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Published on: February 22, 2018
Physical disability and depression: clarifying racial/ethnic contrasts
Robyn Lewis Brown1, Robyn Lewis Brown, R Jay Turner
1Department of Sociology, DePaul University, 990 West Fullerton Ave., Suite 1100, Chicago, IL 60614, USA.
Racial and ethnic minorities with physical disabilities experience more depressive symptoms. Stress, coping resources, and shame significantly explain these disparities in mental health.
Area of Science:
- Health Disparities
- Psychiatry
- Rehabilitation Medicine
Background:
- Depressive symptoms present a significant challenge for individuals with physical disabilities.
- Understanding racial and ethnic disparities in mental health outcomes among this population is crucial.
Purpose of the Study:
- To assess racial/ethnic disparities in depressive symptoms among physically disabled individuals.
- To examine the role of stress exposure, coping resources, and shame in explaining these disparities.
Main Methods:
- Data from a Miami-Dade County study oversampling persons with physical disabilities (N=550).
- Inclusion of individuals from Cuban/Hispanic heritage, African American, and non-Hispanic White backgrounds.
Main Results:
- Cuban and other Hispanic individuals reported higher levels of depressive symptoms.
- Variations in stress exposure, coping resources, and shame largely accounted for these differences.
- Shame may mediate the relationship between stress, coping, and depressive symptoms.
Conclusions:
- Racial/ethnic differences in depressive symptoms exist among persons with physical disabilities.
- Stress exposure, coping resources, and shame are critical factors in understanding these mental health disparities.
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