Article

OBJECTIVE: To describe rates of probable major depression and the development and
improvement of depression and to test predictors of depression in a cohort of
participants with spinal cord injury (SCI) assessed at 1 and 5 years after
injury. DESIGN: Longitudinal cohort study. SETTING: SCI Model System.
PARTICIPANTS: Participants (N=1035) who completed 1- and 5-year postinjury
follow-up interviews from 2000 to 2009. INTERVENTIONS: Not applicable. MAIN
OUTCOME MEASURE: Probable major depression, defined as Physician Health
Questionnaire-9 score of 10 or higher. RESULTS: Probable major depression was
found in 21% of participants at year 1 and 18% at year 5. Similar numbers of
participants had improvement (25%) or worsening (20%) of symptoms over time, with
8.7% depressed at both 1 and 5 years. Increased pain (odds ratio [OR], 1.10),
worsening health status (OR, 1.39), and decreasing unsafe use of alcohol (vs no
unsafe use of alcohol; OR, 2.95) are risk factors for the development of
depression at 5 years. No predictors of improvement in depression were found.
CONCLUSION: In this sample, probable major depression was found in 18% to 21% of
participants 1 to 5 years after injury. To address this high prevalence,
clinicians should use these risk factors and ongoing systematic screening to
identify those at risk for depression. Worsening health problems and lack of
effective depression treatment in participants with SCI may contribute to high
rates of chronic or recurrent depression in this population.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS