Article

OBJECTIVE: To examine preferences for depression treatment modalities and
settings and predictors of treatment preference in persons with spinal cord
injury (SCI). DESIGN: Cross-sectional surveys. SETTING: Rehabilitation inpatient
services. PARTICIPANTS: Persons with traumatic SCI (N=183) undergoing inpatient
rehabilitation. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Patient
Health Questionnaire-9 depression scale, history of psychiatric diagnoses and
treatments, and a depression treatment preference survey. RESULTS: Among
inpatients with SCI (28% had Patient Health Questionnaire-9 score >/=10
indicating probable major depression), a physical exercise program was the most
preferred treatment option (78% somewhat or very likely to try) followed by
antidepressants prescribed by a primary care provider (63%) and individual
counseling in a medical or rehabilitation clinic (62%). All modalities were
preferred over group counseling. Although not statistically significant, more
depressed individuals stated a willingness to try antidepressants and counseling
than nondepressed individuals. Subjects preferred treatment in a
medical/rehabilitation setting over a mental health setting. Those with a prior
diagnosis of depression and a history of antidepressant use were significantly
more willing to take an antidepressant. Age >/=40 years was a significant
predictor of willingness to receive individual counseling. CONCLUSIONS: Treatment
preferences and patient education are important factors when choosing a
depression treatment modality for patients with SCI. The results suggest that
antidepressants, counseling, and exercise may be promising components of
depression treatment in this population, particularly if they are integrated into
medical or rehabilitation care.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS