Spouses of spinal cord injury survivors: the added impact of caregiving

Arch Phys Med Rehabil. 1997 Aug;78(8):822-7. doi: 10.1016/s0003-9993(97)90194-5.


Objective: To better understand the needs of spouses who provide care to spinal cord injury (SCI) survivors, by comparing their self-perceptions and complaints with those of their partners with disabilities and with those of spouses who do not provide care.

Design: Survey, including demographics, health concerns questionnaire, and administration of the Center for Epidemiologic Studies Depression Scale (CES-D), the Perceived Stress Scale (PSS), the Life Satisfaction Index (LSI-Z), and the Quality of Life and Individual Needs Questionnaire.

Setting: Two British SCI treatment centers, serving a defined population-based catchment area.

Participants: One hundred twenty-four spouses of a longitudinally followed sample of SCI survivors, all of whom had been injured 23 or more years when the study was conducted in 1993.

Outcome measures: Scores on the above standardized tests, and responses to survey questions.

Results: Spouses had more depressive affect (p < .001) than their partners with disabilities, as measured by the CES-D. On the PSS, they exhibited no significant differences. Compared with spouses who were not caregivers, the caregiving spouses reported more physical stress (p = .005), emotional stress (p = .011), burnout (p = .007), fatigue (p = .002), and anger and resentment (p = .029). On the CES-D, they had more symptoms of depressive affect (p = .004) and somatic depression (p = .005).

Conclusions: Spouses of long-term SCI survivors who fulfill a caregiving role report more symptoms of stress and depression than their partners with disabilities and other spouses who are not caregivers.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Caregivers / psychology*
  • Cost of Illness*
  • Depression / psychology
  • Disabled Persons
  • Female
  • Follow-Up Studies
  • Health Services Needs and Demand
  • Humans
  • Male
  • Middle Aged
  • Personal Satisfaction
  • Quality of Life
  • Self Concept
  • Spinal Cord Injuries / nursing*
  • Spinal Cord Injuries / psychology
  • Spouses / psychology*
  • Stress, Psychological / psychology*
  • Surveys and Questionnaires