Article

OBJECTIVE: To assess the prevalence of pain, depression, and comorbid pain and
depression among a civilian sample of persons with traumatic brain injury (TBI).
DESIGN: Longitudinal survey design with 1-year follow-up. SETTING: Inpatient
rehabilitation and the community. PARTICIPANTS: Participants (N=158) admitted to
inpatient rehabilitation after moderate to severe TBI. INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: Depression was assessed with the Patient
Health Questionnaire-9 (PHQ-9); pain was assessed with a numerical rating scale
from 0 (no pain) to 10 (worst pain). Participants who reported average pain >/= 4
were classified as having pain, and participants with PHQ-9 scores >/= 10 were
classified as depressed. RESULTS: Both pain and depression were more prevalent at
baseline assessment (pain: 70%; depression: 31%) than at year 1 (pain: 34%;
depression: 22%). Comorbid pain and depression declined from 27% at baseline to
18% at year 1. Pain was significantly associated with depression at baseline
(relative risk: 2.62, P=.003) and at year 1 (relative risk: 7.98, P<.001).
CONCLUSIONS: Pain and depression are common and frequently co-occur in persons
with TBI. Although their frequency declined over the first year after injury, the
strength of their association increased. Assessment and treatment of both
conditions simultaneously may lead to improved outcomes, both early after TBI and
over time.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS