Article

OBJECTIVES: (1) To investigate the course of body image in patients with spinal
cord injury (SCI) during their first inpatient rehabilitation stay; and (2) to
explore the association between demographic and injury-related variables and body
image and the association between body image and psychological distress. DESIGN:
Longitudinal inception cohort study. SETTING:
Rehabilitation center.
PARTICIPANTS: Of the 210 people admitted for their first inpatient SCI
rehabilitation program (between March 2011 and April 2015), 188 met the inclusion
criteria. Of these, N=150 (80%) agreed to participate. INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURE: The Body Experience Questionnaire was used to
measure 2 dimensions of body image: alienation and harmony. RESULTS: Mean scores
on the Body Experience Questionnaire alienation subscale decreased significantly
during the rehabilitation program. Mean scores on the Body Experience
Questionnaire harmony subscale did not increase significantly but showed a trend
in the hypothesized direction. The 2 subscales showed weak correlations with
demographic and injury-related variables. The 2 subscales together explained 16%
and 14% of the variance of depression and anxiety, respectively, after correction
for demographic and injury-related variables. CONCLUSIONS:
During participants'
first inpatient rehabilitation stay after SCI, body image progressed toward a
healthier state. Body image explains part of the variance in depression and
anxiety, and the entire rehabilitation team should be targeting interventions to
improve body image.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS