Dysphoria: A major symptom factor in persons with disability or chronic illness

Frank, Robert G.; Chaney, John M.; Clay, Daniel L.; Shutty, Michael S.; Beck, Niels C.; Kay, Donald R.; Elliott, Timothy R.; Grambling, Sandy

doi:10.1016/0165-1781(92)90056-9

Cited by 82 publications

(81 citation statements)

References 28 publications

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“…9 The rates of anxiety were also higher using the self-report measures. The only instance when self-report measures in the present study found lower rates of psychological symptoms than when using a structured interview was when using any of BSI elevated cutoff scores.…”

Section: Discussionmentioning

confidence: 90%

“…8 Importantly, incidence rates of depression in SCI are higher when based on self-report measures than when based on structured interviews. 9 This suggests the need to evaluate measures by co-administering potential screening tools with assessment via clinical interview. Moreover, research on the use of measures of depression in SCI often does not discriminate adequately between depression and anxiety.…”

Section: Introductionmentioning

confidence: 99%

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Screening for depression and anxiety in spinal cord injury with DASS-21

2007

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Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Screening for depression and anxiety in spinal cord injury with DASS-21

2007

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“…Previous studies have also demonstrated that women are at a substantially higher risk for depressive symptoms. 1,16 Studies have demonstrated not only that depression is not an inevitable reaction to injury, but also that it is not a necessary facet of rehabilitation. 3 Previous studies have indicated that depressive symptoms is associated with fewer functional improvement in SCI rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

Depressive symptoms of patients using clean intermittent catheterization for neurogenic bladder secondary to spinal cord injury

Shin

Paik

et al. 2006

Spinal Cord

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Study design: Prospective, cross-sectional study, based on cases of spinal cord injury (SCI). Setting: Three outpatient medical departments in Seoul, Korea. Objectives: To assess depressive symptoms in patients on clean intermittent catheterization after SCI. Methods: In total, 102 subjects (68 males and 34 females, mean age 39.5 with a range of 18-75 years) were included in the primary analysis. A control group of 110 was selected from the routine health checkup. All subjects completed the Beck Depression Inventory (BDI). Results: For patients and controls, the average total BDI scores were 20.371.0 and 11.470.5, respectively (Po0.001). With regard to severity of depression among patient groups, three (3.0%) reported normal; four (3.9%) reported mild to moderate depression; 24 (23.5%) reported moderate to severe depression; and 71 (69.6%) reported severe depression. On the multivariate logistic regression analysis, a positive association with the risk of depression was observed in gender and type of catheterization. Female patients had a 3.8-fold higher risk (odds ratio (OR) 13.83; 95% confidence interval (CI) 1.42-10.31; P ¼ 0.008) of depression than male patients. In the same model, patients who were unable to perform catheterization independently had a 4.6-fold higher risk (OR 4.62; 95% CI 1.67-12.81, P ¼ 0.003) of depression than those who were able to perform self-catheterization.Conclusions: The results demonstrate that the patients with neurogenic bladder secondary to SCI have higher degrees of depression than normal population. In addition, our findings also suggest that depression is closely related to gender and patient's ability to perform selfcatheterization.

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“…The IDD is a sensitive indicator of depression among community-residing adults and persons with a variety of health problems (Frank et al, 1992). Acceptable test-retest reliabilities (.98 over days) and internal consistency (.92) coefficients have been reported; correlations with other self-report measures of depression have been adequate (ranging from .80 to .87; Zimmerman & Coryell, 1987;.…”

Section: Methodsmentioning

confidence: 99%

“…The IDD is a sensitive indicator of depression among community-residing adults and persons with a variety of health problems (Frank et al, 1992 …”

Section: Methodsmentioning

confidence: 99%

Family Caregivers of Women with Physical Disabilities

Rivera

Elliott

Berry

et al. 2006

J Clin Psychol Med Settings

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Cross-sectional, correlational analyses of data from two separate studies were conducted to examine the correlates of adjustment among family caregivers of women with disabilities. Participants included 40 caregivers of women with spinal cord injuries in the first study and 53 caregivers of women with cerebral palsy, traumatic brain injury, and other neuromuscular disabilities in the second study. It was hypothesized that a negative problem-solving style would be associated with greater caregiver distress in both studies, and that caregiver adjustment would be associated with care recipient depression in the second study. As expected, results indicated that a higher negative orientation toward solving problems was associated with caregiver depression and lower well-being. However, in the second study, caregiver characteristics were not associated with care recipient depression. These data indicate that considerable variability exists in caregiver adjustment. Methodological limitations and the implications for research, service, and policy formation are! discussed. KeywordsCaregiver; Women; Disability Family caregivers of women with physical disabilitiesAs health care programs continue to circumscribe their service to persons with chronic, debilitating health conditions, many family members are compelled to assume caregiving roles (Hoffman, Rice, & Sung, 1996). In fact, available data indicate that family caregivers " … constitute the largest group of care providers" in the United States (Parish, Pomeranz-Essley, & Braddock, 2003, p. 174), and as they provide the majority of long-term care in this country, the market value of their activity far exceeds that spent on formal health care and nursing home care (Vitaliano, Young, & Zhang, 2004, p. 13). Yet family caregivers function as de facto healthcare providers without adequate training or appropriate remuneration (Shewchuk & Elliott, 2000): They are expected to operate competently as extensions of health care systems, often performing complex medical and therapeutic tasks, helping a loved one perform and adhere to therapeutic regimens .Caregiving is often associated with many deleterious effects on the caregiver (Donelan, Falik, & DesRoaches, 2001;Vitaliano, Zhang, & Scanlan, 2003). However, this work has been largely Correspondence to: Patricia A. Rivera. NIH Public Access NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript restricted to studies of care recipients who have degenerative diseases (e.g., Alzheimer's disease, dementias). These experiences are ultimately time-limited, contingent upon the eventual progression of the disease. The stress of these caregiving scenarios is unlike that associated with assisting individuals with permanently and severely disabling conditions, in which the care recipient is impaired but has a considerable life expectancy. To date, little research has addressed the impact of caregiving for people with severe physical disabilities who now have considerable life expectancies, and the research that...

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Dysphoria: A major symptom factor in persons with disability or chronic illness

Cited by 82 publications

References 28 publications

Screening for depression and anxiety in spinal cord injury with DASS-21

Screening for depression and anxiety in spinal cord injury with DASS-21

Depressive symptoms of patients using clean intermittent catheterization for neurogenic bladder secondary to spinal cord injury

Family Caregivers of Women with Physical Disabilities

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