Model System:

TBI

Reference Type:

Journal

Accession No.:

J78075

Journal:


Journal of Spinal Cord Medicine - JSCM (formerly Journal of the American Paraplegia Society)

Year, Volume, Issue, Page(s):

, 40, 1, 85-92

Publication Website:

Abstract:

Study examined racial-ethnic differences in depressive symptomatology after spinal cord injury (SCI) and investigated the relationship of multiple additional factors to depressive symptoms, including health behaviors, employment, fatigue, and pain interference. Data were collected from 1,063 participants identified from outpatient records of 3 specialty hospitals in different regions of the United States (Southeastern, Mountain, and Western) with oversampling of racial-ethnic minority groups. Depressive symptomatology was measured by the Older Adult Health and Mood Questionnaire (OAHMQ). Participant demographic and injury characteristics were measured as statistical controls, as well as other variables including health behavior factors, depression/stress relief medication usage, fatigue, and pain interference. The multivariate analyses were developed using ordinary least squares regression models and logistic regression models. Employment was protective for depressive symptomatology, whereas fatigue, pain interference, and binge drinking were risk factors for higher OAHMQ scores. Although there were no bivariate racial-ethnic differences in depressive symptoms, fatigue and pain interference had suppression effects on the relationship between race-ethnicity and depressive symptomatology. After controlling for fatigue and pain interference, Hispanic participants had significantly lower OAHMQ scores and lower odds of probable major depression than non-Hispanic Whites and Blacks. Findings suggest that fatigue and pain interference are associated with both race-ethnicity and depressive symptomatology. Assuming the same level of fatigue and pain interference, Hispanics will have a lower risk of depressive symptoms than non-Hispanic Whites and Blacks.

Author(s):


Cao, Yue, Li, Chao, Gregory, Anne, Charlifue, Susan, Krause, James S.

Participating Centers: