McDonald Scott D, Mickens Melody N, Goldberg-Looney Lisa D, Mutchler Brian J, Ellwood Michael S, Castillo Teodoro A
a Hunter Holmes McGuire VA Medical Center , Richmond, Virginia , USA.
b Department of Psychology , Virginia Commonwealth University , Richmond, Virginia , USA.
J Spinal Cord Med. 2018 Nov;41(6):691-702. doi: 10.1080/10790268.2017.1293868. Epub 2017 Mar 13.
Depression and other mental disorders are more prevalent among individuals living with spinal cord injury (SCI) than in the community at large, and have a strong association with quality of life. Yet little is known about the prevalence and predictors of mental disorders among U.S. military Veterans living with SCI. The primary aim of this study was to present an estimate of mental disorder point prevalence in this population. The secondary aim was to examine the relationship of mental disorders to demographics, injury characteristics, and other clinically relevant features such as impairment from mental health problems and life satisfaction.
Cross-sectional.
A SCI & Disorders Center at a U.S. Veterans Affairs Medical Center.
PARTICIPANTS/METHODS: Administrative and medical records of 280 Veterans who attended annual comprehensive SCI evaluations were evaluated. Demographics, injury characteristics, self-reported mental and emotional functioning (i.e. SF-8 Health Survey), and clinician-determined mental disorder diagnoses were attained.
Overall, 40% of patients received at least one mental disorder diagnosis, most commonly depressive disorders (19%), posttraumatic stress disorder (12%), and substance or alcohol use disorders (11%). Several patient characteristics predicted mental disorders, including age, racial minority identity, non-traumatic SCI etiology, and incomplete (i.e. AIS D) vs. complete injury. Mental disorders were associated with greater impairment from health and mental health-related problems and less satisfaction with life.
Mental disorders are common among outpatients receiving VA specialty care for SCI. These findings highlight the importance of having adequate and effective available mental health services available for Veterans with SCI.
与普通人群相比，脊髓损伤（SCI）患者中抑郁症和其他精神障碍更为普遍，且与生活质量密切相关。然而，对于美国患有SCI的退伍军人中精神障碍的患病率及预测因素知之甚少。本研究的主要目的是估计该人群中精神障碍的时点患病率。次要目的是研究精神障碍与人口统计学特征、损伤特征以及其他临床相关特征（如心理健康问题导致的功能损害和生活满意度）之间的关系。
横断面研究。
美国退伍军人事务医疗中心的一个SCI与疾病中心。
参与者/方法：对280名参加年度全面SCI评估的退伍军人的行政和医疗记录进行评估。获取了人口统计学特征、损伤特征、自我报告的心理和情绪功能（即SF-8健康调查）以及临床医生确定的精神障碍诊断结果。
总体而言，40%的患者至少被诊断出一种精神障碍，最常见的是抑郁症（19%）、创伤后应激障碍（12%）以及物质或酒精使用障碍（11%）。几个患者特征可预测精神障碍，包括年龄、少数族裔身份、非创伤性SCI病因以及不完全性（即AIS D级）与完全性损伤。精神障碍与健康和心理健康相关问题导致的更大功能损害以及更低的生活满意度相关。
在接受VA专科护理的SCI门诊患者中，精神障碍很常见。这些发现凸显了为患有SCI的退伍军人提供充足且有效的心理健康服务的重要性。
