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Disability Acceptance as a Key Protective Factor Against Depression: Evidence from Korea's National PSED (Wave 2).

Yoon Kyoung Jeong1, Gyeong Min Lee2, Jae-Hyun Kim1,2

  • 1Department of Health Administration, College of Health Science, Dankook University, Cheonan-si 31116, Chungcheongnam-do, Republic of Korea.

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Disability acceptance is crucial for mental health in Korea. Lower acceptance significantly increases depression risk among individuals with disabilities, highlighting the need for targeted support.

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Area of Science:

  • Public Health
  • Psychiatry
  • Disability Studies

Background:

  • Depression is a major public health issue in Korea, with significantly higher prevalence among people with disabilities.
  • Disability acceptance is known to improve outcomes like self-esteem, but its direct link to depression requires further investigation.

Purpose of the Study:

  • To examine the association between disability acceptance and depressive symptoms in individuals with disabilities in Korea.
  • To identify disability acceptance as a potential protective factor against depression in this population.

Main Methods:

  • Utilized data from the second wave of Korea's Panel Survey of Employment for the Disabled (PSED).
  • Analyzed data from 4030 registered individuals with disabilities.
  • Employed logistic regression analysis, controlling for sociodemographic and health factors.

Main Results:

  • Overall prevalence of depressive symptoms was 18%.
  • A significant dose-response relationship was found: 59.7% depression rate in the lowest acceptance group vs. 5.1% in the highest.
  • The lowest disability acceptance group was over 11 times more likely to experience depression (OR = 11.35, p < 0.0001) after adjustments.

Conclusions:

  • Lower disability acceptance is strongly associated with increased risk of depression.
  • Enhancing disability acceptance is a critical strategy for improving mental health outcomes in people with disabilities.
  • Interventions should include counseling, social support, stigma reduction, and policies promoting social integration.