Predictors of quality of life of individuals living in Brazil with spinal cord injury/disease

• Published in: Spinal cord 2023-04, Vol.61 (4), p.253-259
• Main Authors: Christofi, Alice A. S. N., Tate, Denise G., Witter, Carla, Alonso, Angelica Castilho, Greve, Julia Maria D’Andrea
• Format: Article
• Language: English
• Subjects: 692/699/578; 692/700/784; Anatomy; Biomedical and Life Sciences; Biomedicine; Brazil - epidemiology; Cross-Sectional Studies; Domains; Fatigue; Human Physiology; Humans; Incentives; Mental depression; Neurochemistry; Neuropsychology; Neurosciences; Pain; Pain - complications; Pain - etiology; Physical training; Quality of life; Quality of Life - psychology; Questionnaires; Rehabilitation; Spinal cord injuries; Spinal Cord Injuries - complications; Spinal Cord Injuries - epidemiology; Spinal Cord Injuries - psychology; Subsidies
• ISSN: 1362-4393; 1476-5624
• DOI: 10.1038/s41393-023-00881-7

Study design A cross-sectional, descriptive study. Objectives To investigate the demographic, clinical behavioral, and rehabilitation predictors of the quality of life (QoL) of people with spinal cord injury/disease (SCI/D) in a middle-income country. Method Ninety-five participants living in the community were evaluated with the following instruments: World Health Organization Quality of Life - Bref; International SCI Core DataSet; Clinical Interview; Spinal Cord Secondary Conditions Scale and Patient Health Questionnaire; Numerical Pain Intensity Scale; Short-Form 12 Health Survey - Item 8 (how much pain hinders activities); Patient Health Questionnaire 2, Numerical Fatigue Scale. Data were analyzed via Spearman correlation, univariate analysis, and multiple regression to explain the effects associated with quality-of-life predictors. Results The main factors that decreased quality of life were fatigue (by 11.5%), depression (by 5.5–12.8%), pain (by 1.3 in total life quality, in the physical domain by 8.6–9.6%), sores (15.6% in the physical domain only). The practice of sports increased the total quality of life by 14.4%, in the physical domain by 11.9%, in the psychological domain by 17.2%, and in the social domain by 23.7%. Conclusions Fatigue, risk of depression, pain, and the presence of sores are predictors of poor quality of life, and sports are a predictor of a better quality of life, for people with spinal cord injury. Multidisciplinary rehabilitation, in addition to policies, to increase accessibility and social inclusion, and incentives or subsidies for the practice of sports could improve QoL following SCI/D.