Adults with SCI have an nearly 80% increased risk of developing psychological conditions such as depression and anxiety compared to those without trauma, according to a new study. However, chronic pain can have a significant negative impact on mental health as well.
The study is published at Spinal cord We analyzed private insurance claims from more than 9,000 adults with traumatic spinal cord injury and more than 1 million adults without traumatic spinal cord injury by a team of researchers led by Michigan Medicine. They described a variety of psychological conditions, from anxiety and mood disorders to insomnia and dementia.
People who live with Spinal cord injury More often mental health status Than non-injured person – 59.1% vs. 30.9%. Depression and adverse effects on mental health are not an inevitable result of all traumatic spinal cord injuries, but past findings show that this group has a higher level of psychological state than the general population without spinal cord injury. Consistently reflects the high.
However, in this study, chronic intensive and neuropathic pain in adults with SCI is strongly associated with post-traumatic stress disorders, substance use disorders, and other mental health conditions. I understand.In most cases, chronic pain Even bigger The impact on these conditions rather than the exposure to living with the injury itself.
Researchers say the findings should encourage doctors to identify their mental health status and refer them to a mental health provider for treatment when examining patients with SCI. ..
“Improved clinical efforts are needed to facilitate screening and early treatment of both chronic pain and mental health in this high-risk population,” he said. Dr. Mark PetersonLead author of the dissertation and associate professor of physiotherapy and rehabilitation in Michigan medicine.
However, researchers point out that the problem may remain largely unresolved due to lack of insurance coverage and limited services available.
“Stakeholders have more federal research funding and special to ensure proper and long-term insurance coverage for both physical and mental health to meet the needs of people with SCI. We need to work on policy revisions, “Peterson said.
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Other authors include Dr. Michel Meade, Department of Medicine and Rehabilitation, University of Michigan, Institute of Healthcare Policy Innovation, University of Michigan, Institute of Healthcare Policy, University of Michigan, Innovation, Gianna Rodriguez, MD, Faculty of Medicine, Physics and Rehabilitation, University of Michigan. Elham Mahmoudi, Ph.D. , Michigan School of Medicine and Home Medicine, James Krause, Ph.D, South Carolina Medical College.
This study was partially developed with a grant from a national laboratory Disability, Independent Living, Rehabilitation Research (NIDILRR # 90RTHF0001-01-00).
Cited paper: “Psychological morbidity of patients after and without SCI: effects of chronic concentration and neuropathic pain” Spinal cord.. DOI: 10.1038 / s41393-021-00731-4
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