Identifying depression severity risk factors in persons with traumatic spinal cord injury

Short Title:
Identifying depression severity risk factors in persons with traumatic spinal cord injury
Model System:
Reference Type:
Journal Article
Accession No.:
Rehabilitation Psychology
Year, Volume, Issue, Page(s):
2014, vol. 1, issue 59, pp 50-56
Publication Website:
Study examined the relationship among demographic characteristics, health- and injury-related characteristics, and substance misuse across multiple levels of depression severity in 204 people with traumatic spinal cord injury (SCI). Instruments included the Patient Health Questionnaire-9 depression scale, the Alcohol Use Disorders Identification Test (AUDIT), and the Substance Abuse in Vocational Rehabilitation-Screener (SAVR-S), which contains 3 subscales: drug misuse, alcohol misuse, and a subtle items scale. Each of the SAVR-S subscales contributes to an overall substance use disorder (SUD) outcome. Three proportional odds models were specified, varying the substance misuse measure included in each model. Results indicated that 44 percent of participants had no depression symptoms, 31 percent had mild symptoms, 16 percent had moderate symptoms, 6 percent had moderately severe symptoms, and 3 percent had severe depression symptoms. Alcohol misuse, as indicated by the AUDIT and the SAVR-S drug misuse subscale scores were significant predictors of depression symptom severity. A positive SUD screening outcome as indicated by the SAVR-S was the most predictive variable. Level of education was only significantly predictive of depression severity in the model using the AUDIT alcohol misuse indicator. The findings suggest that drug and alcohol screening are important for identifying individuals at risk for depression after SCI, but screening for both may be optimal.
Wong, A. Heinemann, A. Wilson, C. Neumann, H. Fann, J. Tate, D. Forchheimer, M. Richards, J. Bombardier, C.
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