Measuring Depression in Persons With Spinal Cord Injury: A Systematic Review

Kalpakjian, Claire Z.; Bombardier, Charles H.; Schomer, Katherine; Brown, Pamela Allen; Johnson, Kurt

doi:10.1080/10790268.2009.11760748

Cited by 64 publications

(72 citation statements)

References 72 publications

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“…The standard cutoff score for determining significant depressive symptoms is 16 or more. However, in a Thai sample, a cutoff of 19 or more resulted in a sensitivity of 80 percent and a specificity of 70 percent compared with a diagnosis of major depression based on psychiatric interview [73]. An advantage of the CES-D is its acceptability and de-emphasis on somatic symptoms.…”

Section: Psychological Domainmentioning

confidence: 98%

“…In the domain of psychological functioning, depression and substance abuse stand out as common comorbid conditions that negatively affect participation after SCI [73][74]. With regard to depression, numerous measures have been studied and no single measure seems preeminent.…”

Section: Psychological Domainmentioning

confidence: 99%

“…Items are scored on a 4-point Likert scale ranging from 0 (rarely or none of the time) to 3 (most or all of the time) during the past week. The CES-D has been used in at least 37 studies, including 12 with psychometric data and 2 that focused specifically on validity [73]. The CES-D appears unidimensional.…”

Section: Psychological Domainmentioning

confidence: 99%

See 2 more Smart Citations

Activity and participation after spinal cord injury: State-of-the-art report

Ullrich¹,

Spungen²,

Atkinson³

et al. 2012

JRRD

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Abstract-The importance of activities and community participation for persons with spinal cord injury (SCI) has been recognized for decades and yet theoretical and empirical advances have been limited. This report summarizes the recommendations for researchers on the topic of measuring activity and participation among persons with SCI formulated by the Spinal Cord Injury workgroup at the State-of-the-Art Conference on Outcome Measures in Rehabilitation held in January 2010. Activity and participation were defined as independent constructs ideally measured in reference to personal values and environmental influences. Measures of activity, participation, and factors influencing activity and participation are reviewed and critiqued. Gaps in available measures are described, measures in development are discussed, and suggestions for future research are made.

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Section: Psychological Domainmentioning

confidence: 98%

Section: Psychological Domainmentioning

confidence: 99%

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Activity and participation after spinal cord injury: State-of-the-art report

Ullrich¹,

Spungen²,

Atkinson³

et al. 2012

JRRD

Self Cite

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“…Patient Health Questionnaire-9 (PHQ-9) as reported by Bombardier et al [14] is a diagnostic measure of depression. As PHQ-9 revealed very good psychometric properties [11], it is considered as a good tool to measure depression following SCI [15].…”

Section: Introductionmentioning

confidence: 99%

Depression in Spinal Cord Injury Patients: a Cross-sectional Observation with PHQ-9 in a Rehabilitation Center of Bangladesh

Arafat¹,

Ahmed²,

Ahmed³

et al. 2017

J Behav Health

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Introduction: Spinal cord injury (SCI) is a chronic debilitating condition with long-term sufferings, and depression is considered as common comorbidity. Objective: It was aimed to see the depression status among the SCI patients. Methods: This cross-sectional study was conducted at Centre for the Rehabilitation of the Paralysed, Dhaka, Bangladesh, from June 2016 to June 2017 among the patients with SCI. Data were collected with semi-structured self-reporting validated Bengali version of Patient Health Questionnaire 9 from 150 patients conveniently. Results: Among 150 respondents, 28.67% of the respondents were aged between 30-39 years, 90% male, 96% married, 29% illiterate, 64% had complete A in American Spinal Injury Association scale, and 96.67% had traumatic SCI. Among the participants, 30% had moderately severe depression, 28% moderate depression, 25.33% mild depression, 10.66% minimal depression, and 6% had severe depression. Conclusions: Among 150 respondents, 28.67% of the respondents were aged between 30-39 years, 90% male, 96% married, 29% illiterate, 64% had complete A in American Spinal Injury Association scale, and 96.67% had traumatic SCI. Among the participants, 30% had moderately severe depression, 28% moderate depression, 25.33% mild depression, 10.66% minimal depression, and 6% had severe depression.

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“…3 Both approaches depend on subjective assessments of depression made by the individual with SCI, family members or clinicians, sometimes with the aid of a depression inventory. As there are no definitive biological tests for depression, there is a potential for it to be misdiagnosed.…”

Section: Introductionmentioning

confidence: 99%

The influence of depression on physical complications in spinal cord injury: behavioral mechanisms and health-care implications

et al. 2013

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Study Design: This study is a literature review and a proposed conceptual model. Objectives: 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.

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Measuring Depression in Persons With Spinal Cord Injury: A Systematic Review

Cited by 64 publications

References 72 publications

Activity and participation after spinal cord injury: State-of-the-art report

Activity and participation after spinal cord injury: State-of-the-art report

Depression in Spinal Cord Injury Patients: a Cross-sectional Observation with PHQ-9 in a Rehabilitation Center of Bangladesh

The influence of depression on physical complications in spinal cord injury: behavioral mechanisms and health-care implications

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