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August 6, 2026Annals of Physical and Rehabilitation Medicine0 citationsOpen Access

Depressive Symptom Trajectories After Spinal Cord Injury

Depressive symptom trajectories after spinal cord injury: a secondary analysis of public-use data

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Authors

ACAndrea CalderoneRLRosaria De LucaRCRosalia Calapai

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Overview

Secondary analysis identifies depressive symptom patterns linked to 10-year health outcomes in individuals with spinal cord injury, indicating implications for care.

Key Points

  • This analysis aims to identify the patterns of depressive symptoms after spinal cord injury and their associations with long-term outcomes.
  • Used the US Spinal Cord Injury Model Systems public-use dataset (N=3116) for analysis.
  • Participants had valid Patient Health Questionnaire-9 total scores at year 1 and additional scores at follow-up years.
  • Compared group-based trajectory models to identify symptoms class patterns.
  • Identified five depressive symptom classes including minimal symptoms (11.4%) and persistent elevated symptoms (28.8%).
  • Adjusted rehospitalization rates increased progressively from minimal symptoms (20.4%) to persistent elevated symptoms (32.3%).
  • Persistent elevated symptoms were linked to poorer participation, life satisfaction, and greater health complications.

Cite This Study

Calderone et al. (2026) studied this question.

synapsesocial.com/papers/6a74375e764cddc9499d4af2https://doi.org/10.1016/j.rehab.2026.102156
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