Depression After Spinal Cord Injury: Comorbidities, Mental Health Service Use, and Adequacy of Treatment

Fann, Jesse R.; Bombardier, Charles H.; Richards, J. S.; Tate, Denise G.; Wilson, Catherine S.; Temkin, Nancy

doi:10.1016/j.apmr.2010.05.016

Cited by 189 publications

(167 citation statements)

References 51 publications

Supporting

Mentioning

154

Contrasting

Unclassified

Order By: Relevance

“…51 As such, consistent use of standardised psychological measures to screen for anxiety symptoms in both hospital and community samples with SCI is important, to improve assessment accuracy and, in turn, allow for Anxiety prevalence J Le and D Dorstyn early intervention to minimise the health-care resources associated with the management of mental health comorbidities. 52 The use of calibrated self-report tools such as the SCI-Quality of Life Anxiety (SCI-QOL Anxiety 53 ) is worthy of consideration. This nine-item tool demonstrates high levels of reliability both as a screening tool for anxiety and an evaluation tool for interventions.…”

Section: Discussionmentioning

confidence: 99%

Anxiety prevalence following spinal cord injury: a meta-analysis

Dorstyn

2016

Spinal Cord

View full text Add to dashboard Cite

Study design: Meta-analysis. Objectives: Prevalence estimates indicate that anxiety following spinal cord injury (SCI) is a common problem. However, methodological differences between studies may impact the clinical interpretation of these data. Methods: Data from 18 independent studies (N participants = 3158), which reported the prevalence of an anxiety disorder or associated symptoms, were identified from the Embase, PubMed and PsycInfo databases. Proportions were the primary effect size estimate. Confidence intervals, fail-safe Ns and the I 2 statistic were additionally calculated to identify the extent to which findings were robust and consistent across studies. Results: Five per cent of participants met the criteria for either GAD or panic disorder, with Agoraphobia identified in 2.5%. These diagnostic data were, however, limited to two studies. Higher rates were noted for self-reported 'caseness' of anxiety, with 27% reporting clinically significant symptoms. Anxiety prevalence estimates varied across the individual self-report measures (range: 15-32%). Method of administration (range: 26-32%) did not impact significantly on these estimates nor did recruitment source, with similarly high anxiety levels reported by hospital (27%) and community (29%) samples. Conclusions: Early identification and treatment of anxiety are important in SCI rehabilitation, with a subgroup of individuals experiencing chronic symptoms. Further research is needed to establish guidelines for the interpretation of self-report data, including the use of clinical cutoffs.

show abstract

Section: Discussionmentioning

confidence: 99%

Anxiety prevalence following spinal cord injury: a meta-analysis

Dorstyn

2016

Spinal Cord

View full text Add to dashboard Cite

show abstract

“…20 The relationship between depression and unemployment has been reported in a larger cohort of adults with pediatric-onset SCI 21 as well as in the adult-onset SCI population. 22 Considering the lower rate of employment of SCI individuals compared with the general population 23 and its association with depression, cigarette smoking is a health behavior that should be monitored closely in the younger SCI population who are entering the stage of pursuing social and financial independence as well experimenting in different lifestyles. 7 Marijuana use was associated only with not having a college degree after male gender dropped out of the regression model.…”

Section: Discussionmentioning

confidence: 99%

Substance use in young adults with pediatric-onset spinal cord injury

et al. 2012

View full text Add to dashboard Cite

Study design: Cross-sectional survey Objectives: To assess the prevalence of substance use in young adults with pediatric-onset spinal cord injury (SCI) and its relationship with demographic factors, and medical and psychosocial outcomes. Setting: Young adults living in the United States who received pediatric SCI care at one of three SCI programs at the Shriners Hospitals for Children. Methods: Individuals aged 21-25 years who had sustained SCI before the age of 19 were interviewed with a structured questionnaire including standardized outcome measures: FIM, Satisfaction with Life Scale (SWLS), Short-Form 12 Health Survey (SF-12), Patient Health Questionnaire-9 (PHQ-9) Depression Scale, and Craig Handicap Assessment and Recording Technique (CHART). Results: Sample included 215 individuals with a mean age at interview of 23.3 (s.d.¼0.9) years and mean age at injury of 13.2 (s.d.¼4.9) years. In all, 24% had a college degree, 36% were employed and 12% were married. Regular substance use was reported by 28% for tobacco, 55% for alcohol and 11% for marijuana. Tobacco use was associated with depressive symptoms and unemployment; alcohol use was associated with having a college degree, single status and independent mobility; and marijuana use was associated with not having a college degree. There were no significant associations between substance use and injury-related factors or life satisfaction. Conclusion: Substance use in young adults with pediatric-onset SCI was associated with factors such as education, employment, marital status and depressive symptoms. Clinicians caring for youth with SCI should counsel patients and caregivers regarding the use of substances and potential associations with outcomes in adulthood.

show abstract

“…2 The majority of the existing studies of emotional impairments in individuals with SCIs have focused on depression, as it is the most common psychopathology following SCI. 1 Indeed, the incidence rate in individuals with SCIs is much higher than that of healthy individuals 3 with estimates ranging from 10-30% of this patient group. 4,5 The prevalence of depression in individuals with SCIs is problematic, as it is related to subjective health, life satisfaction, and daily functioning abilities, and thus has a dramatic effect on the patients' ability to cope with their injury.…”

Section: Introductionmentioning

confidence: 99%

Positive and negative affect in individuals with spinal cord injuries

2012

View full text Add to dashboard Cite

Study design: Participants with spinal cord injuries (SCIs) and healthy controls completed standardized questionnaires assessing depression level, positive and negative affect, and personality traits. Objectives: To identify the specific characteristics of emotional experiences affected by spinal cord injury. Setting: A Canadian rehabilitation center. Individuals with SCIs were recruited from a list of patients who had volunteered to participate in studies being conducted by the SCI clinic. Healthy controls were recruited from the community, but tested in the SCI clinic. Methods: Thirty-six individuals with complete (ASIA A) SCIs and 36 age-, gender-and education-matched controls participated in this study. SCI participants were classified as cervical (C1-C7), upper thoracic (T1-T5) or lower thoracic/upper lumbar (T6-L2). All participants completed the Beck Depression Inventory, the Positive and Negative Affect Schedules, the NEO Neuroticism Questionnaire, and the harm avoidance scale of the Tridimensional Personality Questionnaire. Data were analyzed using independent-samples t-tests (when contrasting SCI and controls) and analysis of variance (when comparing across SCI groups). Results: Participants with SCIs experienced significantly less positive affect than controls. The two groups did not differ in their experience of negative affect. Participants with SCIs also reported greater levels of depression. Depression scores improved with an increasing number of years post injury. Conclusion: Individuals with SCIs are characterized by specific emotional dysfunction related to the experience of positive emotions, rather than a tendency to ruminate on negative emotions. The results suggest that these individuals would benefit from rehabilitation programs that include training in positive psychology.

show abstract

Depression After Spinal Cord Injury: Comorbidities, Mental Health Service Use, and Adequacy of Treatment

Cited by 189 publications

References 51 publications

Anxiety prevalence following spinal cord injury: a meta-analysis

Anxiety prevalence following spinal cord injury: a meta-analysis

Substance use in young adults with pediatric-onset spinal cord injury

Positive and negative affect in individuals with spinal cord injuries

Contact Info

Product

Resources

About