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Titre : | Evaluating a Spinal Cord InjurySpecific Model of Depression and Quality of Life (2014) |
Auteurs : | Narineh Hartoonian ; Jeanne M. Hoffman ; Claire Z. Kalpakjian |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/3, 2014) |
Article en page(s) : | p. 455-465 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Dépression ; Qualité de vie ; Rééducation et réadaptation ; Traumatismes de la moelle épinière |
Mots-clés: | Quality of life ; Spinal cord injuries |
Résumé : |
Objectives To determine whether demographic, injury, health, and functional factors similarly have the same predictive relation with both somatic and nonsomatic symptoms of depression, as well as whether somatic and nonsomatic symptoms of depression have the same association with quality of life (QOL). Design Secondary analysis of cross-sectional survey data. Setting Community Participants Patients with traumatic spinal cord injury (N=4976) who completed an interview at 1 year postinjury between 2006 and 2011. Interventions Not applicable. Main Outcome Measures Somatic and nonsomatic symptoms of depression from the Patient Health Questionnaire-9 and QOL measured by the Satisfaction With Life Scale. Results Structural equation modeling showed that the hypothesized model provided a good fit to the data, but modification of the model led to a significant improvement in model fit: Δχ2(1)=226.21, P<.001 comparative fit index=".976;" p root mean square error of approximation=".027" confidence interval .025 the health-related factors including pain severity interference and health status were similarly associated with both somatic nonsomatic symptoms depression. qol was negatively depression but unrelated to> Conclusions Assessment of depression after spinal cord injury should include a careful assessment of health concerns given the relation between health-related factors and both somatic and nonsomatic symptoms of depression. Treatments of depressive symptoms may be improved by targeting health concerns, such as pain, along with a specific focus on nonsomatic symptoms to improve the QOL. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999313011519 |