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  4. Factors predicting depression among persons with spinal cord injury 1 to 5 years post injury

Factors predicting depression among persons with spinal cord injury 1 to 5 years post injury

NeuroRehabilitation, 2011 · DOI: 10.3233/NRE-2011-0672 · Published: January 1, 2011

Spinal Cord InjuryMental HealthRehabilitation

Simple Explanation

This study looked at depression in people with spinal cord injuries (SCI) over time. It aimed to see how common depression is 1 and 5 years after the injury. The study also wanted to find out what things make someone more likely to be depressed after SCI. Researchers used data from a large group of people with SCI. They checked for things like age, sex, education, and how severe the injury was. They also looked at things like how people managed their bladder after leaving the hospital. The study found that depression is common after SCI, but it tends to decrease over time. Certain things, like being female or having problems with bladder management, made people more likely to be depressed.

Study Duration
5 Years
Participants
2,256 adult participants
Evidence Level
Not specified

Key Findings

  • 1
    The prevalence of MDD was 11.9% at 1 year and 9.7% at 5 years post SCI.
  • 2
    At 1 year post-injury, the odds of MDD was greater for persons 35–55 years old at injury, unemployed, having an indwelling catheter or voiding bladder management at discharge, and higher scores on ASIA motor index.
  • 3
    At 5 years post-injury, the odds of MDD were greater for females, persons 35–55 years old at injury, those with a high school education or less, those having an indwelling catheter, voiding, and no bladder management at discharge, and higher scores on ASIA motor index.

Research Summary

The study estimated the prevalence of MDD at 1 and 5 years post SCI and found a significant decrease in the odds of MDD from year 1 to year 5. Several factors were identified as significantly associated with the probability of MDD at year 1 post SCI, including age at injury, employment status, bladder management at discharge, and ASIA motor index scores. Sex was identified as a significant modifying effect, with the odds of MDD decreasing from 1 to 5 years post SCI for males and nominally increasing for females.

Practical Implications

Improved Screening

The factors associated with MDD at 1 and 5 years post SCI can help identify individuals at risk and improve screening programs.

Bladder Management Considerations

The study highlights the influence of bladder management on MDD, suggesting that therapeutic approaches that increase autonomy may enhance psychosocial outcomes.

Targeted Interventions

The findings related to sex differences in MDD changes over time can guide future research and clinical practice, potentially leading to targeted interventions.

Study Limitations

  • 1
    Missing data points for MDD at both 1- and 5-year measurements.
  • 2
    Lack of information regarding treatment received by participants for depression.
  • 3
    Reliance on a measure of MDD that has not been validated in the SCI population.

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