Article

PURPOSE: To examine the relationship between depression and pain severity during
inpatient rehabilitation for those with new onset of spinal cord injury or spinal
cord disease (SCI/D), along with patient characteristics, neurological function
and etiology. This cross-sectional study reviewed medical records of 100
adults with SCI/D including their admission scores on the Patient Health
Questionnaire 9 (PHQ-9), a measure of depression, and pain ratings collected at
admission and discharge. RESULTS: Upon admission, 28% reported moderate-to-severe
symptoms of depression and 69% reported pain. PHQ-9 scores were associated with
pain only among those with the least severe impairments, for whom higher scores
were associated with greater pain. While depression levels did not differ by
etiology, those with traumatic injuries had higher pain ratings. CONCLUSIONS: In
general, depressive symptoms were not associated with pain severity in this
sample. Etiology was associated with pain, those with traumatic SCI reporting
more pain at admission. Among demographic characteristics, age was related to
pain, with younger subjects reporting higher levels. These findings suggest that
certain characteristics may predispose patients to pain and depression upon
admission to rehabilitation. By determining who is at risk for these symptoms,
clinicians can adopt treatments that prevent these from becoming chronic
conditions.

Langue : ANGLAIS