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Impact of secondary health conditions on social role participation for a long-term physical disability cohort
For people living with long-term physical disability (LTPD) social participation may involve managing physical impairments and secondary health conditions (SHCs) that are not due to the pathophysiology of the LTPD diagnosis itself. Prior research found a negative relationship between SHCs and partic...
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| Published in: | Psychology, health & medicine health & medicine, 2019-11, Vol.24 (10), p.1159-1170 |
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| Main Authors: | , , , , , |
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| cites | cdi_FETCH-LOGICAL-c460t-db498ac0dbc20a6578443da4ba9174fe58b576d4192442e0cc971c3493e8c4a13 |
| container_end_page | 1170 |
| container_issue | 10 |
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| container_title | Psychology, health & medicine |
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| creator | Hreha, Kimberly P. Smith, Amanda E. Wong, Jennifer L. Mroz, Tracy M. Fogelberg, Donald J. Molton, Ivan |
| description | For people living with long-term physical disability (LTPD) social participation may involve managing physical impairments and secondary health conditions (SHCs) that are not due to the pathophysiology of the LTPD diagnosis itself. Prior research found a negative relationship between SHCs and participation in social roles in people with spinal cord injury (SCI). We expand on this research by investigating the influence of SHCs on participation in social roles for people with one of four LTPDs, controlling for co-variates. We (1) evaluated the associations between SHCs and participation in social roles; and (2) determined whether SHCs on individuals' ability to participate in social roles varies by type of diagnosis in those aging with either SCI, muscular sclerosis, muscular dystrophy, or post-polio syndrome. Cross-sectional, secondary data analysis from a return-by-mail survey. N = 1,573. Data were analyzed with multiple linear regressions (hypothesis 1), and then three moderated regressions (hypothesis 2). After controlling for demographics, SHCs were associated with lower ability to participate in social roles and accounted for 48% of the variance (all p's |
| doi_str_mv | 10.1080/13548506.2019.1595684 |
| format | article |
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Prior research found a negative relationship between SHCs and participation in social roles in people with spinal cord injury (SCI). We expand on this research by investigating the influence of SHCs on participation in social roles for people with one of four LTPDs, controlling for co-variates. We (1) evaluated the associations between SHCs and participation in social roles; and (2) determined whether SHCs on individuals' ability to participate in social roles varies by type of diagnosis in those aging with either SCI, muscular sclerosis, muscular dystrophy, or post-polio syndrome. Cross-sectional, secondary data analysis from a return-by-mail survey. N = 1,573. Data were analyzed with multiple linear regressions (hypothesis 1), and then three moderated regressions (hypothesis 2). After controlling for demographics, SHCs were associated with lower ability to participate in social roles and accounted for 48% of the variance (all p's <.001). The relationship between depression and social role participation was moderated by diagnosis, such that depression was more negatively associated with social participation among individuals with SCI (p = .020). Thus, SHC negatively impact participation in social roles.</description><identifier>ISSN: 1354-8506</identifier><identifier>EISSN: 1465-3966</identifier><identifier>DOI: 10.1080/13548506.2019.1595684</identifier><identifier>PMID: 30909732</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>Aged ; Cohort Studies ; Cross-Sectional Studies ; Depression - psychology ; Disabled Persons - psychology ; Female ; Health status ; Humans ; Hypotheses ; Injuries ; long term physical disability ; Mail surveys ; Male ; Medical diagnosis ; Mental depression ; Middle Aged ; Muscular Disorders, Atrophic - psychology ; Muscular dystrophy ; Participation ; participation in social roles ; Pathophysiology ; Physical disabilities ; Poliomyelitis ; Postpolio syndrome ; Role ; Roles ; secondary health conditions ; Social Participation ; Social roles ; Spinal cord ; Spinal Cord Injuries</subject><ispartof>Psychology, health & medicine, 2019-11, Vol.24 (10), p.1159-1170</ispartof><rights>2019 Informa UK Limited, trading as Taylor & Francis Group 2019</rights><rights>2019 Informa UK Limited, trading as Taylor & Francis Group</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c460t-db498ac0dbc20a6578443da4ba9174fe58b576d4192442e0cc971c3493e8c4a13</citedby><cites>FETCH-LOGICAL-c460t-db498ac0dbc20a6578443da4ba9174fe58b576d4192442e0cc971c3493e8c4a13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906,30980</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30909732$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hreha, Kimberly P.</creatorcontrib><creatorcontrib>Smith, Amanda E.</creatorcontrib><creatorcontrib>Wong, Jennifer L.</creatorcontrib><creatorcontrib>Mroz, Tracy M.</creatorcontrib><creatorcontrib>Fogelberg, Donald J.</creatorcontrib><creatorcontrib>Molton, Ivan</creatorcontrib><title>Impact of secondary health conditions on social role participation for a long-term physical disability cohort</title><title>Psychology, health & medicine</title><addtitle>Psychol Health Med</addtitle><description>For people living with long-term physical disability (LTPD) social participation may involve managing physical impairments and secondary health conditions (SHCs) that are not due to the pathophysiology of the LTPD diagnosis itself. Prior research found a negative relationship between SHCs and participation in social roles in people with spinal cord injury (SCI). We expand on this research by investigating the influence of SHCs on participation in social roles for people with one of four LTPDs, controlling for co-variates. We (1) evaluated the associations between SHCs and participation in social roles; and (2) determined whether SHCs on individuals' ability to participate in social roles varies by type of diagnosis in those aging with either SCI, muscular sclerosis, muscular dystrophy, or post-polio syndrome. Cross-sectional, secondary data analysis from a return-by-mail survey. N = 1,573. Data were analyzed with multiple linear regressions (hypothesis 1), and then three moderated regressions (hypothesis 2). After controlling for demographics, SHCs were associated with lower ability to participate in social roles and accounted for 48% of the variance (all p's <.001). The relationship between depression and social role participation was moderated by diagnosis, such that depression was more negatively associated with social participation among individuals with SCI (p = .020). Thus, SHC negatively impact participation in social roles.</description><subject>Aged</subject><subject>Cohort Studies</subject><subject>Cross-Sectional Studies</subject><subject>Depression - psychology</subject><subject>Disabled Persons - psychology</subject><subject>Female</subject><subject>Health status</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Injuries</subject><subject>long term physical disability</subject><subject>Mail surveys</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Muscular Disorders, Atrophic - psychology</subject><subject>Muscular dystrophy</subject><subject>Participation</subject><subject>participation in social roles</subject><subject>Pathophysiology</subject><subject>Physical disabilities</subject><subject>Poliomyelitis</subject><subject>Postpolio syndrome</subject><subject>Role</subject><subject>Roles</subject><subject>secondary health conditions</subject><subject>Social Participation</subject><subject>Social roles</subject><subject>Spinal cord</subject><subject>Spinal Cord Injuries</subject><issn>1354-8506</issn><issn>1465-3966</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp9kU1v1DAQhi1ERUvhJ4AsceklW3_HvoEqCpUqcYGzNXEc1pUTB9srtP8eR7vlwIGTx5pnXlvzIPSOkh0lmtxSLoWWRO0YoWZHpZFKixfoigolO26UetnqxnQbdIlel_JECKGsZ6_QJSeGmJ6zKzQ_zCu4itOEi3dpGSEf8d5DrHu8XUMNaSk4LbgkFyDinKLHK-QaXFhh6-IpZQw4puVnV32e8bo_luAaO4YCQ4ihHlvWPuX6Bl1MEIt_ez6v0Y_7z9_vvnaP37483H167JxQpHbjIIwGR8bBMQJK9loIPoIYwNBeTF7qQfZqFNQwIZgnzpmeOi4M99oJoPwa3Zxy15x-HXypdg7F-Rhh8elQLKOm11oqohv64R_0KR3y0n5nGTNK9Fww0yh5olxOpWQ_2TWHue3KUmI3H_bZh9182LOPNvf-nH4YZj_-nXoW0ICPJyAsbY0z_E45jrbCMaY8ZVhcKJb__40_eN6acA</recordid><startdate>20191126</startdate><enddate>20191126</enddate><creator>Hreha, Kimberly P.</creator><creator>Smith, Amanda E.</creator><creator>Wong, Jennifer L.</creator><creator>Mroz, Tracy M.</creator><creator>Fogelberg, Donald J.</creator><creator>Molton, Ivan</creator><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20191126</creationdate><title>Impact of secondary health conditions on social role participation for a long-term physical disability cohort</title><author>Hreha, Kimberly P. ; Smith, Amanda E. ; Wong, Jennifer L. ; Mroz, Tracy M. ; Fogelberg, Donald J. ; Molton, Ivan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-db498ac0dbc20a6578443da4ba9174fe58b576d4192442e0cc971c3493e8c4a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Cohort Studies</topic><topic>Cross-Sectional Studies</topic><topic>Depression - psychology</topic><topic>Disabled Persons - psychology</topic><topic>Female</topic><topic>Health status</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Injuries</topic><topic>long term physical disability</topic><topic>Mail surveys</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Muscular Disorders, Atrophic - psychology</topic><topic>Muscular dystrophy</topic><topic>Participation</topic><topic>participation in social roles</topic><topic>Pathophysiology</topic><topic>Physical disabilities</topic><topic>Poliomyelitis</topic><topic>Postpolio syndrome</topic><topic>Role</topic><topic>Roles</topic><topic>secondary health conditions</topic><topic>Social Participation</topic><topic>Social roles</topic><topic>Spinal cord</topic><topic>Spinal Cord Injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hreha, Kimberly P.</creatorcontrib><creatorcontrib>Smith, Amanda E.</creatorcontrib><creatorcontrib>Wong, Jennifer L.</creatorcontrib><creatorcontrib>Mroz, Tracy M.</creatorcontrib><creatorcontrib>Fogelberg, Donald J.</creatorcontrib><creatorcontrib>Molton, Ivan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Psychology, health & medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hreha, Kimberly P.</au><au>Smith, Amanda E.</au><au>Wong, Jennifer L.</au><au>Mroz, Tracy M.</au><au>Fogelberg, Donald J.</au><au>Molton, Ivan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of secondary health conditions on social role participation for a long-term physical disability cohort</atitle><jtitle>Psychology, health & medicine</jtitle><addtitle>Psychol Health Med</addtitle><date>2019-11-26</date><risdate>2019</risdate><volume>24</volume><issue>10</issue><spage>1159</spage><epage>1170</epage><pages>1159-1170</pages><issn>1354-8506</issn><eissn>1465-3966</eissn><abstract>For people living with long-term physical disability (LTPD) social participation may involve managing physical impairments and secondary health conditions (SHCs) that are not due to the pathophysiology of the LTPD diagnosis itself. Prior research found a negative relationship between SHCs and participation in social roles in people with spinal cord injury (SCI). We expand on this research by investigating the influence of SHCs on participation in social roles for people with one of four LTPDs, controlling for co-variates. We (1) evaluated the associations between SHCs and participation in social roles; and (2) determined whether SHCs on individuals' ability to participate in social roles varies by type of diagnosis in those aging with either SCI, muscular sclerosis, muscular dystrophy, or post-polio syndrome. Cross-sectional, secondary data analysis from a return-by-mail survey. N = 1,573. Data were analyzed with multiple linear regressions (hypothesis 1), and then three moderated regressions (hypothesis 2). After controlling for demographics, SHCs were associated with lower ability to participate in social roles and accounted for 48% of the variance (all p's <.001). 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| source | Applied Social Sciences Index & Abstracts (ASSIA); Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list); EBSCOhost SPORTDiscus - Ebooks |
| subjects | Aged Cohort Studies Cross-Sectional Studies Depression - psychology Disabled Persons - psychology Female Health status Humans Hypotheses Injuries long term physical disability Mail surveys Male Medical diagnosis Mental depression Middle Aged Muscular Disorders, Atrophic - psychology Muscular dystrophy Participation participation in social roles Pathophysiology Physical disabilities Poliomyelitis Postpolio syndrome Role Roles secondary health conditions Social Participation Social roles Spinal cord Spinal Cord Injuries |
| title | Impact of secondary health conditions on social role participation for a long-term physical disability cohort |
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