Depression following Traumatic Spinal Cord Injury
Objectives: To describe the epidemiology of depression following traumatic spinal cord injury (SCI) and identify risk factors associated with depression. Methods: This population-based cohort study followed individuals from date of SCI to 6 years after injury. Administrative data from a Canadian pro...
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| Veröffentlicht in: | Neuroepidemiology 2005-01, Vol.25 (2), p.55-61 |
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| container_title | Neuroepidemiology |
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| creator | Dryden, Donna M. Saunders, L. Duncan Rowe, Brian H. May, Laura A. Yiannakoulias, Niko Svenson, Lawrence W. Schopflocher, Donald P. Voaklander, Donald C. |
| description | Objectives: To describe the epidemiology of depression following traumatic spinal cord injury (SCI) and identify risk factors associated with depression. Methods: This population-based cohort study followed individuals from date of SCI to 6 years after injury. Administrative data from a Canadian province with a universal publicly funded health care system and centralized databases were used. A Cox proportional hazards model was developed to identify risk factors. Results: Of 201 patients with SCI, 58 (28.9%) were treated for depression. Individuals at highest risk were those with a pre-injury history of depression [hazard rate ratio (HRR) 1.6; 95% CI: 1.1–2.3], a history of substance abuse (HRR 1.6; 95% CI: 1.2–2.3) or permanent neurological deficit (HRR 1.6; 95% CI: 1.2–2.1). Conclusion: Depression occurs commonly and early in persons who sustain an SCI. Both patient and injury factors are associated with the development of depression. These should be used to target patients for mental health assessment and services during initial hospitalization and following discharge into the community. |
| doi_str_mv | 10.1159/000086284 |
| format | Article |
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Duncan ; Rowe, Brian H. ; May, Laura A. ; Yiannakoulias, Niko ; Svenson, Lawrence W. ; Schopflocher, Donald P. ; Voaklander, Donald C.</creator><creatorcontrib>Dryden, Donna M. ; Saunders, L. Duncan ; Rowe, Brian H. ; May, Laura A. ; Yiannakoulias, Niko ; Svenson, Lawrence W. ; Schopflocher, Donald P. ; Voaklander, Donald C.</creatorcontrib><description>Objectives: To describe the epidemiology of depression following traumatic spinal cord injury (SCI) and identify risk factors associated with depression. Methods: This population-based cohort study followed individuals from date of SCI to 6 years after injury. Administrative data from a Canadian province with a universal publicly funded health care system and centralized databases were used. A Cox proportional hazards model was developed to identify risk factors. Results: Of 201 patients with SCI, 58 (28.9%) were treated for depression. Individuals at highest risk were those with a pre-injury history of depression [hazard rate ratio (HRR) 1.6; 95% CI: 1.1–2.3], a history of substance abuse (HRR 1.6; 95% CI: 1.2–2.3) or permanent neurological deficit (HRR 1.6; 95% CI: 1.2–2.1). Conclusion: Depression occurs commonly and early in persons who sustain an SCI. Both patient and injury factors are associated with the development of depression. These should be used to target patients for mental health assessment and services during initial hospitalization and following discharge into the community.</description><identifier>ISSN: 0251-5350</identifier><identifier>EISSN: 1423-0208</identifier><identifier>DOI: 10.1159/000086284</identifier><identifier>PMID: 15947491</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Adult ; Canada - epidemiology ; Cohort Studies ; Depression - epidemiology ; Depression - etiology ; Female ; Humans ; Incidence ; Male ; Middle Aged ; Original Paper ; Risk Factors ; Spinal Cord Injuries - complications ; Spinal Cord Injuries - psychology ; Wounds and Injuries</subject><ispartof>Neuroepidemiology, 2005-01, Vol.25 (2), p.55-61</ispartof><rights>2005 S. Karger AG, Basel</rights><rights>Copyright (c) 2005 S. Karger AG, Basel.</rights><rights>Copyright (c) 2005 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-bc059f1b438b9f25480efd992551622b28bc9afcb9efc609238170bf2fd71fda3</citedby><cites>FETCH-LOGICAL-c396t-bc059f1b438b9f25480efd992551622b28bc9afcb9efc609238170bf2fd71fda3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,2430,27926,27927</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15947491$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dryden, Donna M.</creatorcontrib><creatorcontrib>Saunders, L. Duncan</creatorcontrib><creatorcontrib>Rowe, Brian H.</creatorcontrib><creatorcontrib>May, Laura A.</creatorcontrib><creatorcontrib>Yiannakoulias, Niko</creatorcontrib><creatorcontrib>Svenson, Lawrence W.</creatorcontrib><creatorcontrib>Schopflocher, Donald P.</creatorcontrib><creatorcontrib>Voaklander, Donald C.</creatorcontrib><title>Depression following Traumatic Spinal Cord Injury</title><title>Neuroepidemiology</title><addtitle>Neuroepidemiology</addtitle><description>Objectives: To describe the epidemiology of depression following traumatic spinal cord injury (SCI) and identify risk factors associated with depression. Methods: This population-based cohort study followed individuals from date of SCI to 6 years after injury. Administrative data from a Canadian province with a universal publicly funded health care system and centralized databases were used. A Cox proportional hazards model was developed to identify risk factors. Results: Of 201 patients with SCI, 58 (28.9%) were treated for depression. Individuals at highest risk were those with a pre-injury history of depression [hazard rate ratio (HRR) 1.6; 95% CI: 1.1–2.3], a history of substance abuse (HRR 1.6; 95% CI: 1.2–2.3) or permanent neurological deficit (HRR 1.6; 95% CI: 1.2–2.1). Conclusion: Depression occurs commonly and early in persons who sustain an SCI. Both patient and injury factors are associated with the development of depression. These should be used to target patients for mental health assessment and services during initial hospitalization and following discharge into the community.</description><subject>Adult</subject><subject>Canada - epidemiology</subject><subject>Cohort Studies</subject><subject>Depression - epidemiology</subject><subject>Depression - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Risk Factors</subject><subject>Spinal Cord Injuries - complications</subject><subject>Spinal Cord Injuries - psychology</subject><subject>Wounds and Injuries</subject><issn>0251-5350</issn><issn>1423-0208</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpd0M9LwzAUB_Agis7pwbMgxYPgofqSJm1ylPlrMPDgPJckTUZn29RkRfbfG-mY4Lt8L5_3eHwRusBwhzET9xCH54TTAzTBlGQpEOCHaAKE4ZRlDE7QaQhrgIi5OEYnMWlBBZ4g_Gh6b0KoXZdY1zTuu-5WydLLoZWbWifvfd3JJpk5XyXzbj347Rk6srIJ5nyXU_Tx_LScvaaLt5f57GGR6kzkm1RpYMJiRTOuhCWMcjC2EoIwhnNCFOFKC2m1EsbqHATJOC5AWWKrAttKZlN0M97tvfsaTNiUbR20aRrZGTeEMueQ0wJohNf_4NoNPn4dSpIRURAhcES3I9LeheCNLXtft9JvSwzlb4nlvsRor3YHB9Wa6k_uWovgcgSf0q-M34Nx_QfvmXNc</recordid><startdate>20050101</startdate><enddate>20050101</enddate><creator>Dryden, Donna M.</creator><creator>Saunders, L. 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Duncan</creatorcontrib><creatorcontrib>Rowe, Brian H.</creatorcontrib><creatorcontrib>May, Laura A.</creatorcontrib><creatorcontrib>Yiannakoulias, Niko</creatorcontrib><creatorcontrib>Svenson, Lawrence W.</creatorcontrib><creatorcontrib>Schopflocher, Donald P.</creatorcontrib><creatorcontrib>Voaklander, Donald C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Neuroepidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dryden, Donna M.</au><au>Saunders, L. Duncan</au><au>Rowe, Brian H.</au><au>May, Laura A.</au><au>Yiannakoulias, Niko</au><au>Svenson, Lawrence W.</au><au>Schopflocher, Donald P.</au><au>Voaklander, Donald C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Depression following Traumatic Spinal Cord Injury</atitle><jtitle>Neuroepidemiology</jtitle><addtitle>Neuroepidemiology</addtitle><date>2005-01-01</date><risdate>2005</risdate><volume>25</volume><issue>2</issue><spage>55</spage><epage>61</epage><pages>55-61</pages><issn>0251-5350</issn><eissn>1423-0208</eissn><abstract>Objectives: To describe the epidemiology of depression following traumatic spinal cord injury (SCI) and identify risk factors associated with depression. Methods: This population-based cohort study followed individuals from date of SCI to 6 years after injury. Administrative data from a Canadian province with a universal publicly funded health care system and centralized databases were used. A Cox proportional hazards model was developed to identify risk factors. Results: Of 201 patients with SCI, 58 (28.9%) were treated for depression. Individuals at highest risk were those with a pre-injury history of depression [hazard rate ratio (HRR) 1.6; 95% CI: 1.1–2.3], a history of substance abuse (HRR 1.6; 95% CI: 1.2–2.3) or permanent neurological deficit (HRR 1.6; 95% CI: 1.2–2.1). Conclusion: Depression occurs commonly and early in persons who sustain an SCI. Both patient and injury factors are associated with the development of depression. These should be used to target patients for mental health assessment and services during initial hospitalization and following discharge into the community.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>15947491</pmid><doi>10.1159/000086284</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; Karger Journals Complete |
| subjects | Adult Canada - epidemiology Cohort Studies Depression - epidemiology Depression - etiology Female Humans Incidence Male Middle Aged Original Paper Risk Factors Spinal Cord Injuries - complications Spinal Cord Injuries - psychology Wounds and Injuries |
| title | Depression following Traumatic Spinal Cord Injury |
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