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10.1080/10790268.2021.1922230

http://scihub22266oqcxt.onion/10.1080/10790268.2021.1922230
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34061728!9542626!34061728
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suck abstract from ncbi


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pmid34061728      J+Spinal+Cord+Med 2022 ; 45 (5): 681-690
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  • The impact of COVID-19 on community integration, quality of life, depression and anxiety in people with chronic spinal cord injury #MMPMID34061728
  • Garcia-Rudolph A; Sauri J; Lopez Carballo J; Cegarra B; Wright MA; Opisso E; Tormos JM
  • J Spinal Cord Med 2022[Sep]; 45 (5): 681-690 PMID34061728show ga
  • CONTEXT/OBJECTIVE: Compare community integration, quality of life, anxiety and depression of people with chronic spinal cord injury (SCI) living in the community before the outbreak of coronavirus SARS-CoV-2 disease (COVID-19) and during it. DESIGN: Prospective observational cohort study. SETTING: In-person follow-up visits (before COVID-19 outbreak) to a rehabilitation hospital in Spain and on-line during COVID-19. PARTICIPANTS: Community dwelling adults (>/= 18 years) with chronic SCI. OUTCOME MEASURES: Hospital Anxiety and Depression Scale (HADS), Community Integration Questionnaire (CIQ) and World Health Organization Quality of Life (WHOQOL-BREF) were compared using the Wilcoxon ranked test or paired t-test when appropriate. RESULTS: One hundred and seventy five people with SCI assessed on-line between June 2020 and November 2020 were compared to their own assessments before COVID-19. Participants reported significantly decreased Social Integration during COVID-19 compared to pre-pandemic scores (P = 0.037), with a small effect size (d = -0.15). Depression (measured using HADS) was significantly higher than before COVID-19 (P < 0.001) with a moderate effect size (d = -0.29). No significant differences were found in any of the 4 WHOQOL-BREF dimensions (Physical, Psychological, Social and Environmental).Nevertheless, when all participants were stratified in two groups according to their age at on-line assessment, the younger group (19-54 years, N = 85) scored lower during COVID-19 than before, in WHOQOL-BREF Physical (P = 0.004), (d = -0.30) and Psychological dimensions (P = 0.007) (d = -0.29). The older group (55-88 years, N = 0) reported no significant differences in any dimension. CONCLUSIONS: COVID-19 impacted HADS' depression and CIQ's social integration. Participants younger than 55 years were impacted in WHOQOL-BREF's physical and psychological dimensions, meanwhile participants older than 55, were not.
  • |*COVID-19/epidemiology[MESH]
  • |*Spinal Cord Injuries/complications/epidemiology/psychology[MESH]
  • |Adult[MESH]
  • |Anxiety/epidemiology/etiology[MESH]
  • |Community Integration[MESH]
  • |Humans[MESH]
  • |Middle Aged[MESH]
  • |Prospective Studies[MESH]
  • |Psychometrics/methods[MESH]
  • |Quality of Life/psychology[MESH]
  • |SARS-CoV-2[MESH]


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