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https://doi.org/10.31219/osf.io/8mzdu

has been cited by the following article:

• TITLE: Decision-Making and Management of Self-Care in Persons with Traumatic Spinal Cord Injuries: A Preliminary Study

  AUTHORS: Paul E. Plonski, Jasmin Vassileva, Ryan Shahidi, Paul B. Perrin, William Carter, Lance L. Goetz, Amber Brochetti, James M. Bjork

  KEYWORDS: Spinal Cord Injury, Self-Care, Decision-Making, Paraplegia, Impulsive Behavior, Health Care

  JOURNAL NAME: Journal of Behavioral and Brain Science, Vol.14 No.2, February 6, 2024

  ABSTRACT: Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobehavioral determinants of SCI self-care behavior, such as impulsivity, are not widely studied, yet understanding them could inform efforts to improve SCI self-care. We explored associations between impulsivity and self-care in an observational study of 35 US adults age 18 - 50 who had traumatic SCI with paraplegia at least six months before assessment. The primary outcome measure was self-reported self-care. In LASSO regression models that included all neurobehavioral measures and demographics as predictors of self-care, dispositional measures of greater impulsivity (negative urgency, lack of premeditation, lack of perseverance), and reduced mindfulness were associated with reduced self-care. Outcome (magnitude) sensitivity, a latent decision-making parameter derived from computationally modeling successive choices in a gambling task, was also associated with self-care behavior. These results are preliminary; more research is needed to demonstrate the utility of these findings in clinical settings. Information about associations between impulsivity and poor self-care in people with SCI could guide the development of interventions to improve SCI self-care and help patients with elevated risks related to self-care and secondary health conditions.