Depression Following Spinal Cord Injury: Its Relationship to Demographic and Socioeconomic Indicators

Top Spinal Cord Inj Rehabil, 2015 · DOI: 10.1310/sci2102-149 · Published: January 1, 2015

Spinal Cord Injury Mental Health Public Health

Simple Explanation

Depression is a common psychological problem for individuals with spinal cord injuries (SCI) that reduces life satisfaction. This study aimed to understand how common depression is after SCI, and how factors like sex, age, injury level, financial status, and suicidal thoughts might be related. The study involved 134 adults with SCI who were attending an outpatient rehabilitation clinic. Researchers used a questionnaire to measure the presence and severity of depression and collected data through interviews. The study found that depression was prevalent in individuals with SCI and was linked to factors such as being female, having tetraplegia, suicidal thoughts, lower education, and being cared for by a family member other than a spouse or parents.

Study Duration

2012-2013

Participants

134 adults with SCI

Evidence Level

Cross-sectional study

Key Findings

1
Almost half (49.3%) of the participants experienced mild to severe depression following their spinal cord injury.
2
Individuals with tetraplegia were more likely to experience depression than those with paraplegia.
3
Women with SCI had a higher probability of depression compared to men with SCI.

Research Summary

This study investigated the prevalence of depression in individuals with SCI and its relationship with demographic and socioeconomic factors. It found a high prevalence of depression (49.3%) among participants. Factors such as being female, having tetraplegia, lower education levels, suicidal thoughts, and caregiver relationships were associated with a higher likelihood of depression. The study highlights the need for early detection and treatment of depression in individuals with SCI to improve their quality of life.

Practical Implications

Early Screening Programs

Implement routine screening for depression in individuals with SCI, particularly focusing on those with tetraplegia, women, and those with lower education levels.

Targeted Support Interventions

Develop support programs that address the specific needs of individuals with SCI, including mental health services, educational opportunities, and financial assistance.

Family and Spousal Support

Encourage and facilitate spousal and family support networks to provide emotional and practical assistance to individuals with SCI.

Study Limitations

1
The study participants were individuals referred for specialist assessment, potentially limiting generalizability.
2
Individual income could not be accurately measured, limiting the assessment of its association with depression.
3
The cross-sectional design limits the ability to determine causality between the identified factors and depression.

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