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      “I am not the same as before”: a mixed-methods study on depression in people with spinal injury in Qatar

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          Abstract

          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.

          Objectives

          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.

          Methods

          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.

          Results

          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.

          Conclusions

          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.

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          Most cited references64

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          The PHQ-9: A New Depression Diagnostic and Severity Measure

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            The MOS social support survey

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              Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration.

              Much medical research is observational. The reporting of observational studies is often of insufficient quality. Poor reporting hampers the assessment of the strengths and weaknesses of a study and the generalizability of its results. Taking into account empirical evidence and theoretical considerations, a group of methodologists, researchers, and editors developed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) recommendations to improve the quality of reporting of observational studies. The STROBE Statement consists of a checklist of 22 items, which relate to the title, abstract, introduction, methods, results and discussion sections of articles. Eighteen items are common to cohort studies, case-control studies and cross-sectional studies and four are specific to each of the three study designs. The STROBE Statement provides guidance to authors about how to improve the reporting of observational studies and facilitates critical appraisal and interpretation of studies by reviewers, journal editors and readers.This explanatory and elaboration document is intended to enhance the use, understanding, and dissemination of the STROBE Statement. The meaning and rationale for each checklist item are presented. For each item, one or several published examples and, where possible, references to relevant empirical studies and methodological literature are provided. Examples of useful flow diagrams are also included. The STROBE Statement, this document, and the associated web site (http://www.strobe-statement.org) should be helpful resources to improve reporting of observational research.
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                Author and article information

                Contributors
                URI : https://loop.frontiersin.org/people/2646575Role: Role: Role: Role: Role: Role: Role: Role:
                URI : https://loop.frontiersin.org/people/86430Role: Role: Role:
                Journal
                Front Psychiatry
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                21 February 2024
                2024
                : 15
                : 1288772
                Affiliations
                [1] 1 Hamad Medical Corporation , Doha, Qatar
                [2] 2 Department of Public Health, College of Health Sciences, QU Health, Qatar University , Doha, Qatar
                Author notes

                Edited by: Karen Tabb, University of Illinois at Urbana-Champaign, United States

                Reviewed by: Mahsa Nahidi, Mashhad University of Medical Sciences, Iran

                Chen Li, Shanghai University of Engineering Sciences, China

                *Correspondence: Lily O’Hara, lohara@ 123456qu.edu.qa
                Article
                10.3389/fpsyt.2024.1288772
                10918847
                38455515
                1dfe5059-ef60-4335-9a9c-ece3d38139b3
                Copyright © 2024 Al Shamari and O’Hara

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 04 September 2023
                : 01 February 2024
                Page count
                Figures: 1, Tables: 3, Equations: 0, References: 64, Pages: 10, Words: 5807
                Funding
                The author(s) declare financial support was received for the research, authorship, and/or publication of this article. The study was part of a larger project supported by Hamad Medical Corporation (grant number IRGC-02-NI-047). The granting body played no part in the analysis of the data or the writing of this manuscript. Open Access funding provided by the Qatar National Library.
                Categories
                Psychiatry
                Original Research
                Custom metadata
                Mood Disorders

                Clinical Psychology & Psychiatry
                spinal injury,depression,social support,mixed methods,qatar,middle east,arab

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