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"Beck Depression Inventory"

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"Beck Depression Inventory"

Original Articles
Depression and Quality of Life in Patients within the First 6 Months after the Spinal Cord Injury
Ji Cheol Shin, Hae Rin Goo, Su Jin Yu, Dae Hyun Kim, Seo Yeon Yoon
Ann Rehabil Med 2012;36(1):119-125.   Published online February 29, 2012
DOI: https://doi.org/10.5535/arm.2012.36.1.119
Objective

To evaluate the severity of depression, degree of life satisfaction, level of stress, and resilience among patients in the first 6 months after a spinal cord injury (SCI).

Method

36 patients with SCI were asked to fill out questionnaires concerning Beck Depression Inventory (BDI), World Health Organization Quality of Life Questionnaire-BREF, Stress Response Inventory, and Connor-Davidson resilience scale. All patients had experienced an SCI within the last 6 months before the commencement of this study.

Results

In our study, the patients who experienced the SCI within the last six months had a higher rate of depression (63.9%) and a higher overall level of depression (13.8 points). The unmarried group had a significantly higher quality of life (QOL; p<0.05) when compared with the married group. In the motor complete group, severity of depression and level of stress were higher, whereas QOL was lower than the motor incomplete group (p<0.05). The mean American Spinal Injury Association (ASIA) Motor Score (AMS) was much higher in the non-depressive group (p<0.05) when compared with the depressive group.

Conclusion

We found the patients within six months after SCI injury had higher rate of depression and higher overall level of depression. Also, patients with motor complete injury had affected significantly on depression, QOL and stress. We found the married patients had poorer QOL and depressive group had lower AMS score of lower extremity. Therefore, there should be emphasis of psychological care who have motor complete injury and are married during the early stage.

Citations

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Correlations of the Clinical Factors and Gait Parameters in Failed Back Surgery Syndrome.
Yang, Hee Seung , Lee, Seung Hwa , Ryu, Chung Ho , Lee, Joo Young , Bae, Jin Hyun
J Korean Acad Rehabil Med 2004;28(4):371-378.
Objective
To analyze the relationship of clinical factors and gait parameters of patients with failed back surgery syndrome. Method: We investigated 25 male patients with back and /or lower limb pain who underwent lumbar spine operation. The following data were evaluated: clinical symptoms, physical examination, duration from operation to the gait analysis, number and level of operation, Visual Analogue Scales (VAS), modified Dallas pain questionnaire, psychological evaluations (Beck Depression Inventory, BDI) and gait parameters through 3 dimensional gait analysis.Results: Walking velocity was inversely correlated withscores of modified Dallas pain questionnaire and BDI. Stride length was inversely correlated with scores of return to work, neurogenic claudication, VAS, modified Dallas pain questionnaire and BDI. Range of pelvic obliquity was inversely correlated with scores of modified Dallas pain questionnaire and BDI. There was no significant differences between findings of physical exam and gait parameters.Conclusion: Results of the gait analysis of patients with failed back surgery syndrome showed significant relationship with clinical factors reflecting psychosocial background of patients. (J Korean Acad Rehab Med 2004; 28: 371-378)
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Clinical Influence of Emotional Depression on Chronic Low Back Pain.
Seok, Hyun , Son, Bong Ki , Ha, Young Ran , Ryu, Ho Hyun , Moon, Jae Ho
J Korean Acad Rehabil Med 2003;27(4):568-574.
OBJECTIVE
To compare the patients of chronic low back pain with and without emotional depression in terms of psychosomatic aspect and clinical outcome by cross-sectional and prospective study. METHOD: We evaluated 100 patients who were admitted due to chronic low back pain. The patients were classified into three groups (moderately depressed, mild depressed, non-depressed) by the score of Beck Depression Inventory (BDI). And three groups were compared by Pain Disability Index (PDI), Visual Analogue Scale (VAS), Pain Rating Score (PRS) and special diagnostic studies such as MRI and EMG. All subjects took the same conservative treatments for 4 weeks and then, they were re-evaluated by PDI, VAS and PRS. RESULTS: BDI score was positively correlated with VAS and PRS significantly. All groups were not different with respect to functional limitation (measured by PDI) and organic lesion (measured by MRI and EMG study). But, subjective pain (measured by VAS, PRS) were severe in depressed group. All groups showed improvement in PDI, VAS and PRS after 4 weeks of treatment. But, the amount of improvement was greater in non-depressed group.
CONCLUSION
The clinician treating chronic low back pain should be familiar with depression and prepare for screening on that.
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