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Coping with the late effects: differences between depressed and nondepressed polio survivors
1Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor.
American Journal of Physical Medicine & Rehabilitation
|February 1, 1994
Summary
Depression affects 15.8% of polio survivors, particularly those living alone or with declining health. These individuals exhibit poorer coping strategies for managing the late effects of poliomyelitis.
Area of Science:
- Psychiatry
- Neurology
- Rehabilitation Medicine
Background:
- Polio survivors may experience long-term physical and psychological challenges.
- Understanding the prevalence and characteristics of depression in this population is crucial for targeted interventions.
Purpose of the Study:
- To determine the prevalence of depression and distress among polio survivors.
- To identify factors associated with depression in individuals with a history of paralytic poliomyelitis.
- To compare coping strategies between depressed and nondepressed polio survivors.
Main Methods:
- A cohort of 116 polio survivors completed self-report measures including the Brief Symptom Inventory and Coping with Disability Inventory.
- Participants provided information on polio history and self-perceived health.
- Medical assessments were conducted by physicians to evaluate health status.
Main Results:
- 15.8% of polio survivors exhibited scores indicative of depression and elevated distress.
- Depressed/distressed survivors were more likely to live alone, experience health deterioration, seek professional help, perceive their health as poor, report pain, and express dissatisfaction with life and occupational status.
- Factor analysis identified three coping factors: positive self-acceptance, information seeking/sharing, and social activism. Depressed/distressed individuals scored significantly lower on these factors.
Conclusions:
- Depression and distress are significant concerns for a subset of polio survivors.
- Poorer coping mechanisms are strongly associated with depression in this population.
- Interventions should address psychological well-being and enhance coping strategies for polio survivors experiencing late effects.
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