Volume 21, Issue 4 (July 2023)                   Nursing and Midwifery Journal 2023, 21(4): 289-298 | Back to browse issues page


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Ghanei Gheshlagh R, Mohammadnejad E, Shakeri B, Sohrabi R, Baghi V, Parizad N. PREVALENCE OF DEPRESSION AMONG PATIENTS WITH SPINAL CORD INJURY IN IRAN: A SYSTEMATIC REVIEW AND META-ANALYSIS. Nursing and Midwifery Journal 2023; 21 (4) :289-298
URL: http://unmf.umsu.ac.ir/article-1-4887-en.html
1- Assistant Professor, Spiritual Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
2- Associate Professor, Department of Medical-Surgical Nursing and Basic Sciences, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
3- MSc in Nursing, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
4- Student of Medicine, Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
5- BSc in Midwifery, Besat Hospital, Kurdistan University of Medical Sciences, Sanandaj, Iran
6- Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author)
Abstract:   (1443 Views)
Background & Aims: Patients with spinal cord injury are prone to depression due to low quality of life and dependence on others to perform daily activities. Various studies conducted in Iran to estimate the prevalence of depression in these patients have reported different results. The present study was conducted to estimate the prevalence of depression in spinal cord injury patients in Iran.
Materials & Methods: Magiran, SID, PubMed, Scopus, and ISI databases were searched until January 2022 with keywords depression, spinal cord injury, and synonyms. All observational studies published in Persian and English that reported the prevalence or frequency of depression were included in the analysis. Data were analyzed with random effects model and meta-regression. Heterogeneity was evaluated with Cochran's Q test and I2 statistic.
Findings: Seven studies with a sample size of 1517 people were included in the analysis. The overall prevalence of depression was 43% (95% confidence interval: 30-57). Based on the meta-regression analysis, there was no relationship between the prevalence of depression, the year of publication of the articles, and the sample size. Publication bias was not significant (p=0.0505).
Conclusion: Nearly half of spinal cord injury patients in Iran suffer from depression. Considering that depression can make them prone to suicidal thoughts and other mental problems and reduce their quality of life and adherence to treatment, it seems necessary to identify people at risk to provide more health care.

 
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Type of Study: Review article | Subject: متفرقه

References
1. Craig A, Tran Y, Guest R, Middleton J. Trajectories of self-efficacy and depressed mood and their relationship in the first 12 months following spinal cord injury. Arch Phys Med Rehabil 2019;100(3):441-7. [DOI:10.1016/j.apmr.2018.07.442] [PMID]
2. Roquilly A, Vigué B, Boutonnet M, Bouzat P, Buffenoir K, Cesareo E, et al. French recommendations for the management of patients with spinal cord injury or at risk of spinal cord injury. Anaesth Crit Care Pain 2020;39(2):279-89. [DOI:10.1016/j.accpm.2020.02.003] [PMID]
3. Middleton J, Dayton A, Walsh J, Rutkowski S, Leong G, Duong S. Life expectancy after spinal cord injury: a 50-year study. Spinal Cord 2012;50(11):803-11. [DOI:10.1038/sc.2012.55] [PMID]
4. Yuan S, Shi Z, Cao F, Li J, Feng S. Epidemiological features of spinal cord injury in China: a systematic review. Front Neurology 2018;9:683. [DOI:10.3389/fneur.2018.00683] [PMID] [PMCID]
5. Pickett GE, Campos-Benitez M, Keller JL, Duggal N. Epidemiology of traumatic spinal cord injury in Canada. Spine 2006;31(7):799-805. [DOI:10.1097/01.brs.0000207258.80129.03] [PMID]
6. Tzanos IA, Mavrogenis A, Gioti K, Papagelopoulos P, Panagiotopoulos E. Depressive mood in individuals with spinal cord injury (SCI) living in Greece. Spinal Cord 2018;56(9):883-9. [DOI:10.1038/s41393-018-0093-z] [PMID]
7. Savic G, DeVivo M, Frankel H, Jamous M, Soni B, Charlifue S. Causes of death after traumatic spinal cord injury-a 70-year British study. Spinal Cord 2017;55(10):891-7. [DOI:10.1038/sc.2017.64] [PMID]
8. Lynch J, Cahalan R. The impact of spinal cord injury on the quality of life of primary family caregivers: a literature review. Spinal Cord 2017;55(11):964-78. [DOI:10.1038/sc.2017.56] [PMID]
9. Dorsett P, Geraghty T. Depression and adjustment after spinal cord injury: a three-year longitudinal study. Top Spinal Cord Inj Rehabil 2004;9(4):43-56. https://doi.org/10.1310/01YF-RTP4-21UB-MK7V [DOI:10.1310/01yf-rtp4-21ub-mk7v]
10. Craig AR, Hancock KM, Dickson HG. Spinal cord injury: a search for determinants of depression two years after the event. Br J Clin Psychol 1994;33(2):221-30. [DOI:10.1111/j.2044-8260.1994.tb01116.x] [PMID]
11. Mokhber Dezfoly R, Rezaee M, Kalantari M, Akbarzadeh Baghban A, Kohan AH. Depression in patients with spinal cord injury referred to the specialized centers in Tehran, Iran. Arch Neurosci 2018;5(3). [DOI:10.5812/archneurosci.66718]
12. Kahrazei F, Mirshekar T. Effect of wives group training on activities of daily living and quality of life in male patients with spinal cord injury. 2015. [Google Scholar]
13. Graupensperger S, Evans MB. Associations between obesity and psychological morbidity of depression and anxiety in spinal cord injury patients. Arch Phys Med Rehabil 2017;98(12):e166-e7. [DOI:10.1016/j.apmr.2017.09.056]
14. Fann JR, Bombardier CH, Richards JS, Tate DG, Wilson CS, Temkin N, et al. Depression after spinal cord injury: comorbidities, mental health service use, and adequacy of treatment. Arch Phys Med Rehabil 2011;92(3):352-60. [DOI:10.1016/j.apmr.2010.05.016] [PMID]
15. Kraft R, Dorstyn D. Psychosocial correlates of depression following spinal injury: A systematic review. Spinal Cord Med 2015;38(5):571-83. https://doi.org/10.1179/2045772314Y.0000000295 [DOI:10.1179/2045772314y.0000000295] [PMID] [PMCID]
16. Fann JR, Crane DA, Graves DE, Kalpakjian CZ, Tate DG, Bombardier CH. Depression treatment preferences after acute traumatic spinal cord injury. Arch Phys Med Rehabil 2013;94(12):2389-95. [DOI:10.1016/j.apmr.2013.07.004] [PMID]
17. Williams R, Murray A. Prevalence of depression after spinal cord injury: a meta-analysis. Arch Phys Med Rehabil 2015;96(1):133-40. [DOI:10.1016/j.apmr.2014.08.016] [PMID]
18. Hoffman JM, Bombardier CH, Graves DE, Kalpakjian CZ, Krause JS. A longitudinal study of depression from 1 to 5 years after spinal cord injury. Arch Phys Med Rehabil 2011;92(3):411-8. [DOI:10.1016/j.apmr.2010.10.036] [PMID]
19. Smith BM, Weaver FM, Ullrich PM. Prevalence of depression diagnoses and use of antidepressant medications by veterans with spinal cord injury. Am J Phys Med Rehabil 2007;86(8):662-71. https://doi.org/10.1097/PHM.0b013e318114cb6d [DOI:10.1097/phm.0b013e318114cb6d] [PMID]
20. Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Bull World Health Organ 2007;85:867-72. https://doi.org/10.2471/BLT.07.045120 [DOI:10.2471/blt.07.045120] [PMID] [PMCID]
21. Song F, Parekh S, Hooper L, Loke YK, Ryder J, Sutton AJ, Hing C, Kwok CS, Pang C, Harvey I. Dissemination and publication of research findings: an updated review of related biases. Health Tech Assess 2010;14(8):1-220. [DOI:10.3310/hta14080] [PMID]
22. Ghajarzadeh M, Saberi H. Association between depression and chronic complications in clients with traumatic spinal cord injury. Acta Medica Iranica 2018;56(11):704-9. [Google Scholar]
23. Hajiaghababaei M, Javidan AN, Saberi H, Khoei EM, Khalifa DA, Koenig HG, et al. Female sexual dysfunction in patients with spinal cord injury: a study from Iran. Spinal Cord 2014;52(8):646-9. [DOI:10.1038/sc.2014.99] [PMID]
24. Khazaeipour Z, Taheri-Otaghsara SM, Naghdi M. Depression Following Spinal Cord Injury: Its Relationship to Demographic and Socioeconomic Indicators. Top Spinal Cord Inj Rehabil 2015;21(2):149-55. [DOI:10.1310/sci2102-149] [PMID] [PMCID]
25. Matin M, Latifi S, Koushki D, Javidan AN, Laleh L, Soltani Z, et al. Depressive Mood and Fatigue in Iranian Patients with Spinal Cord Injury and Spared Walking Ability. Arch Neurosci 2015;2(2). [DOI:10.5812/archneurosci.20180]
26. Mohammadi H, Parastouei K, Rostami H, Fadel A. The association between dietary inflammatory index and psychological profile among men with spinal cord injury. J Spinal Cord Med 2021:1-6. [DOI:10.1080/10790268.2021.1905977] [PMID] [PMCID]
27. Mokhber Dezfoly R, Rezaee M, Kalantari M, Baghban AA, Kohan AH. Depression in Patients with Spinal Cord Injury Referred to the Specialized Centers in Tehran, Iran. Arch Neurosci 2018;5(3). [DOI:10.5812/archneurosci.66718]
28. Rahnama P, Javidan AN, Saberi H, Montazeri A, Tavakkoli S, Pakpour AH, et al. Does religious coping and spirituality have a moderating role on depression and anxiety in patients with spinal cord injury? A study from Iran. Spinal Cord 2015;53(12):870-4. [DOI:10.1038/sc.2015.102] [PMID]
29. Migliorini C, New P, Tonge BJ. Comparison of depression, anxiety and stress in persons with traumatic and non-traumatic post-acute spinal cord injury. Spinal Cord 2009;47(11):783-8. [DOI:10.1038/sc.2009.43] [PMID]
30. Shin JC, Goo HR, Yu SJ, Kim DH, Yoon SY. Depression and quality of life in patients within the first 6 months after the spinal cord injury. Ann Rehab Med 2012;36(1):119. [DOI:10.5535/arm.2012.36.1.119] [PMID] [PMCID]
31. Arango-Lasprilla JC, Ketchum JM, Starkweather A, Nicholls E, Wilk AR. Factors predicting depression among persons with spinal cord injury 1 to 5 years post injury. NeuroRehabilitation 2011;29(1):9-21. https://doi.org/10.3233/NRE-2011-0672 [DOI:10.3233/nre-2011-0672] [PMID] [PMCID]
32. Capron M, Stillman M, Bombardier CH. How do healthcare providers manage depression in people with spinal cord injury? Spinal Cord Ser Cases 2020;6(1):85. [DOI:10.1038/s41394-020-00333-x] [PMID] [PMCID]
33. Simpson LA, Eng JJ, Hsieh JT, Wolfe, the Spinal Cord Injury Rehabilitation Evidence Research Team DL. The health and life priorities of individuals with spinal cord injury: a systematic review. J Neurotrauma 2012;29(8):1548-55. [DOI:10.1089/neu.2011.2226] [PMID] [PMCID]
34. Abramson C, McBride K, Konnyu K, Elliott S. Sexual health outcome measures for individuals with a spinal cord injury: a systematic review. Spinal Cord 2008;46(5):320-4. [DOI:10.1038/sj.sc.3102136] [PMID]
35. Persu C, Caun V, Dragomiriţeanu I, Geavlete P. Urological management of the patient with traumatic spinal cord injury. J Med Life 2009;2(3):296. [PMCID]
36. Siddall PJ, McClelland JM, Rutkowski SB, Cousins MJ. A longitudinal study of the prevalence and characteristics of pain in the first 5 years following spinal cord injury. Pain 2003;103(3):249-57. https://doi.org/10.1016/S0304-3959(02)00452-9 [DOI:10.1016/s0304-3959(02)00452-9] [PMID]
37. Störmer S, Gerner H, Grüninger W, Metzmacher K, Föllinger S, Wienke C, et al. Chronic pain/dysaesthesiae in spinal cord injury patients: results of a multicentre study. Spinal Cord 1997;35(7):446-55. [DOI:10.1038/sj.sc.3100411] [PMID]
38. Widerström-Noga EG, Felix ER, Cruz-Almeida Y, Turk DC. Psychosocial subgroups in persons with spinal cord injuries and chronic pain. Arch Phys Med Rehabil 2007;88(12):1628-35. [DOI:10.1016/j.apmr.2007.09.013] [PMID]
39. Sipski ML, Richards JS. Spinal cord injury rehabilitation: state of the science. Am J Phys Med Rehabil 2006;85(4):310-42. [DOI:10.1097/01.phm.0000202105.87011.bf] [PMID]
40. Shavelle RM, DeVivo MJ, Strauss DJ, Paculdo DR, Lammertse DP, Day SM. Long-term survival of persons ventilator dependent after spinal cord injury. J Spinal Cord Med 2006;29(5):511-9. [DOI:10.1080/10790268.2006.11753901] [PMID] [PMCID]
41. Saunders LL, Krause JS. Psychological factors affecting alcohol use after spinal cord injury. Spinal Cord 2011;49(5):637-42. [DOI:10.1038/sc.2010.160] [PMID] [PMCID]
42. Sadeghirad B, Haghdoost A-A, Amin-Esmaeili M, Ananloo ES, Ghaeli P, Rahimi-Movaghar A, et al. Epidemiology of major depressive disorder in Iran: a systematic review and meta-analysis. Int J Prev Med 2010;1(2):81. [PMCID]
43. Tawashy A, Eng J, Lin K, Tang P, Hung C. Physical activity is related to lower levels of pain, fatigue and depression in individuals with spinal-cord injury: a correlational study. Spinal Cord 2009;47(4):301-6. [DOI:10.1038/sc.2008.120] [PMID] [PMCID]
44. Wijesuriya N, Tran Y, Middleton J, Craig A. Impact of fatigue on the health-related quality of life in persons with spinal cord injury. Arch Phys Med Rehabil 2012;93(2):319-24. [DOI:10.1016/j.apmr.2011.09.008] [PMID]
45. Krause JS, Kemp B, Coker J. Depression after spinal cord injury: relation to gender, ethnicity, aging, and socioeconomic indicators. Arch Phys Med Rehabil 2000;81(8):1099-109. [DOI:10.1053/apmr.2000.7167] [PMID]
46. Craig A, Tran Y, Wijesuriya N, Middleton J. Fatigue and tiredness in people with spinal cord injury. J Psychosom Res 2012;73(3):205-10. [DOI:10.1016/j.jpsychores.2012.07.005] [PMID]
47. Modirian E, Pirouzi P, Soroush M, Karbalaei-Esmaeili S, Shojaei H, Zamani H. Chronic pain after spinal cord injury: results of a long-term study. Pain Med 2010;11(7):1037-43. [DOI:10.1111/j.1526-4637.2010.00865.x] [PMID]

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