Article

OBJECTIVE: To examine correlates of depressive symptomatology in a sample of
women with diverse physical disabilities to inform practice of modifiable risk
factors that warrant attention and intervention. DESIGN: Interview survey.
SETTING: Outpatient chronic care clinics. PARTICIPANTS: Racially and ethnically
diverse women (N=415) aged 18 to 64 years living with physical disabilities.
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: Center for Epidemiologic
Studies Depression Scale. RESULTS: Depressive symptoms were high with more than
half the women exceeding an established cutoff for clinically significant
depressive symptomatology. In hierarchical multiple regression analyses,
demographic, disability, and health variables explained significant variance in
depressive symptoms; however, modifiable variables (pain interference, social
support, abuse) contributed significantly to depression scores over and above
demographic, disability, and health variables. Analyses examining predictors of
depression classification revealed similar findings. CONCLUSIONS: Depression is a
significant problem for many women with physical disabilities. Modifiable
contributors to depressive symptoms may provide intervention opportunities for
researchers and clinicians. Clinicians need to attend closely to pain,
particularly perceptions of pain interference; social support and social
isolation; and abuse among women with physical disabilities. It may be valuable
to include pain self-management, social networking and social skill development,
and safety and abuse prevention training when designing depression intervention
programs for this population.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS