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KMID : 0361419940180010152
Journal of Korean Academy of Rehabilitation Medicine
1994 Volume.18 No. 1 p.152 ~ p.159
Depressed Mood in Spinal Cord Injured Patients : Staff Perceptions and Patient Realities
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Abstract
Rehabilition after spinal cord injury (SCI) is a complex process involving an array of adaptation to changes in both physical and psychosocial functioning. In this study, we examined the correspondence between staff ratings and patient ratings
about
depressed mood for 32 spinal cord injured persons admitted to rehabilitation center. Patients rated their mood by using the Self-rating Depression Scale (SDS). Staffs estimated patient's mood by using the Depression Status Inventory (DSI).
The purposes of this study are to investigate 1) staff-patient congruence with regard to appraisals of patients' affective state, 2) intrastarf-patient congruence with regard to appraisals of patients' affective state.
@ES The results were as follows:
@EN 1) Staffs underestimated patient's depression.
2) The highest correlation was between patients and occupational therapists, followed by physical therapists.
3) Clinical manifestations of depressive symptoms were in the following orders: dissatisfaction, psychomotor retardation, confusion, and personal devaluation.
This study reported discrepancies between pateint's descriptions and staff's perceptions. We hope that the findings of this study would have clinical relevance to the psychosocial adjustment and total rehabilitation of spinal cord injured
persons.
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