How Do Fluctuations in Pain, Fatigue, Anxiety, Depressed Mood, and Perceived Cognitive Function Relate to Same-Day Social Participation in Individuals With Spinal Cord Injury?

Overview

Journal Arch Phys Med Rehabil

Specialty Rehabilitation Medicine

Date 2021 Aug 29

PMID 34454899

Citations 3

Authors

Duygu Kuzu

Jonathan P Troost

Noelle E Carlozzi

Dawn M Ehde

Ivan R Molton

Anna L Kratz

Affiliations

Soon will be listed here.

Abstract

Objective: This study aimed to examine same-day associations of pain, fatigue, depressed mood, anxiety, and perceived cognitive function with social participation in the daily lives of adults with spinal cord injury (SCI).

Design: Observational study used a combination of baseline surveys and 7 end-of-day (EOD) diaries.

Setting: General community.

Participants: Individuals with SCI (N=168; mean age, 49.8y; 63% male, 37% female).

Main Outcome Measures: Patient-Reported Outcomes Measurement Information System short form measures (Ability to Participate in Social Roles and Activities, Pain Intensity, Depression, Anxiety, Cognitive Function Abilities) were adapted for daily administrations as EOD diaries.

Result: Results of multivariable model showed that daily increases in fatigue (B=-0.10; P=.004) and depressive symptoms (B=-0.25; P=<.001) and decreases in perceived cognitive function (B=0.11; P=<.001) were significantly related to worse same-day social participation. Daily fluctuations in anxiety and pain were unrelated to same-day social participation.

Conclusions: This is the first study that shows within-person associations of common SCI symptoms with social participation in the daily lives of adults with SCI. Results from the current study may help to develop more effective individualized treatments of symptoms and symptom effect aimed at improving social participation.

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