ORIGINAL RESEARCH article
Front. Psychiatry
Sec. Anxiety and Stress Disorders
Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1555589
Acute Stress Disorder in Patients with Traumatic Spinal Cord Injury: Risk Factors and Coping Strategies
Provisionally accepted
- The First Affiliated Hospital of Soochow University, Suzhou, China
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Background: Traumatic Spinal Cord Injury (TSCI) exerts a profound negative impact on patients' psychological well-being and daily life. The objective of this study is to dissect the comorbidity of Acute Stress Disorder (ASD) among TSCI patients, identify its contributing factors, and construct a predictive model to provide empirical support for clinical treatment and nursing care.Methods: Patients with TSCI admitted to our hospital between January 2022 and September 2024 were enrolled in this study. We collected and compared general demographic and disease-related data between patients who developed ASD and those who did not.Results：A cohort of 224 individuals with TSCI was enrolled in the study, revealing an incidence rate of ASD to be 33.93%. Age (r=0.562), gender (r=0.489), monthly household income (r=0.585), and injury severity (r=0.722) were correlated with ASD. Age ≤45 years (OR=2.606, 95%CI:1.985-3.215), female gender (OR=2.213, 95%CI: 2.004-2.612), monthly household income less than 5000 Renminbi (RMB) (OR=3.027, 95%CI: 2.677-3.431), and level A injury severity (OR=3.673, 95%CI: 3.115-4.066) were the independent predictors of ASD among patients with TSCI. The area under the ROC curve (AUC) and its 95% confidence interval (CI) were 0.788 (0.710, 0.852) for the predication model, indicating good sensitivity and specificity. Conclusion: ASD is a common occurrence in patients with TSCI, with a multitude of contributing factors. The predictive model established in this study aids in the risk assessment of ASD in patients with TSCI.
Keywords: Acute Stress Disorder, Traumatic spinal cord injury, Treatment, care, Nursing
Received: 05 Jan 2025; Accepted: 22 Apr 2025.
Copyright: © 2025 Shi, Su and Pan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Chunyan Pan, The First Affiliated Hospital of Soochow University, Suzhou, China
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