Article

OBJECTIVE: To investigate the prevalence of depressive symptoms in adults with
pediatric-onset spinal cord injury (SCI) and explore potential risk factors that
may be associated with elevated symptoms. DESIGN: Longitudinal, cohort survey
over a period of 2 to 9 years. Follow-up occurred approximately every year, a
total of 868 interviews were conducted, and most participants contributed to at
least 3 waves of data (72%; range, 2-8; mean, 4.34+/-2.16). SETTING: Community.
PARTICIPANTS: Adults (N=214; 133 men; mean age at first interview, 29.52+/-5.21y;
range, 24-42y) who sustained an SCI prior to age 19 (mean age at injury,
13.93+/-4.37y; range, 0-18y). Participants tended to have complete injuries (71%)
and tetraplegia (58%). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES:
Participants completed measures assessing psychosocial functioning, physical
independence, participation, and depression at each time point. Multilevel growth
modeling analyses were used to explore depression symptoms across time. RESULTS:
Depression symptoms at initial status were typically minimal (3.07+/-.24; 95%
confidence interval, 2.6-3.54) but fluctuated significantly over time (P<.01).
Several factors emerged as significant predictors of depressive symptoms in the
final model, including less community participation (P<.01), incomplete injury
(P=.02), hazardous drinking (P=.02), bladder incontinence (P=.01), and pain
(P=.03). Within individuals, as bowel accidents (P<.01) and pain increased
(P<.01), depression scores increased; however, marriage resulted in decreases in
depression scores for individuals (P=.02). CONCLUSIONS: These findings suggest
that most patients with pediatric-onset SCI are psychologically resilient, but
strategies to minimize secondary health complications and foster community
participation and engagement should be considered.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS