title: Multidimensional fatigue during rehabilitation in persons with recently acquired spinal cord injury.
abstract: OBJECTIVE
  To examine the change in multidimensional fatigue in people with spinal cord injury during post-acute rehabilitation, and to compare these scores with those of healthy adults. Furthermore, to examine correlations between different dimensions of fatigue at discharge and demographics, injury-related variables and indices of psychological adjustment.
  
  
  METHODS
  Longitudinal cohort study.
  
  
  METHODS
  From 86 patients admitted for spinal cord injury rehabilitation, between June 2011 and January 2013, 78 met the inclusion criteria, and 70 (90%) agreed to participate.
  
  
  METHODS
  Self-reported questionnaires were completed at admission and in the week before discharge. Questionnaires used assessed demographics, injury-related variables, multidimensional fatigue, and psychological adjustment.
  
  
  RESULTS
  At admission, fatigue scores were very high and decreased significantly during rehabilitation. At discharge, fatigue scores were still significantly higher than those of healthy adults. The fatigue total score at discharge was weakly associated with demographic variables and injury-related variables. Psychological adjustment variables explained the largest proportion of variance of the fatigue total score and each of the subscales.
  
  
  CONCLUSIONS
  Fatigue is an important consequence in people with recently acquired spinal cord injury. Associations between fatigue and psychological adjustment suggest that psychological interventions might be useful to diminish fatigue.
authors.affiliation: Department of Rehabilitation, Sint Maartenskliniek, PO Box 9011, NL-6500 GM Nijmegen, The Netherlands. E-mail: t.vandiemen@maartenskliniek.nl.
authors.forename: Tijn
authors.initials: T
authors.lastname: van Diemen
authors.forename: Wim
authors.initials: W
authors.lastname: van Lankveld
authors.forename: Christel
authors.initials: C
authors.lastname: van Leeuwen
authors.forename: Marcel
authors.initials: M
authors.lastname: Post
authors.forename: Ilse
authors.initials: I
authors.lastname: van Nes
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D005221:Fatigue / Q000209:etiology* / Q000523:psychology; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D012737:Sex Factors; D012944:Social Support; D013119:Spinal Cord Injuries / Q000150:complications / Q000523:psychology* / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D055815:Young Adult