A Longitudinal Study of Depression From 1 to 5 Years After Spinal Cord Injury

Hoffman, Jeanne M.; Bombardier, Charles H.; Graves, Daniel E.; Kalpakjian, Claire Z.; Krause, James S.

doi:10.1016/j.apmr.2010.10.036

Cited by 169 publications

(174 citation statements)

References 49 publications

Supporting

Mentioning

154

Contrasting

Unclassified

Order By: Relevance

“…There were 37 intervention group subjects (22%) who were nonadherent, missing on average three calls in a row three separate times over the 6-month period. All 71 intervention participants received, on average, 11 calls from the telerehabilitation coordinator (median: 9; range: 1-39), lasting an average of 4.12 min each (median: 3.67; range: [1][2][3][4][5][6][7][8][9][10][11][12][13][14].…”

Section: Carecall Usagementioning

confidence: 99%

“…Approximately 1 in 5 persons with SCI have major depression, about three times the general population rate, with prevalence for most studies between 15-23%. 3 People with MS also have a higher prevalence of depression than the general population. 4 For persons with severe mobility impairments due to SCD, telehealth interventions have focused mostly on the prevention and management of secondary conditions, including pressure ulcers 5 and depression, 6 or on improving health behaviors.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A pilot study of a telehealth intervention for persons with spinal cord dysfunction

et al. 2013

View full text Add to dashboard Cite

Section: Carecall Usagementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A pilot study of a telehealth intervention for persons with spinal cord dysfunction

et al. 2013

View full text Add to dashboard Cite

“…Depression and anxiety in the spinal cord injury population have prevalence rates of 21-37% and 19-29%, respectively, and these conditions have been positively associated with SHCs, health care utilization and more frequent use of prescription medications. [20][21][22][23] The prevalence of major depressive disorder in the pediatric-onset SCI population has been reported to be significantly lower compared with that of the adult-onset SCI, as well as the general population; 24,25 however, given the fact that antidepressants were the fifth most common routine medication, close follow-up of mental health is warranted over time, especially in relation to development of SHCs. 24,25 The increased risk of peptic ulcers and gastroesophageal reflux disease is well documented in SCI and has been attributed to unopposed vagal stimulation, decreased mucosal perfusion and persistent supine position.…”

Section: Discussionmentioning

confidence: 99%

Medication profile and polypharmacy in adults with pediatric-onset spinal cord injury

2015

View full text Add to dashboard Cite

Study design: Cross-sectional survey. Objectives: To describe the medications taken by individuals who had sustained a spinal cord injury (SCI) in childhood or adolescence (age o19 years) and to report the prevalence of polypharmacy and its association with demographic, injury-related and psychosocial factors. Setting: Community. Methods: Structured interviews of adults with pediatric-onset SCI. Routine medications and secondary health conditions (SHCs) experienced were recorded. Polypharmacy was defined as the concomitant use of five or more different types of medications. Bivariate analyses and multiple regression models were conducted to determine associations between polypharmacy and demographic factors, injury-related factors, number of SHCs and psychosocial outcomes (FIM, SF-12v2 Health Survey, CHART, PHQ-9). Results: A total of 159 participants (male, 63%; tetraplegia, 59%) with mean age 35.0 ± 6.2 years (range, 26.7-50.9 years) were included. Most common routine medications were muscle relaxants (50.3%), bladder medications (48.5%), bowel agents (41.5%), analgesics (26.4%) and antidepressants (16.9%). Polypharmacy was present in 30.8% (n, 49) and was more prevalent in those with tetraplegia (40.2% vs 17.9%; P = 0.003). Participants with polypharmacy were older, had lower FIM, CHART and SF-12v2 scores, and higher PHQ-9 scores. Regression models indicate the total number of SHCs, time since injury and tetraplegia to be significant positive predictors of polypharmacy. Conclusion: Duration of SCI and SHCs are risk factors for polypharmacy in this population of adults with SCI. Measures should be taken to prevent the occurrence of SHCs throughout adulthood so as to prevent the potentially adverse physiological effects and psychosocial outcomes associated with polypharmacy.

show abstract

“…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. 6 Despite this emerging knowledge base, there are certain aspects of the emotional functioning of individuals with SCIs that require further elucidation.…”

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

A Longitudinal Study of Depression From 1 to 5 Years After Spinal Cord Injury

Cited by 169 publications

References 49 publications

A pilot study of a telehealth intervention for persons with spinal cord dysfunction

A pilot study of a telehealth intervention for persons with spinal cord dysfunction

Medication profile and polypharmacy in adults with pediatric-onset spinal cord injury

Positive and negative affect in individuals with spinal cord injuries

Contact Info

Product

Resources

About