title: Psychological therapies for the management of co-morbid depression following a spinal cord injury: a systematic review.
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.
authors.affiliation: Mount Druitt Community Health Centre, Australia Sarah.Perkes@swahs.health.nsw.gov.au.
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: Perkes
authors.affiliation: University of Western Sydney, Australia.
authors.forename: Julia
authors.initials: J
authors.lastname: Bowman
authors.affiliation: University of Western Sydney, Australia.
authors.forename: Stefania
authors.initials: S
authors.lastname: Penkala
mesh_terms: D015897:Comorbidity; D003863:Depression / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D011613:Psychotherapy / Q000379:methods*; D013119:Spinal Cord Injuries / Q000453:epidemiology / Q000628:therapy*
keywords: cognitive behavioural therapy; depression; psychological therapy; spinal cord injuries