STUDY DESIGN: Cross-sectional study. OBJECTIVES: To provide data on depressive symptoms rates in the Greek SCI population and to investigate their association with demographic and clinical variables. SETTING: Greek territory. METHODS: One hundred and sixty-four individuals with SCI living in the community for at least 1 year after the completion of the primary inpatient rehabilitation program were included in the study. Our group of participants were enrolled from multiple rehabilitation centers throughout Greece and were evaluated for probable depression according to the Patient Health Questionnaire (PHQ-9). Univariable and multiple linear regression analyses were performed to assess the possible association of risk factors with the occurrence of depression. We had also examined the correlation between PHQ-9 and scales measuring social reintegration (Craig Handicap Assessment and Reporting Technique (CHART)), quality of life (World Health Organization Quality of Life BREF (WHOQOL-BREF)), and independence (Spinal Cord Independence Measure (SCIM)). RESULTS: It was found that 18.2% of the sample had probable depression. The mean (SD) PHQ-9 score was 5.7 (4.9). The multiple linear regression analysis showed that high pain scores (P = 0.001) and suffering from both nociceptive and neuropathic pain (P = 0.005) were associated with depressive mood, while pressure ulcers had a significant effect (P = 0.049) only in the univariable analysis. Participant's PHQ-9 scores had also a negative correlation with almost all CHART, WHOQOL-BREF, and SCIM subscales' scores. CONCLUSIONS: This study documents relatively low rates of probable depression among individuals with SCI in Greece. Severe pain and pressure ulcers were the main identified predictors of depressive mood.
STUDY DESIGN: Cross-sectional study. OBJECTIVES: To provide data on depressive symptoms rates in the Greek SCI population and to investigate their association with demographic and clinical variables. SETTING: Greek territory. METHODS: One hundred and sixty-four individuals with SCI living in the community for at least 1 year after the completion of the primary inpatient rehabilitation program were included in the study. Our group of participants were enrolled from multiple rehabilitation centers throughout Greece and were evaluated for probable depression according to the Patient Health Questionnaire (PHQ-9). Univariable and multiple linear regression analyses were performed to assess the possible association of risk factors with the occurrence of depression. We had also examined the correlation between PHQ-9 and scales measuring social reintegration (Craig Handicap Assessment and Reporting Technique (CHART)), quality of life (World Health Organization Quality of Life BREF (WHOQOL-BREF)), and independence (Spinal Cord Independence Measure (SCIM)). RESULTS: It was found that 18.2% of the sample had probable depression. The mean (SD) PHQ-9 score was 5.7 (4.9). The multiple linear regression analysis showed that high pain scores (P = 0.001) and suffering from both nociceptive and neuropathic pain (P = 0.005) were associated with depressive mood, while pressure ulcers had a significant effect (P = 0.049) only in the univariable analysis. Participant's PHQ-9 scores had also a negative correlation with almost all CHART, WHOQOL-BREF, and SCIM subscales' scores. CONCLUSIONS: This study documents relatively low rates of probable depression among individuals with SCI in Greece. Severe pain and pressure ulcers were the main identified predictors of depressive mood.
Authors: Charles H Bombardier; Claire Z Kalpakjian; Daniel E Graves; Joshua R Dyer; Denise G Tate; Jesse R Fann Journal: Arch Phys Med Rehabil Date: 2012-04-30 Impact factor: 3.966
Authors: Christel M van Leeuwen; Marcel W Post; Paul Westers; Lucas H van der Woude; Sonja de Groot; Tebbe Sluis; Hans Slootman; Eline Lindeman Journal: Arch Phys Med Rehabil Date: 2011-10-05 Impact factor: 3.966
Authors: Charles H Bombardier; J Scott Richards; James S Krause; David Tulsky; Denise G Tate Journal: Arch Phys Med Rehabil Date: 2004-11 Impact factor: 3.966
Authors: Claire Z Kalpakjian; Charles H Bombardier; Katherine Schomer; Pat A Brown; Kurt L Johnson Journal: J Spinal Cord Med Date: 2009 Impact factor: 1.985
Authors: Alessio Conti; Marco Clari; Maeve Nolan; Eva Wallace; Marco Tommasini; Silvia Mozzone; Sara Campagna Journal: Top Spinal Cord Inj Rehabil Date: 2019