The complex array of antecedents of depression in women with physical disabilities: implications for clinicians.

Abstract:

PURPOSE:This article discusses the complex interrelation of elements of the physical, psychological, social, and environmental life context of women with physical disabilities and the association of these elements with significant disparities in rates of depression and access to mental health care for this population. METHODS:Literature and concept review. RESULTS:High rates of depression in women with physical disabilities are well documented in the literature. Many elements that are disproportionately common in the lives of women with physical disabilities, including socio-economic disadvantage, functional limitations, pain and other chronic health conditions, poor diet, physical inactivity, smoking, violence, low self-esteem, sexuality problems, chronic stress, environmental barriers, and barriers to health care, have also been linked with higher rates of depression and depressive symptomatology. Depression self-management interventions tailored for women with disabilities have been developed and proven effective. CONCLUSIONS:Many women who must deal with the stresses surrounding an array of health problems may experience symptoms of depression without necessarily meeting the criteria for clinical depression. Psychologists, counselors, primary care physicians, specialists, and other medical and rehabilitation professionals are challenged to recognize the symptoms of depression in women with physical disabilities and assist them in obtaining appropriate psychological and pharmacological interventions.

journal_name

Disabil Rehabil

authors

Nosek MA,Hughes RB,Robinson-Whelen S

doi

10.1080/09638280701532219

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

174-83

issue

3

eissn

0963-8288

issn

1464-5165

pii

781943471

journal_volume

30

pub_type

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