%0 Journal Article
%T Psychosocial and Health Outcomes of Adults With Violently Acquired Pediatric Spinal Cord Injury
%A Alicia M. January
%A Kathleen M. Chlan
%A Kathy Zebracki
%A Lawrence C. Vogel
%A Suzanne Kirk
%J Archive of "Topics in Spinal Cord Injury Rehabilitation".
%D 2018
%R 10.1310/sci17-00012
%X Objective: To describe the psychosocial and medical outcomes of individuals with pediatric-onset spinal cord injury (SCI) as a result of violent injuries. Methods: This was a cross-sectional study assessing adult outcomes associated with pediatric-onset SCI. Participants completed measures assessing demographics, injury characteristics, secondary conditions, and psychosocial functioning. Results: Participants included 483 adults (ages 19每51 years; M = 32.89, SD = 6.81) who sustained an SCI prior to age 19 (0每18 years; M = 14.25, SD = 4.40). Participants tended to have complete injuries (68%) and tetraplegia (53%) and were predominantly male (63%) and Caucasian (85%). The violent (n = 42) and nonviolent (n = 441) etiology groups tended to be similar in terms of gender. The violent etiology (VE) group, however, was significantly more likely to have paraplegia (聿2 = 7.45, p = .01), identify as an ethnic minority (聿2 = 5.40, p = .02), and have decreased odds of completing a college degree (odds ratio [OR], 0.40; 95% CI, 0.19每0.83). After controlling for significant covariates, individuals in the VE group were more likely to have moderate depression symptoms (OR, 3.73; 95% CI, 1.35每10.30) and significantly lower odds of economic independence (OR, 0.39; 95% CI, 0.19每0.84). The VE group was also 2 times as likely as the nonviolent group to report a pressure injury (OR, 2.04; 95% CI, 1.05每3.94) or activity interfering pain (OR, 2.34; 95% CI, 1.15每4.74). Conclusion: The results of this study reveal significantly greater psychosocial health concerns and more medical complications for individuals with violent SCI than those with nonviolent SCI. Children with an SCI from a violent etiology may warrant additional attention and services aimed at promoting stability and long-term resilience
%K etiology
%K pediatric-onset spinal cord injury
%K psychosocial outcomes
%K secondary conditions
%K violence
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241221/