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  4. Depression and Depression Treatment in Women With Spinal Cord Injury

Depression and Depression Treatment in Women With Spinal Cord Injury

Top Spinal Cord Inj Rehabil, 2014 · DOI: 10.1310/sci2001-23 · Published: January 1, 2014

Spinal Cord InjuryMental HealthWomen's Health

Simple Explanation

This study investigates depression and its treatment in women with spinal cord injury (SCI). It highlights the need for more research focused specifically on this population, as most existing studies predominantly involve male participants. The research found that a significant percentage of women with SCI experience depressive symptoms, yet many do not receive adequate treatment, particularly psychotherapy. This suggests a gap in healthcare provision for this specific group. The study also explores factors related to depression in women with SCI, such as secondary health conditions, pain, and overall health perceptions, to help clinicians better identify and support those at risk.

Study Duration
1 year (Time 1 data only)
Participants
51 ethnically and racially diverse women with SCI
Evidence Level
Not specified

Key Findings

  • 1
    A significant portion (41%) of the women with SCI showed depressive symptoms ranging from mild to severe, based on the Beck Depression Inventory–II (BDI-II).
  • 2
    Depression scores correlated significantly with the severity of secondary health conditions, the intensity of pain experienced, and poorer perceptions of overall health among the participants.
  • 3
    Despite a considerable number of women exhibiting clinically significant depressive symptoms, only a small fraction reported receiving any form of treatment, with pharmacological interventions being the most common approach.

Research Summary

The study aimed to examine depression and its treatment in women with SCI, addressing a gap in research that predominantly focuses on male populations. The findings revealed a high prevalence of depressive symptoms among women with SCI, coupled with a significant lack of adequate treatment, especially psychotherapy. Correlates of depression were identified, including secondary health conditions, pain, and health perceptions, suggesting areas for targeted screening and intervention.

Practical Implications

Improved Screening

Healthcare providers should proactively screen women with SCI for depression, especially those with pain and poor health.

Increased Access to Treatment

Disability-sensitive and affordable depression treatment options, including psychotherapy, should be made available to women with SCI.

Targeted Interventions

Interventions should address health-related factors, such as pain management and management of secondary conditions, to improve mental health outcomes.

Study Limitations

  • 1
    Small sample size
  • 2
    Limited information on the nature and extent of depression treatment
  • 3
    Cross-sectional nature of the data, preventing causal inferences

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