Article

The objective of this study is to assess
depression over a 5-year period in persons with spinal cord injury (SCI) and to
assess risk factors for depression over time. SETTING: Rehabilitation hospitals
in the Southeast and Midwest. METHODS: Participants included 801 adults with
residual effects from a traumatic SCI averaging over 15 years post injury.
Participants responded to two questionnaires, one in 2002 (Time1) and another in
2008 (Time 2). Probable major depression (PMD) was measured by the Older Adult
Health and Mood Questionnaire. RESULTS: In all, 22.1% of participants had PMD at
Time 1 and 20.2% at Time 2. There was a non-significant trend for change in PMD
status (P=0.058). Of those who had PMD at Time 1, 55.7% had PMD at Time 2.
Between the two time points, the most change occurred in the group with
clinically significant symptomatology. Demographic factors (race-gender, age,
time since injury) and health behaviors (pain medication use, hours out of bed,
days out of the house, exercise) were significantly associated with PMD over
time. Socioeconomic factors (income, education) were significantly related to
depression but were not significant after controlling for behavioral factors.
CONCLUSION: Depression is fairly consistent over time in persons with SCI, with
the majority of change coming from those in the clinically significant
symptomatology group. Examining depression at multiple time points, our results
underscore the importance of health behaviors in relation to PMD, even after
controlling for demographic, injury and environmental factors.

Langue : ANGLAIS