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Depression or anxiety symptoms associated with occupational role transitions in Brazilian adults with a traumatic spinal cord injury: A multivariate analysis.
Placeres, Aline Ferreira; Fiorati, Regina Célia; Alonso, Jonas Bodini; Carrijo, Débora Couto de Mello; Jesus, Tiago Silva.
Afiliação
  • Placeres AF; School of Nursing, University of São Paulo, São Paulo, Brazil.
  • Fiorati RC; Medical School of Ribeirão Preto, University of São Paulo, São Paulo, Brazil.
  • Alonso JB; School of Nursing, University of São Paulo, São Paulo, Brazil.
  • Carrijo DCM; Occupational Therapy Department, Federal University of São Carlos (UFSCar), São Carlos, Brazil.
  • Jesus TS; Global Health and Tropical Medicine (GHTM) & WHO Collaborating Centre for Health Workforce Policy and Planning, Institute of Hygiene and Tropical Medicine, NOVA University of LisbonLisbonPortugal.
Work ; 68(4): 1009-1018, 2021.
Article em En | MEDLINE | ID: mdl-33867367
BACKGROUND: Psychological morbidity is commonly experienced by people with a spinal cord injury (SCI), but whether it is associated with occupational role transitions in is unknown. OBJECTIVE: To analyze whether anxiety or depression symptoms are independently associated to increased likelihoods of role transitions in adults with SCI. METHODS: Cross-sectional study; multivariate analysis using a heteroscedastic Dirichlet regression. PARTICIPANTS: Thirty persons with traumatic SCI. MEASURES: Role Checklist (e.g. role transitions: dependent variables) and Beck's Depression Inventory and State-Trait Anxiety Inventory (independent variables), adjusted for socio-demographic, functional, and injury-level confounders. RESULTS: Greater depression symptoms independently increased the likelihood of occupational role transitions, either for roles loss [adjusted Odds Ratio (AOR): 1.04; 95% confidence interval (CI):1.009-1.080] or roles gain [AOR: 1.07; 95% CI:1.02-1.13], as opposed to continued occupational roles. Higher anxiety as a trait, in turn, independently reduced the likelihood of occupational roles gain [AOR: 0.93; 95% CI: 0.869-0.992]. The "worker" role was the one lost more frequently (83%). CONCLUSION: Psychological morbidity is associated to occupational role transitions, as opposed to continued roles. Further research (e.g. with larger samples, longitudinal design, using structural equation modelling) should elucidate on the intricate relationships between mental health status and occupational role transitions in people experiencing SCI.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traumatismos da Medula Espinal / Depressão Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Limite: Adult / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Work Assunto da revista: MEDICINA OCUPACIONAL Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traumatismos da Medula Espinal / Depressão Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Limite: Adult / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Work Assunto da revista: MEDICINA OCUPACIONAL Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda