The Impact Of Anxiety, Depression In Spinal Cord Injury After Trauma On Response To Psychotherapy

ObjectivesThe spinal cord injury is defferent from other disease,which results from other trauma or ailment.Because it can cause deprivation of motor function and sensory function.,furthermore resulting in complication,.Now there is no effective rehabilitative management.But patients who suffer spinal cord injury usually cause of high crashing,road accident,violence striking,smashing,sports,incised wound,gunshot wound.It frequently results in defferent level of tetraplegia or paraplegina.It is a severe trauma.Accidental trauma event changes patient's daily living in the twinking of an eye and induces patient's activity handicap and living self-care ability degrades tremendous.Patients hardly accept the facts unexpectedly,and are easy to emerge psychological stress.All the individual cognition experience and social support influent accommodation of stress reaction.Now psychotherapy methods include perception,behavior therapy,maintenance therapy,relaxation therapy.Method1.Research tools(1)Schedule table of general state of health;(2)Eysenck Personality Questionnaire(EPQ);(3)Social support scal(SSRS);(4)Coping style;2.Symptom evaluation(1)Quality of Life Scale(QOL);(2)Spinal Cord Independence Measure(SCIM); (3)Hamilton Anxiety Scale(HAMA);(4)Hamilton Depression Rating Scale for Depression(HRSD).3.Individual psychotherapyAdopting ways including perception therapy,behavior therapy,maintenance therapy carry out.4.ProcessionFifteen Victims of trauma were assessed within 2-5 days(time 1)of the accident and again after 1 months(time 2)and after 3 months(time 3)again.The Eysenck Personality Questionaire(EPQ),Social support,Coping style were administered at time 1;HAMA,HRSD,SCIM and QOL-scale were assessed at time 1,time 2 and time 3. Patients who were identified as depressed were randomized to Group sycho-therapy and control group for 4-week observation.Rating scale was used to compare independently both at base-line and at the end of 4th-week and 12th-week,including HAMA,HRSD,SCIM and QOL-scale.ResultsForty-nine victims had depression and forty-eight victims had anxiety.Among victims eight patients had moderate depression,nineteen patients had moderateto-severe depression and twenty-two patients had severe depression;eleven patients had been possible for anxiety,twenty-five had moderate depression,ten patients had moderate-to-severe depression and two patients had severe depresssion.Statistically significant improvements occurred in depression,anxiety,EPQ,Coping analyse and Social support.There was a regression between exterior and interior of EPQ,self-accusation and recession of coping style,social support,spinal function and depression score(regression coefficient-0.51,0.48,0.47,-1.06,-0.56).Anxiety score recurred with exterior and interior and neuroticism of EPQ,retionalization of coping analyse,social support and spinal function(regression coefficient-0.18,0.31, -15.99,-0.79,-0.32).There was significant difference between the two groups in depression,anxiety,SCIM and QOL-scale(p＜0.05).Depression score and anxiety score were ignificantly lower at time 2 and time 3,QOL-scale and SCIM score were higher than before(p＜0.05). ConclusionsThe findings suggest that Personality,coping style,social support have an impact on the depression and anxiety of victims who suffered spinal cord injury after trauma. Psychotherapy need to implement interventions to decrease the depression and anxiety and to increase the quality of life and SCIM score for patients afer trauma.