Article

OBJECTIVES: To determine whether demographic, injury, health, and functional
factors similarly have the same predictive relation with both somatic and
nonsomatic symptoms of depression, as well as whether somatic and nonsomatic
symptoms of depression have the same association with quality of life (QOL).
DESIGN: Secondary analysis of cross-sectional survey data. SETTING: Community
PARTICIPANTS: Patients with traumatic spinal cord injury (N=4976) who completed
an interview at 1 year postinjury between 2006 and 2011. INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: Somatic and nonsomatic symptoms of depression
from the Patient Health Questionnaire-9 and QOL measured by the Satisfaction With
Life Scale. RESULTS: Structural equation modeling showed that the hypothesized
model provided a good fit to the data, but modification of the model led to a
significant improvement in model fit: Deltachi(2)(1)=226.21, P<.001; comparative
fit index=.976; chi(2)(199)=585.39, P<.001; root mean square error of
approximation=.027 (90% confidence interval, .025-.030). The health-related
factors including pain severity, pain interference, and health status were
similarly associated with both somatic and nonsomatic symptoms of depression. QOL
was negatively associated with nonsomatic symptoms of depression but was
unrelated to somatic symptoms of depression. CONCLUSIONS: Assessment of
depression after spinal cord injury should include a careful assessment of health
concerns given the relation between health-related factors and both somatic and
nonsomatic symptoms of depression. Treatments of depressive symptoms may be
improved by targeting health concerns, such as pain, along with a specific focus
on nonsomatic symptoms to improve the QOL.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS