Article

OBJECTIVE: To examine the relation between the frequency of Internet use and
depression among people with spinal cord injury (SCI). DESIGN: Cross-sectional
survey. SETTING: SCI Model Systems. PARTICIPANTS: People with SCI (N=4618) who
were interviewed between 2004 and 2010. INTERVENTIONS: Not applicable. MAIN
OUTCOME MEASURES: The frequency of Internet use and the severity of depressive
symptoms were measured simultaneously by interview. Internet use was reported as
daily, weekly, monthly, or none. The depressive symptoms were measured by the
Patient Health Questionnaire-9 (PHQ-9), with 2 published criteria being used to
screen for depressive disorder. The diagnostic method places more weight on
nonsomatic items (ie, items 1, 2, and 9), and the cut-off method that determines
depression by a (PHQ-9) score >/=10 places more weight on somatic factors. The
average scores of somatic and nonsomatic items represented the severity of
somatic and nonsomatic symptoms, respectively. RESULTS: Our multivariate logistic
regression model indicated that daily Internet users were less likely to have
depressive symptoms (odds ratio=.77; 95% confidence interval, .64-.93), if the
diagnostic method was used. The linear multivariate regression analysis indicated
that daily and weekly Internet usage were associated with fewer nonsomatic
symptoms; no significant association was observed between daily or weekly
Internet usage and somatic symptoms. CONCLUSIONS: People with SCI who used the
Internet daily were less likely to have depressive symptoms.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS