Impact of Health Behaviors and Health Management on Employment After SCI: Psychological Health and Health Management

Top Spinal Cord Inj Rehabil, 2016 · DOI: 10.1310/sci2202-111 · Published: June 1, 2016

Spinal Cord Injury Occupational Health Mental Health

Simple Explanation

This study explores how individuals with spinal cord injuries (SCI) manage their health and psychological well-being to maintain employment after their injury. The research highlights that emotional adjustment, gaining self-confidence, preventing burnout, and maintaining a positive attitude are crucial for successful employment among individuals with SCI. The findings suggest that policies supporting the emotional and psychological health of individuals with SCI can improve their employment outcomes and overall life expectancy.

Study Duration

Not specified

Participants

44 individuals with SCI

Evidence Level

Qualitative Study

Key Findings

1
Adjustment to emotional reactions is a critical factor for individuals with SCI returning to work, with anger, depression, and suicidal ideation serving as significant barriers.
2
Gaining self-confidence and managing the reactions of others are essential for individuals with SCI to overcome the challenges of returning to work.
3
Preventing burnout requires individuals with SCI to actively manage their psychological and emotional health by establishing support systems, prioritizing wellness, and honoring the emotional impact of their injury.

Research Summary

This qualitative study examined the relationship between employment and psychological health and health management among individuals with spinal cord injury (SCI). The study identified four key themes: adjustment and dealing with emotional reactions, gaining self-confidence, preventing burnout, and attitudes and perspectives. The findings emphasize the importance of addressing the emotional consequences of SCI and enacting specific behaviors to optimize employment outcomes for individuals with SCI.

Practical Implications

Policy Changes

Policies should be revised to eliminate financial disincentives that hinder individuals with SCI from pursuing full-time employment and maximizing their earnings, which can improve their life expectancy.

Rehabilitation Programs

Rehabilitation programs should incorporate comprehensive mental health support and coping skills training to address emotional adjustment, build self-confidence, and prevent burnout among individuals with SCI.

Workplace Support

Employers should foster supportive work environments that accommodate the unique needs of individuals with SCI, promote open communication, and provide access to resources that enhance their psychological and emotional well-being.

Study Limitations

1
The study's findings may not be generalizable to the entire SCI population due to the limited number of participants and their potential exposure to specialized rehabilitation services.
2
The themes identified are based on self-reported narratives, which may be subject to recall bias and social desirability.
3
Further research is needed to examine the specific components of cognitive self-statements, experience, and executive functioning skills that contribute to attitude and influence employment outcomes.

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