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Full-Text Articles in Medicine and Health Sciences

“An Existential Place Of Pain:” The Essence Of Despair In Women, Nancy Scroggs, Mona Shattell, W. Richard Cowling Jul 2010

“An Existential Place Of Pain:” The Essence Of Despair In Women, Nancy Scroggs, Mona Shattell, W. Richard Cowling

Mona Shattell

While there is a substantive body of knowledge on depression, little is known about the experience of despair. This phenomenological study explored women’s experience of despair through qualitative interviews with 14 women ages 28 to 55 (M= 45) who self-identified as experiencing despair. Three themes emerged: “crippling and debilitating,” “there’s nothing you can do”, and “it’ll never end.” The findings suggest that women desire to have their experiences recognized and validated while simultaneously receiving acknowledgement of their ability to overcome the past and to shape their own destinies.


Prevalence, Incidence, And Persistence Of Major Depressive Symptoms In The Cardiovascular Health Study, Stephen M. Thielke Md, Ms, Paula Diehr Phd Mar 2010

Prevalence, Incidence, And Persistence Of Major Depressive Symptoms In The Cardiovascular Health Study, Stephen M. Thielke Md, Ms, Paula Diehr Phd

Paula Diehr

PURPOSE: To explore the association of major depressive symptoms with advancing age, sex, and self-rated health among older adults. DESIGN AND METHODS: We analyzed 10 years of annual assessments in a longitudinal cohort of 5888 Medicare recipients in the Cardiovascular Health Study. Self-rated health was assessed with a single question, and subjects categorized as healthy or sick. Major depressive symptoms were assessed using the Center for Epidemiologic Studies Short Depression Scale, with subjects categorized as nondepressed (score < 10) or depressed (> or =10). Age-, sex-, and health-specific prevalence of depression and the probabilities of transition between depressed and nondepressed states were estimated. RESULTS: The …


A Cognitive Behavioral Group Therapy Intervention With Depressed Spanish-Speaking Mexican Women Living In An Emerging Immigrant Community In The United States, Mona Shattell, Ann Quinlan-Colwell, Jose Villalba, Nathaniel Ivers, Marina Mails Jan 2010

A Cognitive Behavioral Group Therapy Intervention With Depressed Spanish-Speaking Mexican Women Living In An Emerging Immigrant Community In The United States, Mona Shattell, Ann Quinlan-Colwell, Jose Villalba, Nathaniel Ivers, Marina Mails

Mona Shattell

This paper reports feasibility issues with the implementation of an intervention study for depression in Latina women from Mexico living in an emerging immigrant community in the United States. Based on the PRECEDE-PROCEED model, the study explores implementation issues such as the intervention and retention; logistical issues such as transportation and childcare; and possible measurement issues such as reliability and validity of the CES-D, Spanish version. Future studies should evaluate the CES-D, Spanish version, and test the modified cognitive behavioral group therapy intervention in larger samples and through randomized controlled studies.