由于道路交通事故的高发率,中东和北非地区(MENA)的脊髓损伤发生率很高。脊髓损伤可能引发心理健康问题。与普通人群相比,脊髓损伤的人患抑郁症的风险更高,焦虑,创伤后应激障碍,药物滥用,和自杀。
■本研究的目的是确定抑郁症的患病率;确定抑郁症与脊柱损伤的原因和部位之间的关系,社会人口因素,和社会支持;并探索卡塔尔脊柱损伤患者抑郁症的生活经历。
■进行了连续的横截面混合方法研究。在定量成分中,通用样本由106名在哈马德总医院接受脊髓损伤的个人组成,多哈,2020年1月至12月之间的卡塔尔。患者健康问卷-9用于评估抑郁水平,医学结果研究社会支持调查用于评估感知的社会支持。从患者记录中获得受伤的原因和部位。在定性部分,我们对12名来自定量部分的有目的地选择的参与者进行了半结构化深度访谈.
■脊髓损伤对参与者的身体有负面影响,心理,社会,和精神健康。总的来说,69%的参与者有一定程度的抑郁:28%是轻度的,最低25.5%,15%中度到重度。抑郁症与社会人口因素无关,或脊髓损伤的原因或部位。较高水平的情感/信息支持和积极的社交互动与轻度抑郁有关。社会支持和宗教信仰对于帮助参与者应对新情况至关重要。
■抑郁症在参加医疗服务的脊髓损伤患者中普遍存在。及早发现,转介,建议治疗抑郁症。应制定增强情感/信息支持和积极社交互动的策略,并与脊髓损伤者进行测试。
Incidence of spinal injury is high in the Middle East and North African region (MENA) due to the high incidence of road traffic crashes. A spinal injury may trigger mental health issues. Compared to the general population, people with spinal injury are at higher risk for developing major depression, anxiety, post-traumatic stress disorders, substance abuse, and suicide.
UNASSIGNED: The objectives of the study were to determine depression prevalence; identify relationships between depression and cause and site of spinal injury, sociodemographic factors, and social support; and explore the lived experiences of depression in people with spinal injury in Qatar.
UNASSIGNED: A sequential cross-sectional mixed methods study was conducted. In the quantitative component, the universal sample consisted of 106 consenting individuals presenting with spinal injury at Hamad General Hospital, Doha, Qatar between January and December 2020. The Patient Health Questionnaire-9 was used to assess levels of depression and the Medical Outcomes Study Social Support Survey was used to assess perceived social support. The cause and site of injury were obtained from patient records. In the qualitative component, semi-structured in-depth interviews were conducted with 12 purposively selected participants from the quantitative component.
UNASSIGNED: Spinal injury had a negative impact on participants physical, mental, social, and spiritual wellbeing. In total, 69% of participants had some level of depression: 28% mild, 25.5% minimal, and 15% moderate to severe. Depression was not associated with socio-demographic factors, or the cause or site of spinal injury. Higher levels of emotional/informational support and positive social interaction were associated with milder depression. Social support and religious faith were critical in assisting participants to cope with their new situation.
UNASSIGNED: Depression is prevalent among people with spinal injury attending health services. Early detection, referral, and treatment of depression are recommended. Strategies to enhance emotional/informational support and positive social interaction should be developed and tested with people with spinal injury.