Psychosocial reintegration following traumatic spinal cord injury in South Africa: The influence of employment, injury characteristics and living situation

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dc.contributor.authorNizeyimana, Eugene
dc.contributor.authorPhillips, Joliana
dc.contributor.authorJoseph, Conran
dc.date.accessioned2022-02-07T10:48:29Z
dc.date.available2022-02-07T10:48:29Z
dc.date.issued2022
dc.description.abstract1Department of Health and Rehabilitation Sciences, Division of Physiotherapy, Stellenbosch University, Cape Town, South Africa, 2Department of Physiotherapy, University of the Western Cape, Cape Town, South Africa Objectives: To determine the influence of employment, injury characteristics and living situation on psychosocial reintegration in individuals who sustained a traumatic spinal cord injury (TSCI) in South Africa. Design: A cross-sectional exploratory survey. Settings: Communities of the Cape Metropolitan Area, South Africa. Participants: A total of 108 community- dwelling adults, between ages of 19 and 71 years, who have sustained a TSCI more than 1- year ago. Outcome measures: : The Sydney psychosocial reintegration scale (SPRS-2). Results: The SPRS-2 and domains mean (SD) scores were: (1) Overall SPRS-2 of 27.87(13.4); (2) Occupational activity of 8.62 (4.8); (3) Interpersonal relationships of 9.80 (5.1); and (4) Living skills of 9.45 (4.9). Multivariate regression analysis resulted in two significant independent variables, namely employment and living situation. Employment alone explained 24.3% of the variance in the overall psychosocial model, 25.6% in the occupational activity model, while employment together with living situation explained 24.2% of the variance in the living skills model, with those employed reporting better psychosocial reintegration and those living in informal dwellings reporting poorer psychosocial reintegration. Conclusion: Employment and living situation strongly influenced psychosocial reintegration following a TSCI, indicating the important role of socio-economic status for psychosocial adaptation after injury. As employment plays a significant mediating role, and living in informal dwellings negatively affect psychosocial reintegration following a TSCI, rehabilitation stakeholders and policy makers need to continue lobbying for social and political change that support employment opportunities and provide accessible housing for persons with TSCI.en_US
dc.identifier.citationEugene Nizeyimana, Joliana Phillips & Conran Joseph (2022): Psychosocial reintegration following traumatic spinal cord injury in South Africa: The influence of employment, injury characteristics and living situation, The Journal of Spinal Cord Medicine, DOI: 10.1080/10790268.2021.2016306en_US
dc.identifier.uriDOI: 10.1080/10790268.2021.2016306
dc.identifier.urihttp://hdl.handle.net/10566/7181
dc.language.isoenen_US
dc.publisherThe Journal of Spinal Cord Medicine,en_US
dc.subjectEmploymenten_US
dc.subjectInjury characteristics,en_US
dc.subjectLiving situationen_US
dc.subjectPsychosocial reintegrationen_US
dc.subjectSpinal cord injuryen_US
dc.subjectSouth Africaen_US
dc.titlePsychosocial reintegration following traumatic spinal cord injury in South Africa: The influence of employment, injury characteristics and living situationen_US
dc.typeArticleen_US

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