < 0.02).</p> <p><strong>Conclusion:</strong></p> <p>The prevalence of schizophrenia and depression disorders, and other psychotic disorders otherwise specified tended to increase after SCI.Our current study is a population-based study with a large, nationally cohort sample. The study showed that psychiatric disorders in patients may be associated with the development of spinal cord injury, and that this risk was more predominant in young patients. The comorbidities of chronic kidney disease, hyperlipidemia, this may have had an impact among spinal cord injury patients.</p>en
dc.subjectcohort studyen
dc.subjectpsychiatric disordersen
dc.subjectspinal cord injuryen
dc.date.available2017-07-17T20:29:15Z-
dc.date.issued2017-07-17-
dc.date.accessioned2017-07-17T20:29:15Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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