Model System:

SCI

Reference Type:

Journal

Accession No.:

J73152

Journal:


Archives of Physical Medicine and Rehabilitation

Year, Volume, Issue, Page(s):

, 97, 2, 196-203

Publication Website:

Abstract:

Study determined the number and type of depression trajectories during the first year after spinal cord injury (SCI) and identified baseline predictors of these trajectories. Of 168 patients admitted to inpatient rehabilitation for acute SCI and enrolled in a randomized controlled trial telephone follow-up intervention, which showed no outcome differences, 141 patients were assessed on at least 2 of the 4 follow-up occasions (3, 6, 9, and 12 months after SCI). Depression was assessed using the Patient Health Questionnaire-9 (PHQ-9). Unconditional linear latent class growth analysis models of PHQ-9 total scores revealed an optimal 3-class solution that identified 3 depression trajectories: stable low depression (63.8 percent), mild to moderate depression (29.1 percent), and persistent moderate to severe depression (7.1 percent). Preinjury mental health history and baseline pain, quality of life, and grief predicted class membership. The modal response to SCI was stable low depression, whereas persistent moderate to severe depression primarily represented a continuation or relapse of preinjury depression.

Author(s):