Psychological therapies for the management of co-morbid depression following a spinal cord injury: A systematic review. (December 2014)

• Record Type: Journal Article
• Authors: Perkes, Sarah J; Bowman, Julia; Penkala, Stefania
• Is Part Of: Journal of health psychology. Volume 19:Number 12(2014:Dec.)
• Page Start: 1597
• Page End: 1612
• Publication Date: 2014-12
• Subjects: cognitive behavioural therapy -- depression -- psychological therapy -- spinal cord injuries; Clinical health psychology -- Periodicals; 613.019
• DOI: 10.1177/1359105313496445
• Languages: English
• ISSNs: 1359-1053

Abstract

The evidence about psychological therapies used to manage co-morbid depression after a spinal cord injury is presented here. A comprehensive search of five electronic databases identified nine studies (participants, n = 591) meeting inclusion criteria. Pooled statistical analyses were conducted in combination with narrative synthesis. Overall, multimodal cognitive behavioural therapy was found to be moderately effective (standardised mean difference = −0.52; 95% confidence interval = −0.85, −0.19). Activity scheduling, psychoeducation, problem solving and cognitive therapy may be particularly beneficial therapies within cognitive behavioural therapy. Further high-quality randomised controlled trials are needed to better substantiate these findings.