Depression and pain among inpatients with spinal cord injury and spinal cord disease: differences in symptoms and neurological function

Tate, Denise G.; Forchheimer, Martin; Karana-Zebari, Dunia; Chiodo, Anthony E.; Thomas, Jennifer Young Kendall

doi:10.3109/09638288.2012.726692

Cited by 20 publications

(16 citation statements)

References 31 publications

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“…Our results were consistent with other studies that showed depressive symptoms and BDI scores were not associated with pain severity [32][33][34]. Tate et al reported that age was related to pain, with younger subjects reporting higher levels [33]. However, Research Hung-Chen Wang Research Hung-Chen Wang when SCI patients with chronic pain had higher depression ratings and their BDI scores were correlated with some of the SF-36 domains (general health, vitality, social functioning and mental health) [35].…”

Section: Discussionsupporting

confidence: 93%

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The Use of Short Form 36 and Beck Depression Inventory in Acute Cervical Spinal Cord Injury Patients

Shih¹,

Lee²,

Hsu³

et al. 2018

Neuropsychiatry

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ObjectiveSpinal cord injury (SCI) is one of the major catastrophes in life. After injury, most patients suffer from varying degrees of physical disabilities as well as psychological impacts, resulting in lower quality of life. The objective of this study is to evaluate the physical and mental impacts in patients with acute SCI. Methods A prospective trial to evaluate the use of short form 36 (SF-36) and Beck Depression Inventory (BDI) in acute cervical SCI patients. A total of 40 patients with acute SCI were included in the study. SF-36, BDI, the Hopkins Rehabilitation Engagement Rating Scale and Japanese Orthopedic Association Score of individual patients were recorded at three points --within two weeks and one month, three months, and six months after injury. Results Patients with acute SCI had significantly poorer levels of SF-36 domains, such as PF, RP, BP, SF and RE, PCS and BDI scores compared with controls. SF-36 score was positively correlated with JOA score on PF, RP, GH, and PCS, but negatively correlated with BDI on all domains components except BP. The excellent JOA recovery group had higher SF-36, lower BDI score on all time points then non-excellent group. However, compared to the HRERS, there was only statistically significant higher score during the first month of the excellent recovery group. Conclusions BDI and SF-36 are good assessment tools for evaluating the physiological and psychological status in patients with SCI. They can help health care givers to understand the respective statuses of the SCI patients to improve their quality of life.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

The Use of Short Form 36 and Beck Depression Inventory in Acute Cervical Spinal Cord Injury Patients

Shih¹,

Lee²,

Hsu³

et al. 2018

Neuropsychiatry

View full text Add to dashboard Cite

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“…For example, they include only pain intensity 16,23,25,28,30 ; classify subjects by either pain plus depression 23 or pain versus no pain 8,28,30 ; use pain intensity and interference as predictor and outcome, respectively 1 ; collapse pain interference domains into a single score 1 ; or use only univariate tests (eg, correlations). 7,8,25,30 In addition, the vast majority focus on the chronic period of injury. To fill a gap in knowledge, we examined the independent contributions of pain intensity and pain interference to depression, while accounting for injury and demographic characteristics, antidepressant treatment, and pre-injury binge drinking in a sample of persons with acute SCI.…”

Section: Predictors and Covariatesmentioning

confidence: 99%

“…23 Greater pain has been associated with higher levels of depression in persons with SCI, 16,24 although this is not a consistent finding. 25 Similarly, depression in persons with SCI who also have pain appears to be worse than for persons with non-SCI pain, suggesting that the link between pain and depression may be more intense in the context of SCI. 26 In one of the few studies of pain intensity and depression in an acute SCI rehabilitation setting, Cairns et al 27 found a co-occurrence of pain and depression in inpatient rehabilitation.…”

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confidence: 99%

Depression, Pain Intensity, and Interference in Acute Spinal Cord Injury

Cuff

Fann

Bombardier

et al. 2014

Topics in Spinal Cord Injury Rehabilitation

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Background:The high prevalence of pain and depression in persons with spinal cord injury (SCI) is well known. However the link between pain intensity, interference, and depression, particularly in the acute period of injury, has not received sufficient attention in the literature. Objective: To investigate the relationship of depression, pain intensity, and pain interference in individuals undergoing acute inpatient rehabilitation for traumatic SCI. Methods: Participants completed a survey that included measures of depression (PHQ-9), pain intensity ("right now"), and pain interference (Brief Pain Inventory: general activity, mood, mobility, relations with others, sleep, and enjoyment of life). Demographic and injury characteristics and information about current use of antidepressants and pre-injury binge drinking also were collected. Hierarchical multiple regression was used to test depression models in 3 steps: (1) age, gender, days since injury, injury level, antidepressant use, and pre-injury binge drinking (controlling variables); (2) pain intensity; and (3) pain interference (each tested separately). Results: With one exception, pain interference was the only statistically significant independent variable in each of the final models. Although pain intensity accounted for only 0.2% to 1.2% of the depression variance, pain interference accounted for 13% to 26% of the variance in depression. Conclusion: Our results suggest that pain intensity alone is insufficient for understanding the relationship of pain and depression in acute SCI. Instead, the ways in which pain interferes with daily life appear to have a much greater bearing on depression than pain intensity alone in the acute setting.

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“…This resulted in a final sample of 16 independent studies. 11,18,24,26,[29][30][31][32][33][34][35][36][37][38][39][40] Data extraction and organisation…”

Section: Psychosocial Aspects Of Sci Pain J Tran Et Almentioning

confidence: 99%

Psychosocial aspects of spinal cord injury pain: a meta-analysis

2016

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Study design: Meta-analysis. Objectives: Although the association between modifiable psychosocial factors and spinal cord injury (SCI) pain has been identified, the full range of psychological and social difficulties for those who experience acute and/or persistent pain remains unclear. This metaanalysis consolidates the available evidence, using the International Classification of Functioning, Disability and Health (ICF) as a reference framework. Methods: Nineteen studies that examined persistent neuropathic, nociceptive or mixed pain subtypes in adults with a SCI (newly acquired and chronic; N participants = 2934) were identified from electronic database searches. Standardised mean differences between SCI pain and no-pain groups on self-reported psychosocial outcomes were calculated, along with 95% confidence intervals, fail-safe Ns and heterogeneity statistics.

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Depression and pain among inpatients with spinal cord injury and spinal cord disease: differences in symptoms and neurological function

Cited by 20 publications

References 31 publications

The Use of Short Form 36 and Beck Depression Inventory in Acute Cervical Spinal Cord Injury Patients

The Use of Short Form 36 and Beck Depression Inventory in Acute Cervical Spinal Cord Injury Patients

Depression, Pain Intensity, and Interference in Acute Spinal Cord Injury

Psychosocial aspects of spinal cord injury pain: a meta-analysis

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