Depression Self-Management Program for Rural Women With Physical Disabilities


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Abstract

ObjectiveTo examine the efficacy of a depression self-management intervention for rural women with physical disabilities.Participants and DesignA sample of 96 rural women with disabilities experiencing depression, who were recruited through centers for independent living (CILs), were randomly assigned to either a depression self-management intervention or a control group, and completed pre-, post-, and 3-month follow-up questionnaires.InterventionAn 8-week depression self-management program led by CIL staff members who received preintervention training and ongoing clinical supervision.MeasuresPrimary outcomes were the Beck Depression Inventory II (BDI–II) and the 10-item Center for Epidemiologic Studies–Depression scale (CESD-10).ResultsRelative to the control group, women in the intervention group demonstrated a greater reduction in BDI–II scores at posttest and follow-up. Significant differential improvement was not observed on the CESD-10 or on the following hypothesized mediators: self-efficacy, depression self-management skills, social support, and connectedness.ConclusionA brief, peer-led, depression self-management program resulted in a reduction of depressive symptomatology on 1 of the 2 measures of depression. This study serves as 1 model for delivering depression treatment to a rural population with significant needs yet extremely limited access to mental health services.

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