Abstract
Study design
An observational study based on an online survey to explore if the participant had experienced (1) cancellation or delay of scheduled health services (2) reduction of assistance provided by a caregiver (3) barriers to social participation and recreational activities. Three validated questionnaires to investigate well-being and symptoms of anxiety and depression were also administered.
Objectives
Our main aim was to quantify the obstacles experienced by adults living with SCI in Italy during COVID-19 pandemic, to explore the presence of depression and anxiety symptoms and to quantify subjective well-being.
Setting
Outpatient clinic of a Spinal Unit in Italy.
Methods
Online survey via direct contact and by e-mail lists.
Results
In total, 101 individuals completed the survey. Of, 82.2% participants reported a history of deferment or cancellation of non-COVID-19 health services. The majority (56.4%) revealed that, at least seldom, they have chosen to reduce their usual everyday activities and more than one third (37.6%) affirmed that they had been forced to renounce to one or more of their occupations. Discontinuation of assistance by caregivers was uncommon. The median score of questionnaires measuring depression and anxiety symptoms do not differ significatively when compared with prior studies. The variable that explored the limitations experienced in everyday activities showed a significant correlation with the results of the questionnaires measuring well-being and symptoms of anxiety.
Conclusions
We believe that our results could contribute to the discussion ongoing inside our community on how to answer to the new challenges of this pandemic period and of the post-pandemic future.
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Data availability
The datasets generated during the current study are available from the corresponding author on reasonable request.
References
Haug N, Geyrhofer L, Londei A, Dervic E, Desvars-Larrive A, Loreto V, et al. Ranking the effectiveness of worldwide COVID-19 government interventions. Nat Hum Behav. 2020;4:1303–12.
Rossi R, Socci V, Talevi D, Mensi S, Niolu C, Pacitti F, et al. COVID-19 pandemic and lockdown measures impact on mental health among the general population in Italy. Front Psychiatry. 2020;11:790. Aug 7.
Pfefferbaum B, North CS. Mental health and the Covid-19 pandemic. N Engl J Med. 2020;383.6:510–2.
Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934.
Rossi R, Socci V, Pacitti F, Di Lorenzo G, Di Marco A, Siracusano A, et al. Mental health outcomes among frontline and second-line health care workers during the coronavirus disease 2019 (COVID-19) pandemic in Italy. JAMA Netw open. 2020;3:e2010185–e2010185.
Greenberg N. Mental health of health-care workers in the COVID-19 era. Nat Rev Nephrol. 2020;16:425-6.
Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166:1092–7.
Spitzer RL, Kroenke K, Williams JB.Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Patient Health Questionnaire Primary Care Study Group, & Patient Health Questionnaire Primary Care Study Group.JAMA. 1999;282:1737–44.
Staehr JK. The use of well-being measures in primary health care-the DepCare project. World Health Organization, Regional Office for Europe: Well-Being Measures in Primary Health Care-the DepCare Project. Geneva: World Health Organization, 1998.
O’Connell CM, Eriks-Hoogland I, Middleton JW. Now, more than ever, our community is needed: spinal cord injury care during a global pandemic. Spinal Cord Ser Cases. 2020;6:18.
Turk MA, McDermott S. The COVID-19 pandemic and people with disability. Disabil Health J. 2020;13:100944.
World Health Organization. (2020). Disability considerations during the COVID-19 outbreak (No. WHO/2019-nCoV/Disability/2020.1). World Health Organization.
Negrini S, Grabljevec K, Boldrini P, Kiekens C, Moslavac S, Zampolini M. et al. Up to 2.2 million people experiencing disability suffer collateral damage each day of COVID-19 lockdown in Europe. Eur J Phys Rehabil Med. 2020;56:361-5.
Sánchez-Raya J, Sampol J. Spinal cord injury and COVID-19: some thoughts after the first wave. Spinal Cord. 2020;58:841–3.
GarcÃa-Rudolph A, Saurà J, López Carballo J, Cegarra B, Wright MA, Opisso E.et al. The impact of COVID-19 on community integration, quality of life, depression and anxiety in people with chronic spinal cord injury. J Spinal Cord Med. 2021:1–10.
Le J, Dorstyn D. Anxiety prevalence following spinal cord injury: a meta-analysis. Spinal Cord. 2016;54:570–8.
Bombardier CH, Richards JS, Krause JS, Tulsky D, Tate DG. Symptoms of major depression in people with spinal cord injury: implications for screening. Arch Phys Med Rehabil. 2004;85:1749–56.
Richardson EJ, Richards JS. Factor structure of the PHQ-9 screen for depression across time since injury among persons with spinal cord injury. Rehabil Psychol. 2008;53:243.
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Righi, G., Baroni, E., Righi, L. et al. Perception of the COVID-19 pandemic among people with spinal cord injury: an Italian survey. Spinal Cord Ser Cases 8, 2 (2022). https://doi.org/10.1038/s41394-021-00470-x
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DOI: https://doi.org/10.1038/s41394-021-00470-x