Although depression has been widely studied among persons with spinal
cord injury, the ubiquitous and unsophisticated use of the term and pr
esumtions about its manifestations in the rehabilitation setting have
needlessly encumbered the understanding and treatment of depression. M
ajor themes and issues in the study, measurement, and treatment of dep
ression among persons with spinal cord injury are reviewed. Greater pr
ecision is recommended in distinguishing diagnosable depression from d
isplays of negative affect, anxiety, distress, and dysphoria. Correlat
es of depressive behavior among persons with SCI are surveyed, and gui
delines for research and practice in the SCI setting are explicated. (
C) 1996 by the American Congress of Rehabilitation Medicine and the Am
erican Academy of Physical Medicine and Rehabilitation.