Article

The objective of this study is to develop a conceptual model to
explore the relationship between the presence of depressive symptoms and
secondary physical complications such as pressure ulcers, urinary tract
infections and autonomic dysreflexia in spinal cord injury (SCI). SETTING:
Community setting for individuals with SCI. METHODS: A conceptual model
explaining the mechanism underlying the relationship between depression and
secondary physical SCI complications was developed based on the International
Classification of Functioning, Disability and Health (ICF). A literature review
was conducted to develop the model and to identify potential mechanisms
responsible for the association. RESULTS: A conceptual model based on ICF was
created, informed by the literature discussing the link between depression and
secondary physical SCI complications. Evidence in the literature was located that
supports both a causal connection between depression and increased physical
complications and/or the potential mechanisms mediating that connection.
CONCLUSION: The proposed model can be utilized to encourage further research on
the influence of depression on SCI outcomes and the importance of prompt and
effective identification and treatment of depressive symptoms. Additional
research is needed to assess the relationship between depression and secondary
physical SCI complications, and to test the validity of the model.

Langue : ANGLAIS