Rehabilitation and Therapy Commons^™

Reinvention Of Depression Instruments By Primary Care Clinicians, Seong-Yi Baik, Junius Gonzales, Barbara J. Bowers, Jean S. Anthony, Bas Tidjani, Jeffrey L. Susman

Publications from Provost Junius J. Gonzales

PURPOSE Despite the sophisticated development of depression instruments during the past 4 decades, the critical topic of how primary care clinicians actually use those instruments in their day-to-day practice has not been investigated. We wanted to understand how primary care clinicians use depression instruments, for what purposes, and the conditions that influence their use.

METHODS Grounded theory method was used to guide data collection and analysis. We conducted 70 individual interviews and 3 focus groups (n = 24) with a purposeful sample of 70 primary care clinicians (family physicians, general internists, and nurse practitioners) from 52 offices. Investigators’ field notes …

An Investigation Of Depression And Fatigue Post West Nile Virus Infection., Patti J Berg, Stacy Smallfield, Lana Svien

Journal Articles: Occupational Therapy

INTRODUCTION: The purpose of this study was to examine depression and fatigue in individuals with a seropositive confirmed history of West Nile virus (WNV) infection.

METHODS: The South Dakota State Epidemiologist sent 218 letters inviting residents with a diagnosis of WNV to participate in the study. Forty-five subjects were tested. An occupational therapist and a physical therapist met with each participant to assess performance parameters, including depression and fatigue levels. Subjects (n=42) completed the Revised Center for Epidemiologic Studies Depression Scale (CES-D) during the assessment. The Modified Fatigue Impact Scale (MFIS) was sent to participants as a follow-up questionnaire, and …

Treating The Whole Child: Recognizing And Addressing Depression In Children With Physical Disabilities, Kathleen A. Koehn

Occupational Therapy Capstones

The purpose of this scholarly project was to develop a tool that would assist occupational therapy practitioners working with children with physical disabilities in recognizing and addressing symptoms of depression in that population. Ailey (2003) reported that symptoms of depression in children with developmental disabilities are frequently attributed incorrectly to a child's primary diagnosis, rather than depression. Because occupational therapists typically see these children more frequently than primary care physicians, they are in a prime position to assist in the screening and referral processes related to depression.

This project involved a comprehensive review of the literature, including data on the …

Risk Factors Of Post-Stroke Depression In Middle-Aged Adults And The Elderly, Yuan-Yang Cheng, Chen-Liang Chou, Shun-Ping Cheng, Tcho-Jen Liu, Rai-Chi Chan, Wen-Jang Wong

Rehabilitation Practice and Science

In order to evaluate the prevalence and risk factors of post-stroke depression, this study collected the data of 102 stroke patients from the outpatient clinic of the neurology and rehabilitation departments in a medical center in Taipei. The patients' objective data, such as age, infarction area of the brain, duration from the stroke attack to the time of our study, number of stroke attacks, antidepressant use, and rehabilitation program, were obtained from the history chart. A questionnaire evaluation of the swallowing function, depression status, and functional independence measure was also done by interviewing the patients individually. The results showed that …

The Effect Of Depression On Balance Decline In Mature Women, Jennifer Nitz, Nancy Low Choy, Meredith Ogilvie

Nancy Low Choy

Depression has been identified as a risk factor for falls, and a change in balance ability over time has yet to be investigated. This study aimed to identify if, over a 3-year period, balance ability changed in 26 women who were on medication for depression, compared to 26 non-depressed women. The two groups were matched for age, number of co-morbidities, activity level, medications, and height. All participants were simultaneously enrolled in a larger, longitudinal study of ageing. Balance measures included the Functional Reach (FR) test, Lateral Reach (LR) test, Step Test (ST), Timed Up and Go, and the Modified Clinical …

Spousal Congruence On Disability, Pain, And Spouse Responses To Pain, Annmarie Cano, Ayna B. Johansen, Michael Geisser

Psychology Faculty Research Publications

We examined congruence between chronic pain patients and their spouses on their reports of patient pain severity, patient disability, and spouse responses to pain. Patients reported that they were more physically and psychosocially disabled than their spouses reported them to be. However, spouses reported that the patients’ pain was more severe than patients reported. Depressive disorders in the patient and gender interacted with patient–spouse ratings. For physical and psychosocial disability, depressed patient couples reported significantly larger differences in disability ratings than nondepressed patient couples. In addition, female patients’ disability was rated as more severe by the female patients than by …

Marital Functioning, Chronic Pain, And Psychological Distress, Annmarie Cano, Mazy Gillis, Wanda Heinz, Michael Geisser, Heather Foran

Psychology Faculty Research Publications

This study examined whether marital functioning variables related uniquely to psychological distress and diagnoses of depressive disorder independent of pain severity and physical disability. Participants were 110 chronic musculoskeletal pain patients. Hierarchical regression results showed that marital variables (i.e. marital satisfaction, negative spouse responses to pain) contributed significantly to depressive and anxiety symptoms over and above the effects of pain severity and physical disability. In contrast, marital variables were not significantly related to diagnoses of depressive disorder (i.e. major depression, dysthymia, or both) after controlling for pain variables. In multivariate analyses, physical disability and marital satisfaction were uniquely related to …

Exercise And Depression, Amy Gustafson

Occupational Therapy Capstones

No abstract provided.

A Comparison Study Of Depression In The Elderly: Traveling South Versus Staying In The Midwest For The Winter, Sandra M. Zieffler

Physical Therapy Scholarly Projects

Depression is the primary mental health disorder in the elderly (people 65 years old and older). As the elderly are the fastest growing segment of the population in the United States, an increasing number of elders will be affected by this illness. The purpose of this study was to compare depression in the elderly between those who stay in the Midwest (Minnesota or North Dakota) year-round and those who travel south for all or part of the winter. A four-page self-administered questionnaire was distributed to 227 people thought to be at least 65 years old. The questionnaire consisted of background …

Poststroke Depression, Colleen Frohberg

Physical Therapy Scholarly Projects

Depressed mood is the most common psychiatric disorder following stroke with estimated prevalence rates ranging anywhere from 20% to 60%. It has been reported that effective and rapid treatment of poststroke depression may enhance stroke rehabilitation and speed up functional recovery. The potential reversibility of depression emphasizes the importance of early identification of poststroke depression. Yet, poststroke depression remains largely untreated as part of the rehabilitation process. Therefore, it is important that health professionals, such as physical therapists, who often work with patients who have suffered a stroke are aware of the signs and symptoms of poststroke depression to ensure …