Ann Rehabil Med.  2018 Feb;42(1):130-136. 10.5535/arm.2018.42.1.130.

Effect of Family Caregiving on Depression in the First 3 Months After Spinal Cord Injury

• Kang MG
• Kim CH
• Park E
• Huh JW
• Yang WJ
• Nam TW
• Min YS
• Jung TD

• KMID: 2440978
• DOI: http://doi.org/10.5535/arm.2018.42.1.130

Abstract

OBJECTIVE
To investigate the effect of family caregiving on depression in the first 3 months after spinal cord injury (SCI).
METHODS
A retrospective study was carried out on 76 patients diagnosed with an SCI from January 2013 to December 2016 at the Department of Physical Medicine and Rehabilitation of Kyungpook National University Hospital, Korea. Clinical characteristics including age, gender, level of injury, completeness of the injury, time since injury, caregiver information, etiology, and functional data were collected through a retrospective review of medical records. Depression was assessed using the Beck Depression Inventory (BDI). Patients with 14 or more points were classified as depressed and those with scores of 13 or less as non-depressed group.
RESULTS
Of the 76 patients, 33 were in the depressed group with an average BDI of 21.27±6.17 and 43 patients included in the non-depressed group with an average BDI of 4.56±4.20. The BDI score of patients cared by unlicensed assistive personnel (UAP) was significantly higher than that of patients cared by their families (p=0.020). Univariate regression analysis showed that motor complete injury (p=0.027), UAP caregiving (p=0.022), and Ambulatory Motor Index (p=0.019) were associated with depression after SCI. Multivariate binary logistic regression analysis showed that motor completeness (p=0.002) and UAP caregiving (p=0.002) were independent risk factors.
CONCLUSION
Compared with UAP, family caregivers lowered the prevalence of depression in the first 3 months after SCI.

Keyword

Depression; Spinal cord injuries; Caregivers

MeSH Terms

Caregivers
Depression*
Gyeongsangbuk-do
Humans
Korea
Logistic Models
Medical Records
Physical and Rehabilitation Medicine
Prevalence
Retrospective Studies
Risk Factors
Spinal Cord Injuries*
Spinal Cord*

Figure

• 

  Fig. 1 Pie chart showing the distribution of family caregivers.

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