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  4. Effects of hyperbaric oxygen therapy on depression and anxiety in the patients with incomplete spinal cord injury (a STROBE-compliant article)

Effects of hyperbaric oxygen therapy on depression and anxiety in the patients with incomplete spinal cord injury (a STROBE-compliant article)

Medicine, 2017 · DOI: http://dx.doi.org/10.1097/MD.0000000000007334 · Published: July 1, 2017

Spinal Cord InjuryPharmacologyMental Health

Simple Explanation

This study investigates how hyperbaric oxygen therapy (HBO) affects depression and anxiety in patients with incomplete spinal cord injury (ISCI). Patients were divided into three groups: one receiving HBO, one receiving psychotherapy, and a control group receiving standard rehabilitation. The study found that HBO therapy had similar effects to psychotherapy in reducing depression and anxiety. Additionally, HBO therapy significantly improved nerve function and daily living activities compared to both psychotherapy and standard rehabilitation. The findings suggest that HBO therapy can be a valuable tool in treating psychological issues and improving physical function in ISCI patients, offering benefits that traditional rehabilitation and psychotherapy alone may not provide.

Study Duration
8 weeks
Participants
60 patients with incomplete SCI combined with depression and anxiety
Evidence Level
Observational Study

Key Findings

  • 1
    HBO therapy and psychotherapy both significantly reduced depression (HAMD scores) compared to the control group.
  • 2
    HBO therapy significantly reduced anxiety (HAMA scores) compared to the control group, while psychotherapy did not show a statistically significant difference.
  • 3
    HBO therapy significantly improved nerve function (ASIA scores) and activities of daily living (FIM scores) compared to both psychotherapy and the control group.

Research Summary

The study aimed to evaluate the effects of hyperbaric oxygen (HBO) therapy on depression and anxiety in patients with incomplete spinal cord injury (ISCI). Sixty patients were divided into HBO, psychotherapy, and control groups, receiving treatments for 8 weeks, and evaluated using HAMD, HAMA, ASIA, and FIM scores. The results indicated that HBO therapy is similar to psychotherapy in improving psychological problems and can significantly improve nerve function and activities of daily living in ISCI patients.

Practical Implications

Clinical Practice

HBO therapy can be considered as an adjunct treatment for patients with ISCI experiencing depression and anxiety, potentially enhancing rehabilitation outcomes.

Rehabilitation Programs

Integrating HBO therapy into comprehensive rehabilitation programs may lead to improved nerve function and enhanced activities of daily living for ISCI patients.

Future Research

Further research with larger sample sizes and longer follow-up periods is warranted to validate these findings and explore the long-term benefits of HBO therapy in ISCI patients.

Study Limitations

  • 1
    Small sample size.
  • 2
    Short follow-up duration (8 weeks).
  • 3
    Lack of sample size calculation.

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