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Study design <p>Little is known about the factors associated with perceived burdensomeness (PB) and thwarted belongingness (TB) in persons living with SCI/D. Similarly, limited studies have examined the Interpersonal Need Questionnaire (INQ) specifically among this population to measure these concepts.</p> Objectives <p>To identify variables independently associated with PB and thwarted belongingness TB in individuals living with SCI/D using the INQ.</p> Setting <p>A random sample of community-dwelling Veterans with SCI/D who used Veteran Health Administration healthcare services between 2017-2022.</p> Methods <p>A cross-sectional, national survey was conducted in 2023 via telephone to collect PB and TB responses along with demographic, injury, and health characteristics. Independent t-tests and Analysis of Variance (ANOVA) were performed for bivariate comparisons.</p> Results <p>The overall sample (n = 92) had a mean (SD) PB score of 14 (9.6) and mean (SD) TB score of 28 (13). Individuals with SCI/D who reported significantly higher (p &lt; .05) PB and TB were older at injury onset (60+ years), reported fair/poor general health, had greater frequency of poor physical and mental health days, had dysfunctional sleep, and bowel dysfunction.</p> Conclusions <p>Subgroups of individuals with SCI/D often have strained relationships and social participation barriers post-SCI/D, that may result in feeling like a burden to others and a lack of belongingness. Efforts to reduce feelings of burdensomeness and improve belongingness should begin by focusing on individuals who are older when they sustain their SCI/D, report poor general, physical and mental health, and experience dysfunctional sleep and bowel complications.</p>

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Perceived burdensomeness and thwarted belongingness in persons living with spinal cord injuries and disorders

  • 期刊论文

  • 发表日期：

    2026年3月18日

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  • Kelsey L. Berryman,
  • Marissa Wirth,
  • Charles H. Bombardier,
  • Robert W. Motl,
  • Brian Bartle,
  • R. Lorie Jacob,
  • Keith Aguina,
  • Sherri L. LaVela

摘要

Study design

Little is known about the factors associated with perceived burdensomeness (PB) and thwarted belongingness (TB) in persons living with SCI/D. Similarly, limited studies have examined the Interpersonal Need Questionnaire (INQ) specifically among this population to measure these concepts.

Objectives

To identify variables independently associated with PB and thwarted belongingness TB in individuals living with SCI/D using the INQ.

Setting

A random sample of community-dwelling Veterans with SCI/D who used Veteran Health Administration healthcare services between 2017-2022.

Methods

A cross-sectional, national survey was conducted in 2023 via telephone to collect PB and TB responses along with demographic, injury, and health characteristics. Independent t-tests and Analysis of Variance (ANOVA) were performed for bivariate comparisons.

Results

The overall sample (n = 92) had a mean (SD) PB score of 14 (9.6) and mean (SD) TB score of 28 (13). Individuals with SCI/D who reported significantly higher (p < .05) PB and TB were older at injury onset (60+ years), reported fair/poor general health, had greater frequency of poor physical and mental health days, had dysfunctional sleep, and bowel dysfunction.

Conclusions

Subgroups of individuals with SCI/D often have strained relationships and social participation barriers post-SCI/D, that may result in feeling like a burden to others and a lack of belongingness. Efforts to reduce feelings of burdensomeness and improve belongingness should begin by focusing on individuals who are older when they sustain their SCI/D, report poor general, physical and mental health, and experience dysfunctional sleep and bowel complications.