Saurí Joan, Chamarro Andrés, Gilabert Anna, Gifre Mariona, Rodriguez Neus, Lopez-Blazquez Raquel, Curcoll Lluïsa, Benito-Penalva Jesús, Soler Dolors
Institut Guttmann Neurorehabilitation Hospital (University Institute attached to the Universitat Autònoma de Barcelona [UAB]), Badalona (Barcelona), Spain; Universitat Autònoma de Barcelona (UAB), Bellaterra (Cerdanyola del Vallès), Spain; The Institute for Health Science Research Germans Trias i Pujol (IGTP), Badalona (Barcelona), Spain.
Universitat Autònoma de Barcelona (UAB), Bellaterra (Cerdanyola del Vallès), Spain; Faculty of Psychology, Department of Basic Psychology, Universitat Autònoma de Barcelona (UAB), Bellaterra, Spain; Serra Hunter Program, Generalitat de Catalunya, Barcelona, Spain.
Arch Phys Med Rehabil. 2017 Jun;98(6):1165-1173. doi: 10.1016/j.apmr.2016.11.011. Epub 2016 Dec 16.
To assess depression in a sample of individuals with spinal cord injury (SCI) living in the community, and to determine the prevalence of probable major depressive disorder (PMDD) among those with traumatic spinal cord injury (T-SCI) and those with nontraumatic spinal cord injury (NT-SCI).
Cross-sectional.
Data were collected on individuals with SCI now living in the community, who completed a comprehensive follow-up assessment at the hospital.
Individuals with T-SCI or NT-SCI (N=831) completed the Patient Health Questionnaire-9 (PHQ-9) and were included.
Not applicable.
The PHQ-9 was used to detect the presence of PMDD and to measure the severity of the depression.
The most frequent etiology of SCI was T-SCI (66.9%). Overall, 16.2% of participants met the criteria for PMDD; however, a higher prevalence was noted for individuals with NT-SCI (21.1%) than for individuals with T-SCI (13.8%). Risk factors between T-SCI and NT-SCI did not differ greatly. Female sex, chronic pain, and lower levels of/difficulties in participation were associated with the presence of PMDD.
PMDD appears to occur at a higher rate in individuals with NT-SCI, with greater symptom severity. The finding that problems with participation are directly associated with depression raises the need for specific treatment goals, with the aim of empowering individuals with SCI to reintegrate into the community. Potential stress factors (eg, environmental barriers, limited participation options) should be addressed accordingly.
评估居住在社区的脊髓损伤（SCI）患者样本中的抑郁情况，并确定创伤性脊髓损伤（T-SCI）患者和非创伤性脊髓损伤（NT-SCI）患者中可能的重度抑郁症（PMDD）患病率。
横断面研究。
收集了目前居住在社区且在医院完成全面随访评估的SCI患者的数据。
T-SCI或NT-SCI患者（N = 831）完成了患者健康问卷-9（PHQ-9）并被纳入研究。
不适用。
使用PHQ-9检测PMDD的存在并测量抑郁的严重程度。
SCI最常见的病因是T-SCI（66.9%）。总体而言，16.2%的参与者符合PMDD标准；然而，NT-SCI患者的患病率（21.1%）高于T-SCI患者（13.8%）。T-SCI和NT-SCI之间的危险因素差异不大。女性、慢性疼痛以及参与水平较低/存在参与困难与PMDD的存在相关。
PMDD在NT-SCI患者中似乎发生率更高，症状更严重。参与问题与抑郁直接相关这一发现增加了制定特定治疗目标的必要性，目的是使SCI患者能够重新融入社区。应相应地解决潜在的压力因素（如环境障碍、参与选择有限）。
