Article

OBJECTIVE: To provide data for depression rates and psychiatric comorbid
conditions, mental health service use, and adequacy of depression treatment in
depressed and nondepressed adults with spinal cord injury (SCI). DESIGN:
Cross-sectional survey as part of the Project to Improve Symptoms and Mood after
SCI (PRISMS). SETTING: Community setting. PARTICIPANTS: Community-residing people
with traumatic SCI (N=947). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES:
Patient Health Questionnaire-9 (PHQ-9) Depression Scale, psychiatric history
questionnaire, Cornell Service Index (mental health service use), and current
medication use. RESULTS: The prevalence of probable major depression (PHQ-9 score
>/=10) was 23%. There was a high lifetime prevalence of other psychiatric
conditions, particularly anxiety disorders. In depressed participants, 29%
currently were receiving any antidepressant and 11% were receiving
guideline-level antidepressant dose and duration, whereas 11% had been receiving
any psychotherapy in the past 3 months and 6% had been receiving guideline-level
psychotherapy in the past 3 months. Serotonergic antidepressants and individual
psychotherapy were the most common types of treatment received, and there was a
wide range of provider types and treatment settings. Demographic and clinical
variables were not associated with receipt of mental health service or
guideline-level care. CONCLUSIONS: Findings from this study document the low rate
of mental health treatment for persons with SCI and probable major depression.
These findings have implications for improving the effectiveness of depression
treatment in people with SCI.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS