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. 2016;39(1):58-66.
doi: 10.1179/2045772314Y.0000000291. Epub 2015 Jan 13.

Family dynamics and psychosocial functioning in children with SCI/D from Colombia, South America

Christina J Nicolais, Paul B Perrin, Ivan Panyavin, Elizabeth G Nicholls, Silvia Leonor Olivera Plaza, Lorena Medina Quintero, Juan Carlos Arango-Lasprilla

Family dynamics and psychosocial functioning in children with SCI/D from Colombia, South America

Christina J Nicolais et al. J Spinal Cord Med. 2016.

Abstract

Objective: The purpose of this study was to examine the connections between family dynamics and the psychosocial functioning of children with spinal cord injuries and disorders (SCI/D).

Design: Cross-sectional.

Setting: Participants were recruited from communities in Neiva, Colombia.

Participants: Thirty children with SCI/D and their primary caregiver participated. Children were between 8 and 17 years of age, and had sustained their injury at least six months prior to data collection.

Interventions: NA.

Outcome measures: Participating children completed measures assessing their own psychosocial functioning (Children's Depression Inventory, Revised Children's Manifest Anxiety Scale-2, Pediatric Quality of Life Inventory), and their primary caregiver completed measures of family dynamics (Family Adaptability and Cohesion Evaluation Scale- Fourth Edition, Family Communication Scale, Family Assessment Device- General Functioning, Family Satisfaction Scale, Relationship-Focused Coping Scale).

Results: A correlation matrix showed a number of significant bivariate correlations between child and family variables, and three multiple regressions showed that family satisfaction, empathy, and flexibility significantly explained 27% of the variance in child worry; family satisfaction and communication explained 18% of the variance in child social anxiety; and family cohesion and communication explained 23% of the variance in child emotional functioning.

Conclusions: These findings highlight the importance of rehabilitation professionals considering the association between family dynamics and the psychosocial functioning of children with SCI/D when working with this population.

Keywords: Emotional status; Family; Health-related quality of life; Pediatrics; Psychosocial factors; Spinal cord injuries; Spinal dysraphism.

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References

    1. Nobunaga A, Go B, Karunas R. Recent demographic and injury trends in people served by the model spinal cord injury care systems. Arch Phys Med Rehabil 1999;80(11):1372–82. - PubMed
    1. Henao-Lema C, Perez-Parra J. Lesiones medulares y discapacidad: revision bibliográfica [Spinal cord injury and disability: literature review]. Aquichan 2010;10(2):157–72.
    1. DeVivo M, Vogel L. Epidemiology of spinal cord injury in children and adolescents. J Spinal Cord Med 2004;27(Suppl 1):S4–10. - PubMed
    1. Vogel L, DeVivo M. Etiology and demographics. In: Betz RR, Mulcahey MJ, editors. The child with a spinal cord injury. Rosemont, IL: American Academy of Orthopaedic Surgeons; 1996. pp. 3–12.
    1. Parent S, Mac-Thiong J, Roy-Beaudry M, Sosa J, Labelle H. Spinal cord injury in the pediatric population: a systematic review of the literature. J Neurotrauma 2011;28(8):1515–24. - PMC - PubMed