2NURSING CHRONIC ILLNESSArticle 2: Müller, R., Landmann, G., Béchir, M., Hinrichs, T., Arnet, U., Jordan, X., & Brinkhof, M.W. (2017). Chronic pain, depression and quality of life in individuals with spinal cordinjury: Mediating role of participation.Journal of rehabilitation medicine,49(6), Vol 49 No6 pp 489-496 Müller et al., (2017) published a paper to test the association of chronic pain withdepression and reduction in QOL in individuals with spinal cord injury. There is persistent painamong the people with spinal cord injury (SCI) that is experienced by them of severe intensity.Research suggests that pain is associated with increased depression due to biological pathwayslike neurotransmitter mechanisms. Pain greatly restricts one’ social life as they are unable toparticipate in daily activities and as a result, there is reduction in psychosocial functioningultimately reducing QOL. Cross-sectional survey data collection was used for the study betweenthe years 2011-2013 for the Swiss Spinal Cord Injury (SwiSCI) cohort study. About 1,549individuals suffering from non-traumatic or traumatic SCI were included for the study who wereof the age 16 years or above with permanent residence in Switzerland setting (Müller et al.,2017). Self-reported questionnaire were given to participants related to socioeconomiccharacteristics and second questionnaire was given for studying social functioning andparticipation. Structural equation modelling (SEM) was done to study the association betweenpain, depression and QOL. The main findings illustrated that pain is associated with depressiondue to role participation restriction resulting in low satisfaction and QOL (Müller et al., 2017).

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