Fuhrer M J, Rintala D H, Hart K A, Clearman R, Young M E
Arch Phys Med Rehabil. 1993 Mar;74(3):255-60.
Depressive symptomatology was studied in a community-based sample of 100 men and 40 women with spinal cord injury. The mean for the Center for Epidemiologic Studies Depression Scale was higher than that reported previously for the general population, and the mean for women was higher than that for men. Findings from the Mobility dimension of the Craig Handicap Assessment and Reporting Technique (CHART) suggested that differences between men and women in degree of mobility within home and community partly mediate the gender difference in depressive symptomatology. Other CHART dimensions, Social Integration and Occupation, were inversely related with depression scores, although these dimensions did not differentiate men and women. A statistically significant relationship was not obtained between depression and disability, assessed by a self-report version of the Functional Independence Measure, or between depression and impairment, reflected by the ASIA Total Motor Index Score. Depression was not related with the presence of either pressure ulcers or presumptive evidence of urinary tract infection.
对100名男性和40名女性脊髓损伤患者的社区样本进行了抑郁症状学研究。流行病学研究中心抑郁量表的平均分高于先前报道的普通人群平均分，且女性平均分高于男性。克雷格残疾评估与报告技术（CHART）的活动能力维度研究结果表明，男性和女性在家庭及社区内活动能力程度上的差异部分介导了抑郁症状学的性别差异。CHART的其他维度，即社会融合和职业，与抑郁评分呈负相关，尽管这些维度并未区分男性和女性。通过功能独立性测量的自我报告版本评估的抑郁与残疾之间，以及通过亚洲总运动指数评分反映的抑郁与损伤之间，均未获得具有统计学意义的关系。抑郁与压疮的存在或尿路感染的推定证据均无关。
