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Rehabilitation Practice and Science

Translated Title

脊髓損傷患者創傷後壓力症候群之盛行率及相關因子研究

Abstract

There are approximately 1200 new cases of traumatic spinal cord injury (SCI) each year in Taiwan. Traumatic SCI often results from motor vehicle crashes, acts of violence or sports injuries. These are potentially leading patients to suffer from posttraumatic stress disorder (PTSD). The characteristic symptoms of PTSD include persistent re-experiencing of the event, increased arousal and avoidance of stimuli associated with the trauma and numbing of general responsiveness. The symptoms must cause clinically significant distress or impairment in social, occupational or other important areas of functioning. Our purpose was to identify the prevalence and related factors of posttraumatic stress disorder among spinal cord injury patients in Taiwan. A total of 67 patients with traumatic SCI and 116 general population members were enrolled. PTSD was measured by the Impact of Event Scale-Revised (IES-R) with cutoff point ≧25. Sex, age, marriage, injury duration, paraplegia, tetraplegia, severity of SCI and Barthel index were analyzed to evaluate the relationship to PTSD. In this study, the prevalence of PTSD was 5.2% in the general population and 22.4% in traumatic SCI (p＜.001). The score of IES-R was higher in SCI patients with injury duration exceeding one year (p＜.005). Therefore, we concluded the prevalence of PTSD in SCI patients was significantly higher than those without SCI history. The severity of PTSD was related to the duration after injury.

Language

Traditional Chinese

First Page

111

Last Page

120

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