Depression Self-Management and Women with Disabilities

描述（由申请人提供）：抑郁症是一种常见的继发性 与原发性残疾相关的疾病。不成比例地高， 与男性相比，女性抑郁症似乎更普遍， 残疾妇女。尽管所有人患抑郁症的风险 残疾人的死亡率似乎高于一般人， 与男性相比，残疾妇女可能面临更大的风险 同行，但文献未能报告的治疗方式 这是响应抑郁症妇女的独特需求， 局限性。该项目的目的是开发和测试一种创新的， 有针对性的，理论驱动的团体干预，旨在改善 身体残疾妇女的抑郁症。假设（a） 参加抑郁症自我管理小组的残疾妇女 干预将报告较低水平的抑郁和较高水平的自我- 事件发生后抑郁症、自我效能和社会联系的管理 干预和三个月随访时，与参与者相比， 在仅进行抑郁症教育干预中;以及（B）自我管理 抑郁、自我效能感和社会联系将起到中介作用 残疾与抑郁症的关系。 本研究采用随机组内和组间前后测 设计了三个月的随访。干预措施将于 当地公共和私人慢性病护理诊所，154名妇女 残疾人将被随机分配参加自我- 管理干预或仅进行教育的比较研讨会。评分 两组对抑郁症自我管理、自我效能感、 社会联系和抑郁症进行比较。这些评估将 在干预期前后三个时间点进行 以及三个月的随访。形成性和总结性评价，使用 将采用定性和定量方法。本研究 旨在推广物理医学的临床实践， 康复，为残疾妇女提供心理健康服务，以及 公共卫生政策，管理提供精神卫生服务， 残疾人士

DESCRIPTION (provided by applicant): Depression is a common secondary condition associated with a primary disability. Disproportionately high among women compared to men, depression appears to be even more prevalent among women with disabilities. Although the risk for depression among all persons with disabilities appears to be higher than that among people in general, women with disabilities may be at even greater risk comparied to their male counterparts, yet the literature fails to report on a therapeutic modality that is responsive to the unique needs of depressed women with functional limitations. The purpose of this project is to develop and test an innovative, targeted, and theory-driven group intervention designed to ameliorate depression in women with physical disabilities. It is hypothesized that (a) women with disabilities who participate in a depression self-management group intervention will report lower levels of depression and higher levels of self- management of depression, self-efficacy, and social connectedness after the intervention and at a three-month follow-up, compared to those who participate in a depression education-only intervention; and, (b) self-management of depression, self-efficacy, and social connectedness will mediate the relation of disability to depression outcomes among women with physical disabilities. This study uses a randomized with-groups and between-groups pre/post-test design with a three-month follow-up. The intervention will be implemented at local public and private chronic care clinics with 154 women with physical disabilities who will randomly be assigned to participate in either the self- management intervention or education-only comparison workshop. The scores of the two groups on measures of self-management of depression, self-efficacy, social connectedness, and depression will be compared. These assessments will be conducted at three time points, before and after the intervention period and at a three-month follow-up. Formative and summative evaluations, using qualitative and quantitative methodologies, will be conducted. This study is designed to be generalizable for clinical practice in physical medicine and rehabilititation, for mental health services for women with disabilities, and for public health policy governing the delivery of mental health services to people with disabilities.