Biopsychosocial challenges of spinal cord injury survivors in Bangladesh: a qualitative investigation.

BACKGROUND

Spinal cord injury (SCI) is a life-altering condition, often leading to long-term disability, significantly impacting individuals worldwide. However, there is a dearth of research on the life experiences of people affected by SCI, particularly in lower-middle-income countries. Thus, this study aimed to explore the psychosocial impact of people living with SCI in Bangladesh.

METHODS

This study employed a qualitative approach which included conducting 22 In-depth Interviews (IDIs) with persons with SCI in Bangladesh. Data were collected from October 2023 to December 2023 within the Spinal Cord Injuries' Development Association Bangladesh (SCIDAB), a rehabilitation center for SCI patients. Thematic analysis was utilized for this study.

RESULTS

Utilizing the bio-psychosocial framework, findings highlighted the biological, psychological, and social factors underlying the psychological barriers experienced by participants. Sub-themes identified included biological factors: paralysis and loss of sensation, challenges in bowel and bladder management, psychological factors: a sudden change in life, and loss of independence and autonomy; insecurity about the future, suicidal thoughts, stigmatized by society, and social isolation; and social factors: lack of support system, lack of specialized working environment, and transportation obstacles.

CONCLUSION

Individuals living with SCI reported experiencing both significant physical and psychosocial impacts. In addition to providing effective mental health services, there is a critical need for comprehensive rehabilitation for people affected by SCI and social awareness within the community is essential to reduce stigma and foster inclusion.