Studying depression following spinal cord injury: Evidence, policy and practice

Elliott, Timothy R.

doi:10.1179/2045772315y.0000000046

Cited by 6 publications

(6 citation statements)

References 19 publications

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“…In fact, a multicentre trial with people with SCI demonstrated an inverse relationship between mobility and pain scores, i.e., people with moderate to high levels of mobility reported less pain [22]. Moreover, people with chronic pain and SCI have high susceptibility to stress and depression [23,24], which can seriously affect their adherence to time demanding clinical trials. All of these factors may increase burden to participants, and thus contribute to study dropout.…”

Section: Discussionmentioning

confidence: 99%

Study adherence in a tDCS longitudinal clinical trial with people with spinal cord injury

et al. 2017

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Despite all the measures to improve study adherence (such as providing parking, flexibility to schedule sessions, follow-up with participants by phone), it seems that long follow-up periods may increase the likelihood of dropout. Given the need to understand long-term effects of interventions, longitudinal trials need to consider alternative designs or methods of treatment (for instance home treatment or home assessment) to decrease attrition rate.

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Section: Discussionmentioning

confidence: 99%

Study adherence in a tDCS longitudinal clinical trial with people with spinal cord injury

et al. 2017

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“…Depression is common in individuals following SCI, and often accompanied by behavioral problems, substance abuse, and other psychological disorders that necessitate educational interventions for patient management. [29][30][31] The impact of depression on self-care abilities and cognition may contribute to the relationship between depression and recurrence of readmissions. Furthermore, memory and learning deficits due to depression may hinder retention of educational interventions to prevent health related complications that lead to readmissions.…”

Section: Psychosocial Factors and Psycholog Ical Well-beingmentioning

confidence: 99%

Factors Associated with Multiple Hospital Readmissions for Individuals with Spinal Cord Injury

Canori

Kumar

Hiremath

2020

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Objective: To identify patient-level and clinical factors associated with multiple hospital readmissions in individuals with spinal cord injury (SCI). Design: Retrospective cohort analysis of the publicly available dataset from the SCI Rehabilitation (SCIRehab) study. Setting: Six rehabilitation centers in the U.S. that participated in the SCIRehab study. Participants: Individuals with traumatic SCI (N=1371) who were consecutively enrolled in the SCIRehab study. Outcome measures: The primary outcome was all-cause hospital readmission within 1 year of discharge from a rehabilitation center. The patient-level and clinical factors include employment status, depression, caregiver support, state-funded insurance, functional status, and rehabilitation services. Results: Of the 1170 participants included in the study, 228 were readmitted once and 120 were readmitted multiple times. In our study, 34.2% and 10.8% were readmitted more than once due to genitourinary and respiratory conditions, respectively. Lower utilization of rehabilitation services, lower functional status, unemployment, and depression were associated with higher odds of being readmitted multiple times within one year of discharge from inpatient rehabilitation facility. Conclusion: Psychosocial and clinical factors were associated with increased risk for multiple readmissions in individuals with SCI. In order to reduce recurrent readmissions in individuals with SCI, further research is necessary to maximize efficacy of risk factor modification and prevention strategies.

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“…8 Considering the prevalence and implications of depression in individuals with SCI/D, best practice guidelines recommend evidence-based depression assessment; however, a disconnect remains between best evidence and current practice. 9 A systematic review of depression measures used in SCI/D research suggested that no one instrument is psychometrically superior. Instead, it was concluded that selection of a depression measure should be made based on other factors, including feasibility, acceptability to patients, ease of administration and scoring, and the ability of the measure to serve additional purposes, such as monitoring therapy outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…12 Despite research demonstrating the PHQ-9 ′ s utility, it has not been adopted as the standardized approach to depression assessment during acute SCI/D rehabilitation or at annual evaluations. 9 This may be due to its length, 13 or because of the inclusion of an item assessing suicidal ideation. Specifically, it is not uncommon for nurses and primary care physicians to complete their education without having received adequate training in suicide assessment.…”

Section: Introductionmentioning

confidence: 99%