Mohammed AlnamlahWellnessvio Co, Saudi Arabia
Title: The Psychological and Social Factors Contributing to The Post-Traumatic Growth After Traumatic Spinal Cord Injury
Introduction: Spinal cord injury (SCI) results in significant changes in a person's life; it has a tremendous psychological impact not only at the individual level but also on their caregiver. There is still little known about the psychological changes following SCI. The aim of this study was to determine the psychological and social factors affecting post-traumatic psychological growth after SCI.
Methodology: This was a multi-center cross-sectional study that was conducted between November 2020 and May 2021 in three different hospitals The study included 60 patients with traumatic SCI. The collected data included sociodemographic characteristics of the study sample. The post-traumatic psychological well-being was assessed using the Psychological Well-Being – Post-Traumatic Change Questionnaire (PWB-PTCQ), and the Hospital Anxiety and Depression Scale (HADS) was used to predict and diagnose hospital anxiety and depression. Social support was assessed using the social support scale. Data were analyzed using the SPSS program.
Result: This study included 60 patients comprising 73.3% males and 26.7% with a mean age of 37.1 ±15.30 years. The total mean score of PWB-PTCQ was 46.70±15.24, while it was 7.83±2.78 for the self-acceptance domain, 7.83±2.69 for the autonomy domain, 7.76±2.92 for the purpose of life domain, 8.08±2.43 for relationship domain, 7.21±3.04 fore sense of mastery domain, and 8.01±2.99 for personal growth domain. A total of 20% perceived positive family support, 31.66% perceived positive friends' social support, and 38.33% perceived social support from governmental and non-governmental (GO/NGO) organizations. Factors associated with decreased psychological well-being included male gender, shorter SCI duration, ASIA scale A and B, mild to moderate anxiety and depression, perceived negative support from family and friends, and GO/NGO organizations.
Conclusion: A large proportion of SCI patients in the current study (65%) had decreased physiological well-being. More attention should be given to modifiable factors that could be addressed to improve psychological well-being including increasing the awareness of the family members and friends about their role in supporting patients with SCI. This is not to mention the importance of the role of GO/NGOs in providing financial and logistic support to those patients. Continuous social and psychological counseling and sessions should be scheduled frequently for those patients to enhance their psychological well-being.