Manifestation of the association of mental health and quality of life in patients with neurological disorders undergoing treatment at CRP

Abstract

Background: Neurological disorders such as stroke and spinal cord injury often lead to significant physical, emotional, and psychological impairments. These challenges negatively impact mental health and overall quality of life (QoL), yet mental health support remains limited in many rehabilitation settings. Objective: This study aimed to explore the association between mental health and QoL in patients with neurological disorders receiving treatment at the Centre for the Rehabilitation of the Paralysed (CRP). Methodology: A cross-sectional study was conducted on 195 patients aged 18–75 years at CRP Savar and Mirpur. Standardized tools—DASS-21 for mental health and SF-36 v2 for QoL—were used during structured face-to-face interviews. Data were analyzed using SPSS v29 with Chi-square tests, Spearman’s correlation, and logistic regression. Results: The majority of participants reported moderate to severe depression and extremely severe anxiety. QoL scores were predominantly poor across physical, emotional, and social domains. Age, caregiver support, and physical activity were significantly associated with QoL, while treatment duration at CRP showed a significant association with mental health status. Discussion: The study reveals a strong link between psychological well-being and quality of life in neurological patients. It highlights the need for integrating mental health services into rehabilitation programs to enhance emotional resilience, functional recovery, and overall patient outcomes.