Article

OBJECTIVE: To assess depression in a sample of individuals with spinal cord
injury (SCI) living in the community, and to determine the prevalence of probable
major depressive disorder (PMDD) among those with traumatic spinal cord injury
(T-SCI) and those with nontraumatic spinal cord injury (NT-SCI). DESIGN:
Cross-sectional. SETTING:
Data were collected on individuals with SCI now living
in the community, who completed a comprehensive follow-up assessment at the
hospital. PARTICIPANTS: Individuals with T-SCI or NT-SCI (N=831) completed the
Patient Health Questionnaire-9 (PHQ-9) and were included. INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURE: The PHQ-9 was used to detect the presence of
PMDD and to measure the severity of the depression. RESULTS: The most frequent
etiology of SCI was T-SCI (66.9%). Overall, 16.2% of participants met the
criteria for PMDD; however, a higher prevalence was noted for individuals with
NT-SCI (21.1%) than for individuals with T-SCI (13.8%). Risk factors between
T-SCI and NT-SCI did not differ greatly. Female sex, chronic pain, and lower
levels of/difficulties in participation were associated with the presence of
PMDD. CONCLUSIONS: PMDD appears to occur at a higher rate in individuals with
NT-SCI, with greater symptom severity. The finding that problems with
participation are directly associated with depression raises the need for
specific treatment goals, with the aim of empowering individuals with SCI to
reintegrate into the community. Potential stress factors (eg, environmental
barriers, limited participation options) should be addressed accordingly.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS