Association between self-esteem, depression, social support, and quality of life among patients with cerebrovascular accidents and spinal cord injury

Adebisi Isiak Hammed, Ebere Ugboh

Abstract


Study aim: The study determined the association between self-esteem, depression, social support and quality of life among patients with cerebrovascular accident (stroke) and spinal cord injury. Material and methods: The study adopted a cross-sectional survey research design. A total of 60 participants (30 stroke patients and 30 spinal cord injured patients) participated in this study. The selected psychosocial variables such as Depression and Self Esteem were assessed using Beck Depression Inventory Questionnaire (BDI) and Self Esteem Questionnaire (SE) respectively. Also, social support and quality of life were assessed using Social Support Questionnaire (SSQ6) and Short Form (SF-36) Health Questionnaire respectively. The association between social support, depression, self-esteem and quality of life in both spinal cord injury and stroke patients and the demographic variables were analyzed using Spearman rho. However, independent sample t-test was used to analyze the difference between social support, depression, self-esteem and quality of life in spinal cord injury and social support, depression, self-esteem and quality of life in stroke. Results: The outcome of this study showed that there is a significant difference in depression between both stroke and spinal cord injury patients (p<0.05). The findings also showed a significant association between depression, quality of life and age in stroke patients. Equally, there was a significant association between depression, social support, and age in spinal cord injury patients. Conclusion: It was therefore concluded that even though stroke patients receive more social support and have a higher quality of life, they are still more depressed and have lower self-esteem compared to spinal cord injury patients. It was thus recommended that physiotherapists and other health professionals should make an appropriate assessment of the quality of life, self-esteem, depression and social support of stroke and spinal cord injury patients to enable proper management of these individuals.


Keywords


Psychosocial characteristics, cerebrovascular accident and spinal cord injury

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References


Aaronson, L. S., Teel, C. S., Cassmeyer, V., Neuberger, G. B., Pallikkathayil, L., & Pierce, J. (2000). Defining and Measuring Fatigue Impact. The Journal of Nursing Scholarship, 31(1), 45-50.

Agyemang, C., Addo, J., Bhopal, R., Aikins-Ade, G. & Stronks, K. (2009). Cardiovascular Disease, Diabetes and Established Risk Factors among Populations of Sub-Saharan African descent in Europe: A literature review. Global Health, 5, 7.

Allotey, P., Reidpath, D., Kouame, A., & Cummins, R. (2003). The DALY, context and the determinants of the severity of disease: An exploratory comparison of paraplegia in Australia and Cameroon. Social Science & Medicine, 57(5), 949–58.

Barker, W. H. & Mullooly, J. P. (2003). Stroke in define elderly population: A less lethal and disabling but no less common disease. Stroke, 28, 284-290.

Baune, B. T. & Aljeesh, Y. (2006). The association of psychological stress and health related quality of life among patients with stroke and hypertension in Gaza strip. Annals of General Psychiatry, 1744-859.

Bowling, A. (2007). Gender-specific and gender-sensitive associations with psychological health and morbidity in older age: Baseline findings from a British population survey of aging. Aging Mental Health, 11, 301–309.

Campbell Burton, C. A., Holmes, J., Murray, J., Gillespie, D., Lightbody, C. E., & Watkins, C. L. (2011). Interventions for treating anxiety after stroke. Cochrane Database of Systematic Reviews, 12, CD008860.

Carter, B. S., Buckley, D. R. N., Ferraro, R., Rerraro, G., & Ogilvy, C. (2000). Factors associated with reintegration to normal living after subarachnoid haemorrhage. Neurosurgery, 46,1326-1334.

Craig, A., Tran, Y., & Middleton, J. (2009). Psychological morbidity and spinal cord injury: A systematic review. Spinal Cord, 47, 108-114.

Dijkers, M., Buda-Abela, M., Gans, B. M., & Gordon, W. (1995). The aftermath of spinal cord injury. Journal of Neurosurgery, 94, 728-732.

Dombovy, M. L., Basford, J. R., Whisnant, J. P., & Bergstralh, E. J. (2007). Disability and Use of Rehabilitation Services Following Stroke in Rochester, Minne. Stroke, 18, 830–836.

Duncan, L. Mayo, N. E., Wood Dauphinee, S., Cote, R., & Carlton, J. (2002). Activity, Participation, and quality of life 6 months post stroke. Archives of Physical Medicine Rehabilitation, 83, 1035-1042.

Elliott, T. & Shewchuck, R. (2006). Social support and leisure activities following severe physical disability: testing the mediating effect of depression. Basic and Applied Social Psychology, 16, 471-487.

Gardner, B. P., Theocleous, F., Watt, J. W., & Krishnan, K. R. (1985). Ventilation or dignified death for patients with high tetraplegia. British Medical Journal (Clinical Research Edition), 291(6509), 1620–22.

Gerhart, K. A., Koziol-McLain, J., Lowenstein, S. R., & Whiteneck, G. G. (1994). Quality of Life Following Spinal Cord Injury: Knowledge and Attitudes of Emergency Care Providers. Annals of Emergency Medicine, 23(4), 807–12.

Giroud, M., Jacquin, A., & Bejot, Y. (2014). The worldwide landscape of stroke in the 21st century. Lancet, 383, 195-197.

Gulick, E. E. (1997). Correlates of quality of life among person with multiple sclerosis. Nursing Research, 46, 305-311.

Guttmann, L. (1973). Spinal cord injuries: Comprehensive management and research. London: Blackwell Scientific Publications.

Hancock, K. M. (1993). Anxiety and Depression over the First Year of Spinal Cord Injury: A Longitudinal Study. Paraplegia, 31, 349-357.

Harvey, S. & Leinwand, C. G. (2008). Activity, Participation, and quality of life 6 months post stroke. Archives of Physical Medicine Rehabilitation, 83, 1035-1042.

Heatherton, T. F. & Polivy, J. (1991). Development and validation of a scale for measuring state self- esteem. Journal of Personality and Social Psychology, 60, 895-910.

Hoffman, J. M., Bombardier, C. H., Graves, D. E., Kalpakjian, C. Z., & Krause, J. S. (2011). A longitudinal study of depression from 1- 5 years after spinal cord injury. Archives of physical medicine and rehabilitation, 92(3), 411-418.

Judd, F. K., Burrows, G. D., & Brown, D. J. (1986). Depression following acute spinal cord injury. Paraplegia, 24, 358-363.

Kewman, D. G. & Tate, D. G. (1998). Suicide in SCI: A psychological autopsy. Rehabilitation Psychology, 43(2), 143–51.

Kyung, K., Young, M. K., & Eun, K. K. (2014). Correlation between the Activities of Daily Living of Stroke Patients in a Community Setting and their Quality of Life. Journal of Physical Therapy Science, 26, 417–419.

Marino, S., Hoogervoorst, D., Brandner, S., & Berns, A. (2003). Disability Health Journal, 7(2), 164-172.

Maynard, F. M. & Muth, A. S. (1987). The choice to end life as a ventilator-dependent quadriplegic. Archives of Physical Medicine and Rehabilitation, 68(12), 862–64.

Obembe, A. O., Johnson, O. E., & Fasuyi, T. F. (2010). Community reintegration in stroke survivors in Osun, South Western Nigeria. African Journal of Neurological Sciences (AJNS), 29(1), 9-16.

Pan, A., Sun, Q., Okereke, O. I., Rexrode, K. M., & Hu, F. B. (2011). Depression and Risk of Stroke Morbidity and Mortality: A Meta-Analysis and Systematic Review. Journal of the American Medical Association (JAMA), 306(11), 1241-1264.

Park, G. Y., Im, S., Oh, C. H., Lee, S. J., & Pae, C. U. (2015). The association between the se- verity of poststroke depression and clinical outcomes after first-onset stroke in Korean patients. General Hospital Psychiatry, 37(3), 245-250.

Saunders, L. L., Krause, J. S., & Focht, K. L. (2012). A longitudinal study of depression in survivors or spinal cord injury. Spinal cord, 50(1), 72-77.

Vestling, M., Tufvesson, B., & Iwarsson, S. (2003). Indicators for return to work after stroke and the importance of work for subjective well-being and life satisfaction. Journal of Rehabilitation Medicine, 35, 127–131.

World health organization (WHO) (2002). Global burden of disease: Estimate world health report.

World health organization (WHO) (2013). International perspectives on spinal cord injury.




DOI: https://doi.org/10.15282/mohe.v7i1.155