@article{ref1,
title="Prevalence of depression diagnoses and use of antidepressant medications by veterans with spinal cord injury",
journal="American journal of physical medicine and rehabilitation",
year="2007",
author="Smith, Bridget M. and Weaver, Frances M. and Ullrich, Philip M.",
volume="86",
number="8",
pages="662-671",
abstract="OBJECTIVES: The objectives of this study were to examine the prevalence of depression diagnoses among veterans with spinal cord injuries and disabilities (SCI&D) for a 3-yr period, and to characterize patterns of antidepressant medication use in this population. DESIGN: This study was a retrospective analysis of clinical and administrative data. The sample consisted of 3678 veterans with SCI&D who had received any health care at a Department of Veterans Affairs facility between fiscal years 1999 and 2001, a depression diagnosis, and complete data. Logistic regression analysis was used to examine associations between patient characteristics, antidepressant types, and prescription patterns. RESULTS: Approximately 22% of veterans with SCI&D received a diagnosis of depression during at least one encounter with a healthcare provider. Of those diagnosed, 72% received antidepressant prescriptions. However, a large percentage (67%) did not continue antidepressant use for 6 mos. Patients started on a selective serotonin reuptake inhibitor were more likely to have at least 6 mos of continuous use than patients started on other, newer antidepressants. CONCLUSIONS: Many veterans with SCI&D may not be receiving adequate treatment for depression. Veterans with SCI&D should be aggressively screened and treated for depression, and further research is necessary to determine which treatments for depression are most effective for persons with SCI&D.<p /><p>Language: en</p>",
language="en",
issn="0894-9115",
doi="10.1097/PHM.0b013e318114cb6d",
url="http://dx.doi.org/10.1097/PHM.0b013e318114cb6d"
}