Chapter V Depression and Women with Spinal Cord Injury

Size: px
Start display at page:

Download "Chapter V Depression and Women with Spinal Cord Injury"

Transcription

1 1 Chapter V Depression and Women with Spinal Cord Injury L ike all women with disabilities, women with spinal cord injury (SCI) may be at an elevated risk for depression due to the double jeopardy of being female and having a disability. Depression is at least twice as common among women compared to men (McGrath, Keita, Strickland & Russo, 1990), and persons with physical disabilities appear to be at greater risk for depression than the general population (Turner & Noh, 1988). It has been estimated that people with SCI are five times as likely to experience depression compared to people in general; the rates of depression following an SCI may be as high as 45%, which may underestimate depression in women (Boekamp, Overholser, & Schubert, 1996). The primary purpose of this study was to examine the phenomenon of depression among a sample of women with SCI (Hughes, Swedlund, Petersen, & Nosek, 2001). The current study sought to answer the following specific questions: 1) Does a sample of women with SCI report elevated levels of depression? 2) Do women with SCI reporting higher levels of perceived stress, social isolation, and pain, and lower levels of mobility, vitality, employment, and social support report V-1 Chapter V - FINAL REPORT

2 2 higher depression scores compared to those reporting positive outcomes on these factors? 3) Do Caucasian women with SCI report lower levels of depression compared to ethnic minority women with SCI? and 4) Would women with SCI reporting current abuse report higher levels of depression compared to those not reporting abuse? METHOD Procedures Participants in the larger study from which this subsample was drawn were recruited from public and private chronic care clinics as described in Chapter II. Eligibility requirements included women 18 to 64 years old with a physical disability that was symptomatic for at least two years. Of the 511 participants, 81 women had an SCI, 64 of whom completed the depression instrument. These 64 women comprised the sample for the current study. The recruitment procedures, the setting, and a description of the questionnaire and the measures are included in Chapters II and III of this report. The main outcome measure used for this study was the Center for Epidemiologic Studies Depression Scale (CES-D) (Radloff, 1977). Data Analysis V-2 Chapter V - FINAL REPORT

3 3 Univariate analysis of variance (ANOVA) assessed the relation of CES-D scores to categorical variables. Pearson s r correlations determined the association between CES-D scores and continuous variables. To determine the variables most highly associated with depression, a stepwise linear regression model was run. Because of the small sample size, the initial set of variables considered for the regression was restricted to the variables most highly associated with the CES-D score in the univariate analyses: perceived stress, social isolation, social support, vitality, employment status, and current abuse. Variables were allowed to enter the regression model if their p value was less than or equal to.05, and they were removed if their p value exceeded.10. The proportion of the total variation in the CES-D score explained by the variables in the final model was measured using the adjusted R 2 value. RESULTS The sample was composed of 64 women who were African American (29.7%), Hispanic (17.2%), Caucasian (43.8%), and members of other ethnic groups (9.4%). The majority of the women were unmarried (59.4%), unemployed (76.6%), and of low income (median household income $18,000). The mean age was 44.6 (SD = 11.7). The sample was well educated, with 71.4% of participants having at least 12 years of school. Nine women reported that they had experienced abuse during the past year. Nearly all women reported using some type of assistive device (95.3%) and requiring some help with daily activities (92.2%). The mean CES-D score was 20.9 (SD = 12.6), and 59.4% of the sample scored at a level indicating the likelihood of depression using the recommended cut- V-3 Chapter V - FINAL REPORT

4 4 off score of 16. Specifically, 37.5% of the sample scored from 16 30; 15.6% scored 31 45; and 6.3% scored 46 or higher. Pearson s r correlations were calculated to determine the association of CES-D scores with other continuous variables (see Table 5.1). Higher CES-D scores were significantly associated with lower levels of education and income, but the correlation of age with CES-D was not significant. Most disability-related measures were significantly correlated with CES-D scores. Elevated CES-D scores were highly correlated with greater perceived stress, less social support, lower vitality, greater social isolation, less mobility, and greater pain. As reported on Table 5.2, one-way ANOVAs were conducted to determine the association of categorical variables with CES-D scores. CES-D scores were significantly higher for participants who were unemployed versus those who were employed, and they were higher for the nine women reporting current abuse compared to women not reporting abuse. Although associations of CES-D scores with marital status and ethnicity were not significant, mean CES-D scores were higher for Hispanic and African American women than for those who were Caucasian. V-4 Chapter V - FINAL REPORT

5 5 Table 5.1 Correlations of depression (CES-D) scores with other variables Variable Mean SD r p Age Years of school Household income $36,318 $48, Age at injury Time since injury CHART Mobility Scale a Social Isolation Index a Perceived Stress Scale (10-item) b SF-36 Pain Scale a SF-36 Physical Functioning Scale a SF-36 Vitality Scale a Social Support Scale a Note: CES-D = Center for Epidemiologic Studies Depression Scale; CHART = Craig Handicap Assessment and Reporting Technique; SF-36 = Medical Outcomes Study Short Form-36. a Higher scores on these instruments indicate better functioning. b Higher scores indicate higher levels of perceived stress. V-5 Chapter V - FINAL REPORT

6 6 Table 5.2 Analyses of variance with depression (CES-D) scores Variable n Mean SD F p CES-D score Ethnicity African American Caucasian Hispanic Other Marital status Married/in relationship Single, widowed, divorced Employment status Employed Not employed Abuse Abuse within past year No reported abuse Note: CES-D = Center for Epidemiologic Studies Depression Scale. A dichotomous variable classified women as depressed or not depressed. Chi-square analyses indicated that single or unemployed women were more likely to be classified as depressed than women who were married, in a relationship, or employed (see Table 5.3). Univariate ANOVAs indicated that depressed women had greater perceived stress, were more isolated, had less mobility, less social support, more pain, lower levels of physical functioning, and lower vitality than nondepressed women (see Table 5.4). The six variables most highly associated with depression in the ANOVAs were entered into a stepwise linear regression. Perceived stress and social isolation remained in the final model, accounting for 71.1% of the total variation in the CES- D score. V-6 Chapter V - FINAL REPORT

7 7 Perceived stress scores were positively associated with the CES-D scores, but social isolation index scores were negatively associated (see Table 5.5). Higher CES-D scores were associated with higher levels of stress and greater social isolation. For every increase in the perceived stress score of one unit, the predicted depression score increased by 1.16, when the isolation index was held constant. Although social support, vitality, and employment status were significant in the ANOVAs, they did not enter the final regression model because of their strong associations with perceived stress or social isolation. Abuse did not enter the model because it did not explain additional variation in the CES-D scores over what was explained by stress and social isolation. Table 5.3 Depression status by ethnicity, marital status, employment, and abuse Variable n Depressed, Not depressed, Chi-sq p n (%) n (%) Ethnicity African American (63.2) 7 (36.8) Caucasian (46.4) 15 (53.6) Hispanic (90.9) 1 (9.1) Other 6 3 (50.0) 3 (50.0) Marital status Married/in relationship (42.3) 15 (57.7) Single, widowed, divorced (71.1) 11 (28.9) Employment status Employed 15 4 (26.7) 11 (73.3) Not employed (69.4) 15 (30.6) Abuse Abuse within past year 9 7 (77.8) 2 (22.2) No reported abuse (56.4) 24 (43.6) V-7 Chapter V - FINAL REPORT

8 8 Table 5.4 Depression (CES-D) by current age, education, income, age at injury, time since injury, and scores on study instruments Depressed (n = 38) Not depressed (n = 26) Variable Mean SD M SD F p Current age Years of school Household income $23,476 $25,770 $52,508 $65, Age at injury Time since injury CHART Mobility Scale a Social Isolation Index a Perceived Stress Scale b SF-36 Pain Scale a SF-36 Physical Functioning Scale a SF-36 Vitality Scale a Social Support Scale a a Higher scores indicate better functioning. b Higher perceived stress scores indicate greater stress.. V-8 Chapter V - FINAL REPORT

9 9 Table 5.5 Results of stepwise regression of selected variables with CES-D score Variable Beta coefficient SE t p Constant Perceived stress Isolation index CONCLUSION Psychosocial factors, especially stress and social isolation, appeared to play a more potent role in the depression of women with SCI than disability-related or demographic factors. Since the linkage between stress and depression in SCI has been documented in other research (Frank & Elliott, 1987), we expected our finding that perceived stress would be elevated and positively associated with more depression. Our finding that social isolation was the second most powerful predictor of depression highlights the importance of social connectedness among women with disabilities, a finding that offers an important contribution to the relevant literature. Moreover, based on the literature, we expected our findings that pain and depression would be positively associated (Boekamp et al., 1996). As anticipated, this study confirmed other research suggesting that less mobility (Tate, Forchheimer, Maynard, & Dijkers, 1994), lower levels of social support (Boekamp et al., 1996), and less education (Krause, Kemp, & Coker, 2000) were associated with higher levels of depression. V-9 Chapter V - FINAL REPORT

10 10 References Boekamp, J. R., Overholser, J. C., & Schubert, D. S. P. (1996). Depression following a spinal cord injury. Int J Psychiatry Med, 26, Frank, R. G. & Elliott, T. R. (1987). Life stress and psychologic adjustment following spinal cord injury. Arch Phys Med Rehabil, 68, Hughes, R. B., Swedlund, N., Petersen, N., & Nosek, M. A. (2001). Depression and women with spinal cord injury. Topics in Spinal Cord Injury Rehabilitation, 7, Krause, J. S., Kemp, B., & Coker, J. (2000). Depression after spinal cord injury: Relation to gender, ethnicity, aging, and socioeconomic indicators. Arch Phys Med Rehabil, 81, McGrath, E., Keita, G.P., Strickland, B.R., & Russo, N.F. (Eds). (1990) Women and depression: Risk factors and treatment issues: Final report of the American Psychological Association's National Task Force on Women and Depression (1990). Washington, DC: American Psychological Association. V-10 Chapter V - FINAL REPORT

11 11 Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, Tate, D., Forchheimer, M., Maynard, F., & Dijkers, M. (1994). Predicting depression and psychological distress in persons with spinal cord injury based on indicators of handicap. American Journal of Physical Medicine and Rehabilitation, 73, Turner, R. J. & Noh, S. (1988). Physical disability and depression: A longitudinal analysis. Journal of Health and Social Behavior, 29, V-11 Chapter V - FINAL REPORT

Treatment disparities for patients diagnosed with metastatic bladder cancer in California

Treatment disparities for patients diagnosed with metastatic bladder cancer in California Treatment disparities for patients diagnosed with metastatic bladder cancer in California Rosemary D. Cress, Dr. PH, Amy Klapheke, MPH Public Health Institute Cancer Registry of Greater California Introduction

More information

CHAPTER 4: FINDINGS 4.1 Introduction This chapter includes five major sections. The first section reports descriptive statistics and discusses the

CHAPTER 4: FINDINGS 4.1 Introduction This chapter includes five major sections. The first section reports descriptive statistics and discusses the CHAPTER 4: FINDINGS 4.1 Introduction This chapter includes five major sections. The first section reports descriptive statistics and discusses the respondent s representativeness of the overall Earthwatch

More information

LATINO OLDER ADULTS AND ALCOHOL USE: A DESCRIPTIVE ANALYSIS. Andrea Soria California State University, Long Beach May 2015

LATINO OLDER ADULTS AND ALCOHOL USE: A DESCRIPTIVE ANALYSIS. Andrea Soria California State University, Long Beach May 2015 LATINO OLDER ADULTS AND ALCOHOL USE: A DESCRIPTIVE ANALYSIS Andrea Soria California State University, Long Beach May 2015 INTRODUCTION The purpose of this cross-sectional study was to gain a better understanding

More information

Mental health and substance use among US adults: An analysis of 2011 Behavioral Risk Factor Surveillance Survey

Mental health and substance use among US adults: An analysis of 2011 Behavioral Risk Factor Surveillance Survey Mental health and substance use among US adults: An analysis of 2011 Behavioral Risk Factor Surveillance Survey Soumyadeep Mukherjee 1, MBBS, DPH 1 PhD student, Dept. Of Epidemiology, Robert Stempel College

More information

Determinants of Psychological Distress in Chinese Older People with Type 2 Diabetes Mellitus

Determinants of Psychological Distress in Chinese Older People with Type 2 Diabetes Mellitus Determinants of Psychological Distress in Chinese Older People with Type 2 Diabetes Mellitus Y.L. TSANG 1, Doris, S.F. YU 2 1 Accident and Emergency Medicine Academic Unit, 2 The Nethersole School of Nursing,

More information

Age as a Predictor of Functional Outcome in Anoxic Brain Injury

Age as a Predictor of Functional Outcome in Anoxic Brain Injury Age as a Predictor of Functional Outcome in Anoxic Brain Injury Mrugeshkumar K. Shah, MD, MPH, MS Samir Al-Adawi, PhD David T. Burke, MD, MA Department of Physical Medicine and Rehabilitation, Spaulding

More information

Predictors of Employment and Productivity Among Returning National Guard Members

Predictors of Employment and Productivity Among Returning National Guard Members Predictors of Employment and Productivity Among Returning National Guard Members Kara Zivin, Ph.D. VA National Serious Mental Illness Treatment Resource & Evaluation Center VA Ann Arbor HSR&D Center of

More information

Appendix D: Statistical Modeling

Appendix D: Statistical Modeling Appendix D: Statistical Modeling Cluster analysis Cluster analysis is a method of grouping people based on specific sets of characteristics. Often used in marketing and communication, its goal is to identify

More information

State of Iowa Outcomes Monitoring System

State of Iowa Outcomes Monitoring System State of Iowa Outcomes Monitoring System THE IOWA CONSORTIUM FOR SUBSTANCE ABUSE RESEARCH AND EVALUATION Year 17 Annual Outcome Evaluation Trend Report November 2015 With Funds Provided By: Iowa Department

More information

What is your age? Frequency Percent Valid Percent Cumulative Percent. Under 20 years to 37 years

What is your age? Frequency Percent Valid Percent Cumulative Percent. Under 20 years to 37 years I. Market Segmentation by Age One important question facing Mikesell s concerns whether millennials differ from non-millennials in various characteristics related to chips and snacking. To get a jump on

More information

Impacts of Early Exposure to Work on Smoking Initiation Among Adolescents and Older Adults: the ADD Health Survey. David J.

Impacts of Early Exposure to Work on Smoking Initiation Among Adolescents and Older Adults: the ADD Health Survey. David J. Impacts of Early Exposure to Work on Smoking Initiation Among Adolescents and Older Adults: the ADD Health Survey David J. Lee, PhD University of Miami Miller School of Medicine Department of Public Health

More information

Depressive Symptoms Among Colorado Farmers 1

Depressive Symptoms Among Colorado Farmers 1 February 1995 Depressive Symptoms Among Colorado Farmers 1 L. Stallones, M. Leff, C. Garrett, L. Criswell, T. Gillan 2 ARTICLE ABSTRACT Previous studies have reported farmers to be at higher risk of suicide

More information

Daniel Boduszek University of Huddersfield

Daniel Boduszek University of Huddersfield Daniel Boduszek University of Huddersfield d.boduszek@hud.ac.uk Introduction to Logistic Regression SPSS procedure of LR Interpretation of SPSS output Presenting results from LR Logistic regression is

More information

A About Facebook 2. B Data linking and controls 2. C Sampling rates 5. D Activity categories 6. E Models included in Figure 4 9

A About Facebook 2. B Data linking and controls 2. C Sampling rates 5. D Activity categories 6. E Models included in Figure 4 9 Online Interaction, Social Support, and Health William R. Hobbs, Moira K. Burke, Nicholas A. Christakis, James H. Fowler A About Facebook 2 B Data linking and controls 2 C Sampling rates 5 D Activity categories

More information

An estimated 18% of women and 3% of men

An estimated 18% of women and 3% of men Gender and Time Differences in the Associations Between Sexual Violence Victimization, Health Outcomes, and Risk Behaviors American Journal of Men s Health Volume 2 Number 3 September 2008 254-259 2008

More information

LUCAS COUNTY TASC, INC. OUTCOME ANALYSIS

LUCAS COUNTY TASC, INC. OUTCOME ANALYSIS LUCAS COUNTY TASC, INC. OUTCOME ANALYSIS Research and Report Completed on 8/13/02 by Dr. Lois Ventura -1- Introduction -2- Toledo/Lucas County TASC The mission of Toledo/Lucas County Treatment Alternatives

More information

Parental Attitudes toward Human Papilloma Virus Vaccine Participation of Adolescent Daughters in a Rural Population

Parental Attitudes toward Human Papilloma Virus Vaccine Participation of Adolescent Daughters in a Rural Population Diversity and Equality in Health and Care (2018) 15(4): 164-168 2018 Insight Medical Publishing Group Research Article Parental Attitudes toward Human Papilloma Virus Vaccine Participation of Adolescent

More information

Crash Risk Analysis of Distracted Driving Behavior: Influence of Secondary Task Engagement and Driver Characteristics

Crash Risk Analysis of Distracted Driving Behavior: Influence of Secondary Task Engagement and Driver Characteristics University of Iowa Iowa Research Online Driving Assessment Conference 2017 Driving Assessment Conference Jun 27th, 12:00 AM Crash Risk Analysis of Distracted Driving Behavior: Influence of Secondary Task

More information

Extended Abstract: Background

Extended Abstract: Background Urban-Rural Differences in Health Status among Older Population in India Joemet Jose 1 Ph.D. Scholar, International Institute for Population Sciences, Mumbai, India. Email: joemetjose@gmail.com Abstract

More information

Reliability and validity of the International Spinal Cord Injury Basic Pain Data Set items as self-report measures

Reliability and validity of the International Spinal Cord Injury Basic Pain Data Set items as self-report measures (2010) 48, 230 238 & 2010 International Society All rights reserved 1362-4393/10 $32.00 www.nature.com/sc ORIGINAL ARTICLE Reliability and validity of the International Injury Basic Pain Data Set items

More information

SPINAL CORD INJURY (SCI) results in immediate and

SPINAL CORD INJURY (SCI) results in immediate and 588 ORIGINAL ARTICLE Stability of Vocational Interests After Recent Spinal Cord Injury: Comparisons Related to Sex and Race James S. Krause, PhD, Jillian M. Ricks, BS ABSTRACT. Krause JS, Ricks JM. Stability

More information

Diabetes Care Publish Ahead of Print, published online February 25, 2010

Diabetes Care Publish Ahead of Print, published online February 25, 2010 Diabetes Care Publish Ahead of Print, published online February 25, 2010 Undertreatment Of Mental Health Problems In Diabetes Undertreatment Of Mental Health Problems In Adults With Diagnosed Diabetes

More information

Prepared by: Assoc. Prof. Dr Bahaman Abu Samah Department of Professional Development and Continuing Education Faculty of Educational Studies

Prepared by: Assoc. Prof. Dr Bahaman Abu Samah Department of Professional Development and Continuing Education Faculty of Educational Studies Prepared by: Assoc. Prof. Dr Bahaman Abu Samah Department of Professional Development and Continuing Education Faculty of Educational Studies Universiti Putra Malaysia Serdang At the end of this session,

More information

Exploring the Relationship Between Substance Abuse and Dependence Disorders and Discharge Status: Results and Implications

Exploring the Relationship Between Substance Abuse and Dependence Disorders and Discharge Status: Results and Implications MWSUG 2017 - Paper DG02 Exploring the Relationship Between Substance Abuse and Dependence Disorders and Discharge Status: Results and Implications ABSTRACT Deanna Naomi Schreiber-Gregory, Henry M Jackson

More information

State of Iowa Outcomes Monitoring System

State of Iowa Outcomes Monitoring System State of Iowa Outcomes Monitoring System THE IOWA CONSORTIUM FOR SUBSTANCE ABUSE RESEARCH AND EVALUATION Year 16 Annual Outcome Evaluation Trend Report November 2014 With Funds Provided By: Iowa Department

More information

ANXIETY AND DEPRESSION LEVEL AND RELATED FACTORS IN PATIENTS WITH SPINAL CORD INJURY

ANXIETY AND DEPRESSION LEVEL AND RELATED FACTORS IN PATIENTS WITH SPINAL CORD INJURY Acta Medica Mediterranea, 2014, 30: 291 ANXIETY AND DEPRESSION LEVEL AND RELATED FACTORS IN PATIENTS WITH SPINAL CORD INJURY İRFAN KOCA 1, MEHMET UÇAR 2, AHMET UNAL 3, AHMET TUTOĞLU 4, AHMET BOYACI 4,

More information

PRINCIPLES OF STATISTICS

PRINCIPLES OF STATISTICS PRINCIPLES OF STATISTICS STA-201-TE This TECEP is an introduction to descriptive and inferential statistics. Topics include: measures of central tendency, variability, correlation, regression, hypothesis

More information

Determining Whether or Not Dental Students Will Immediately Enter Private Practice Upon Graduation. Raymond A. Kuthy Sarah E.

Determining Whether or Not Dental Students Will Immediately Enter Private Practice Upon Graduation. Raymond A. Kuthy Sarah E. Determining Whether or Not Dental Students Will Immediately Enter Private Practice Upon Graduation Raymond A. Kuthy Sarah E. Allen Fang Qian Background Unlike our medical colleagues, it is just assumed

More information

Americans Current Views on Smoking 2013: An AARP Bulletin Survey

Americans Current Views on Smoking 2013: An AARP Bulletin Survey Americans Current Views on Smoking 2013: An AARP Bulletin Survey November 2013 Americans Current Views on Smoking 2013: An AARP Bulletin Survey Report Prepared by Al Hollenbeck, Ph.D. Copyright 2013 AARP

More information

Choosing the Correct Statistical Test

Choosing the Correct Statistical Test Choosing the Correct Statistical Test T racie O. Afifi, PhD Departments of Community Health Sciences & Psychiatry University of Manitoba Department of Community Health Sciences COLLEGE OF MEDICINE, FACULTY

More information

Paraplegia Long Tertn Prediction of Selfreported Probletns Following Spinal Cord Injury

Paraplegia Long Tertn Prediction of Selfreported Probletns Following Spinal Cord Injury Paraplegia 28 (1990) 18(>-202 0031-1758/90/0028-0186$ 10.00 1990 International Medical Society of Paraplegia Paraplegia Long Tertn Prediction of Selfreported Probletns Following Spinal Cord Injury J. S.

More information

Danielle M Nash, Dr. Jason A Gilliland, Dr. Susan E Evers, Dr. Piotr Wilk & Dr. M Karen Campbell. JNEB Journal Club November 3, 2014

Danielle M Nash, Dr. Jason A Gilliland, Dr. Susan E Evers, Dr. Piotr Wilk & Dr. M Karen Campbell. JNEB Journal Club November 3, 2014 Danielle M Nash, Dr. Jason A Gilliland, Dr. Susan E Evers, Dr. Piotr Wilk & Dr. M Karen Campbell JNEB Journal Club November 3, 2014 Presentation Overview Background Objective/ Rationale Methods Prenatal

More information

Anxiety and Depression Association of America 34 th Annual Conference March 27-30, 2014

Anxiety and Depression Association of America 34 th Annual Conference March 27-30, 2014 Anxiety and Depression Association of America 34 th Annual Conference March 27-30, 2014 Inger E. Burnett-Zeigler, Ph.D. Assistant Professor Asher Center for the Study and Treatment of Depressive Disorders

More information

SAQ-Short Form Reliability and Validity Study in a Large Sample of Offenders

SAQ-Short Form Reliability and Validity Study in a Large Sample of Offenders SAQ-Short Form Reliability and Validity Study in a Large Sample of Offenders Donald D Davignon, Ph.D. 10-21-02 ABSTRACT The SAQ-Short Form (SAQ-SF) is an adult offender assessment test that accurately

More information

Part 8 Logistic Regression

Part 8 Logistic Regression 1 Quantitative Methods for Health Research A Practical Interactive Guide to Epidemiology and Statistics Practical Course in Quantitative Data Handling SPSS (Statistical Package for the Social Sciences)

More information

Brief Reports. Brief Screening for Psychological and Substance Abuse Disorders in Veterans With Long-Term Spinal Cord Injury

Brief Reports. Brief Screening for Psychological and Substance Abuse Disorders in Veterans With Long-Term Spinal Cord Injury Brief Reports Brief Screening for Psychological and Substance Abuse Disorders in Veterans With Long-Term Spinal Cord Injury Kenneth R. Weingardt Veterans Affairs Palo Alto Health Care System and Stanford

More information

Consequences of Childhood Abuse and Intimate Partner Violence among Pregnant Women

Consequences of Childhood Abuse and Intimate Partner Violence among Pregnant Women Consequences of Childhood Abuse and Intimate Partner Violence among Pregnant Women Alissa Huth-Bocks, Ph.D., Erin Gallagher, M.A., Kylene Krause, M.A., & Sarah Ahlfs-Dunn, B.S. Eastern Michigan University

More information

Community Needs Assessment. June 26, 2013

Community Needs Assessment. June 26, 2013 Community Needs Assessment June 26, 2013 Agenda Purpose Methodology for Collecting Data Geographic Area Demographic Information Community Health Data Prevalence of Alcohol & Drug Use Utilization data Findings

More information

The Sexual Concerns of African American, Asian American, and White Women Seeking Routine Gynecological Care

The Sexual Concerns of African American, Asian American, and White Women Seeking Routine Gynecological Care The Sexual Concerns of African American, Asian American, and White Women Seeking Routine Gynecological Care MAJ Margaret R. Nusbaum, MC, USA, Loretta Braxton, PhD, and Gregory Strayhorn, MD, PhD Purpose:

More information

Adult Substance Use and Driving Survey-Revised (ASUDS-R) Psychometric Properties and Construct Validity

Adult Substance Use and Driving Survey-Revised (ASUDS-R) Psychometric Properties and Construct Validity T2007 Seattle, Washington Adult Substance Use and Driving Survey-Revised (ASUDS-R) Psychometric Properties and Construct Validity Kenneth W. Wanberg¹ and David S. Timken² ¹Center for Addictions Research

More information

Teenage Women s Use of Contraceptives in Two Populations

Teenage Women s Use of Contraceptives in Two Populations ORIGINAL ARTICLES Teenage Women s Use of Contraceptives in Two Populations Jo Ann Rosenfeld, MD, and Kevin Everett, PhD Background: Adolescent patterns of contraceptive use might be different in various

More information

Partners in Care: A Model of Social Work in Primary Care

Partners in Care: A Model of Social Work in Primary Care Partners in Care: A Model of Social Work in Primary Care Common problems in the elderly, such as reduced cognitive functioning, depression, medication safety, sleep abnormalities, and falls have been shown

More information

Allen County Community Corrections. Modified Therapeutic Community. Report for Calendar Years

Allen County Community Corrections. Modified Therapeutic Community. Report for Calendar Years Allen County Community Corrections Modified Therapeutic Community Report for Calendar Years 2011-2013 Joseph Hansel, Ph.D., Jacqueline Wall, Ph.D., & Aaron Kivisto, Ph.D. Allen County Community Corrections

More information

BEHAVIORAL ASSESSMENT OF PAIN MEDICAL STABILITY QUICK SCREEN. Test Manual

BEHAVIORAL ASSESSMENT OF PAIN MEDICAL STABILITY QUICK SCREEN. Test Manual BEHAVIORAL ASSESSMENT OF PAIN MEDICAL STABILITY QUICK SCREEN Test Manual Michael J. Lewandowski, Ph.D. The Behavioral Assessment of Pain Medical Stability Quick Screen is intended for use by health care

More information

!!!!!!!! Aisha Habeeb AL0117. Assignment #2 Part 3. Wayne State University

!!!!!!!! Aisha Habeeb AL0117. Assignment #2 Part 3. Wayne State University Aisha Habeeb AL0117 Assignment #2 Part 3 Wayne State University Assignment 2; Part 3 A. Habeeb Page 2 of 8 Sample This study, including 50 participants, was conducted to determine the effectiveness of

More information

11/1/2013. Depression affects approximately 350 million people worldwide, and is the leading cause of disability globally (WHO, 2012)

11/1/2013. Depression affects approximately 350 million people worldwide, and is the leading cause of disability globally (WHO, 2012) Depression affects approximately 350 million people worldwide, and is the leading cause of disability globally (WHO, 2012) College of Arts & Sciences Department of Sociology State University Of New York

More information

Rick Hansen Spinal Cord Injury Registry: special report

Rick Hansen Spinal Cord Injury Registry: special report Rick Hansen Spinal Cord Injury Registry: special report 11 13 acknowledgements Thank you to the dedicated clinicians, researchers and coordinators who collect, analyze and input data into the Rick Hansen

More information

Social Participation Among Veterans With SCI/D: The Impact of Post Traumatic Stress Disorder

Social Participation Among Veterans With SCI/D: The Impact of Post Traumatic Stress Disorder Social Participation Among Veterans With SCI/D: The Impact of Post Traumatic Stress Disorder Bella Etingen, PhD 1 ;Sara M. Locatelli, PhD 1 ;Scott Miskevics, BS 1 ; Sherri L. LaVela, PhD, MPH, MBA 1,2

More information

The Coventry Wellbeing Report

The Coventry Wellbeing Report The Coventry Wellbeing Report 2011 Authors: Rebecca Putz; Aileen Clarke, Sarah Stewart-Brown Understanding mental wellbeing in Coventry: Inequalities, levels, and factors associated Why address well-being?

More information

Research Example Aliza Ben-Zacharia DrNP, ANP

Research Example Aliza Ben-Zacharia DrNP, ANP Research Example Aliza Ben-Zacharia DrNP, ANP Example - Outline Introduction Depression & MS Research Question? Hypotheses Study Design Tools/Variables Beck Depression Inventory (BDI) BDI-II BDI-Fast-Screen

More information

Sample Evaluation Plan. Indicator 4.1.1

Sample Evaluation Plan. Indicator 4.1.1 Sample Evaluation Plan Indicator 4.1.1 Number of culturally and linguistically appropriate behavior modification-based tobacco cessation services that are available and well utilized in the community Objective:

More information

Statistics as a Tool. A set of tools for collecting, organizing, presenting and analyzing numerical facts or observations.

Statistics as a Tool. A set of tools for collecting, organizing, presenting and analyzing numerical facts or observations. Statistics as a Tool A set of tools for collecting, organizing, presenting and analyzing numerical facts or observations. Descriptive Statistics Numerical facts or observations that are organized describe

More information

Berend Terluin 1*, Niels Smits 2, Evelien P. M. Brouwers 3 and Henrica C. W. de Vet 4

Berend Terluin 1*, Niels Smits 2, Evelien P. M. Brouwers 3 and Henrica C. W. de Vet 4 Terluin et al. Health and Quality of Life Outcomes (2016) 14:130 DOI 10.1186/s12955-016-0533-4 RESEARCH Open Access The Four-Dimensional Symptom Questionnaire (4DSQ) in the general population: scale structure,

More information

Substance Use Among Potential Kidney Transplant Candidates and its Impact on Access to Kidney Transplantation: A Canadian Cohort Study

Substance Use Among Potential Kidney Transplant Candidates and its Impact on Access to Kidney Transplantation: A Canadian Cohort Study Substance Use Among Potential Kidney Transplant Candidates and its Impact on Access to Kidney Transplantation: A Canadian Cohort Study Evan Tang 1, Aarushi Bansal 1, Michelle Kwok 1, Olusegun Famure 1,

More information

Multiple Mediation Analysis For General Models -with Application to Explore Racial Disparity in Breast Cancer Survival Analysis

Multiple Mediation Analysis For General Models -with Application to Explore Racial Disparity in Breast Cancer Survival Analysis Multiple For General Models -with Application to Explore Racial Disparity in Breast Cancer Survival Qingzhao Yu Joint Work with Ms. Ying Fan and Dr. Xiaocheng Wu Louisiana Tumor Registry, LSUHSC June 5th,

More information

THE SELF STIGMA OF MENTAL ILLNESS: IMPLICATIONS FOR SELF ESTEEM AND SELF EFFICACY

THE SELF STIGMA OF MENTAL ILLNESS: IMPLICATIONS FOR SELF ESTEEM AND SELF EFFICACY CORRIGAN SELF STIGMA ET AL. Journal of Social and Clinical Psychology, Vol. 25, No. 9, 2006, pp. 875-884 THE SELF STIGMA OF MENTAL ILLNESS: IMPLICATIONS FOR SELF ESTEEM AND SELF EFFICACY PATRICK W. CORRIGAN,

More information

Template 1 for summarising studies addressing prognostic questions

Template 1 for summarising studies addressing prognostic questions Template 1 for summarising studies addressing prognostic questions Instructions to fill the table: When no element can be added under one or more heading, include the mention: O Not applicable when an

More information

Patterns of Union Formation Among Urban Minority Youth in the United States

Patterns of Union Formation Among Urban Minority Youth in the United States Archives of Sexual Behavior, Vol. 29, No. 2, 2000 Patterns of Union Formation Among Urban Minority Youth in the United States Kathleen Ford, Ph.D. 1 and Anne Norris, Ph.D., RN 2 Since 1990, several large

More information

Level of Measurements

Level of Measurements Level of Measurements Mohammed TA, Omar, Ph.D. PT, CLT, PGDCR Rehabilitation Health Science Department CAMS-KSU, Momarar@ksu.edu.sa Dr.taher_m@yahoo.com 0542115404 Objectives Identify types of variables

More information

SUPPLEMENTARY DATA. Supplementary Figure S1. Cohort definition flow chart.

SUPPLEMENTARY DATA. Supplementary Figure S1. Cohort definition flow chart. Supplementary Figure S1. Cohort definition flow chart. Supplementary Table S1. Baseline characteristics of study population grouped according to having developed incident CKD during the follow-up or not

More information

Lecture Outline. Biost 517 Applied Biostatistics I. Purpose of Descriptive Statistics. Purpose of Descriptive Statistics

Lecture Outline. Biost 517 Applied Biostatistics I. Purpose of Descriptive Statistics. Purpose of Descriptive Statistics Biost 517 Applied Biostatistics I Scott S. Emerson, M.D., Ph.D. Professor of Biostatistics University of Washington Lecture 3: Overview of Descriptive Statistics October 3, 2005 Lecture Outline Purpose

More information

The Heterosexual HIV Epidemic in Chicago: Insights into the Social Determinants of HIV

The Heterosexual HIV Epidemic in Chicago: Insights into the Social Determinants of HIV The Heterosexual HIV Epidemic in Chicago: Insights into the Social Determinants of HIV Nikhil Prachand, MPH Board of Health Meeting January 19, 2011 STI/HIV/AIDS Division Today s Presentation Epidemiology

More information

Food Labeling Survey ~ January 2019

Food Labeling Survey ~ January 2019 Food Labeling Survey ~ January 2019 1 Introduction Research Objective Understand consumer attitudes towards healthy labels and different food packaging aspects that drive purchase behavior. Sampling Research

More information

This chapter examines the sociodemographic

This chapter examines the sociodemographic Chapter 6 Sociodemographic Characteristics of Persons with Diabetes SUMMARY This chapter examines the sociodemographic characteristics of persons with and without diagnosed diabetes. The primary data source

More information

CHAPTER 3: METHODOLOGY

CHAPTER 3: METHODOLOGY CHAPTER 3: METHODOLOGY 3.1 Introduction This study is a secondary data analysis of the 1998 South African Demographic and Health Survey (SADHS) data set of women and households. According to the SADHS

More information

Treatment Intervention Inventory Reliability, Validity and Accuracy

Treatment Intervention Inventory Reliability, Validity and Accuracy Treatment Intervention Inventory Reliability, Validity and Accuracy 8-2-02 Abstract The validity of the Treatment Intervention Inventory (TII) was investigated in a sample of 3,414 participants. The TII

More information

Florida Arts & Wellbeing Indicators Executive Summary

Florida Arts & Wellbeing Indicators Executive Summary Florida Arts & Wellbeing Indicators Executive Summary September 2018 The mission of the State of Florida Division of Cultural Affairs is to advance, support, and promote arts and culture to strengthen

More information

Personal Information. Full Name: Address: Primary Phone: Yes No Provider Yes No. Alternate Phone: Yes No Provider Yes No

Personal Information. Full Name: Address: Primary Phone: Yes No Provider Yes No. Alternate Phone: Yes No Provider Yes No OFFICE USE ONLY: Date of Intake: ID#: Staff mbr: Personal Information Full Name: Address: _ Last First M.I. Street Address Apartment/Unit # City State Zip Code County Date of Birth: Age: Mobile phone?

More information

Nihal Mohamed, Ph.D. Michael A. Diefenbach, Ph.D. Mount Sinai School of Medicine Department of Urology & Oncological Sciences, New York

Nihal Mohamed, Ph.D. Michael A. Diefenbach, Ph.D. Mount Sinai School of Medicine Department of Urology & Oncological Sciences, New York Differences between African American and white men in worries and expectations about prostate cancer treatment, need for information, and decisional regret Nihal Mohamed, Ph.D. Michael A. Diefenbach, Ph.D.

More information

SPINAL CORD INJURY IS associated with increased prevalence

SPINAL CORD INJURY IS associated with increased prevalence 1218 ORIGINAL ARTICLE Factor Structure and Predictive Validity of Somatic and Nonsomatic Symptoms From the Patient Health Questionnaire-9: A Longitudinal Study After Spinal Cord Injury James S. Krause,

More information

BMI may underestimate the socioeconomic gradient in true obesity

BMI may underestimate the socioeconomic gradient in true obesity 8 BMI may underestimate the socioeconomic gradient in true obesity Gerrit van den Berg, Manon van Eijsden, Tanja G.M. Vrijkotte, Reinoud J.B.J. Gemke Pediatric Obesity 2013; 8(3): e37-40 102 Chapter 8

More information

CONSEQUENCES OF MARIJUANA USE FOR DEPRESSIVE DISORDERS. Master s Thesis. Submitted to: Department of Sociology

CONSEQUENCES OF MARIJUANA USE FOR DEPRESSIVE DISORDERS. Master s Thesis. Submitted to: Department of Sociology CONSEQUENCES OF MARIJUANA USE FOR DEPRESSIVE DISORDERS Master s Thesis Submitted to: Department of Sociology Virginia Polytechnic Institute and State University In partial fulfillment of the requirement

More information

Situation of Obesity in Different Ages in Albania

Situation of Obesity in Different Ages in Albania Available online at www.scholarsresearchlibrary.com European Journal of Sports & Exercise Science, 2018, 6 (1): 5-10 (http://www.scholarsresearchlibrary.com) Situation of Obesity in Different Ages in Albania

More information

Allen County Community Corrections. Home Detention-Day Reporting Program. Report for Calendar Years

Allen County Community Corrections. Home Detention-Day Reporting Program. Report for Calendar Years Allen County Community Corrections Home Detention-Day Reporting Program Report for Calendar Years 29-211 Joseph Hansel, Ph.D. and Jacqueline Wall, Ph.D. Allen County Community Corrections 21 W. Superior

More information

The impact of depression and anxiety on quality of life in Chinese cancer patientfamily caregiver dyads, a cross-sectional study

The impact of depression and anxiety on quality of life in Chinese cancer patientfamily caregiver dyads, a cross-sectional study LI et al. Health and Quality of Life Outcomes (2018) 16:230 https://doi.org/10.1186/s12955-018-1051-3 RESEARCH Open Access The impact of depression and anxiety on quality of life in Chinese cancer patientfamily

More information

Counseling African Americans to Control Hypertension (CAATCH) Study- Data Dictionary

Counseling African Americans to Control Hypertension (CAATCH) Study- Data Dictionary Counseling African Americans to Control Hypertension (CAATCH) Study- Data Dictionary Primary Contacts for CAATCH: Olugbenga Ogedegbe (Study PI) - Olugbenga.Ogedegbe@nyumc.org Ferdinand Zizi (CHBC Program

More information

THE EMERGE SURVEY ON TAKING PART IN BIOBANK RESEARCH: VERSION A

THE EMERGE SURVEY ON TAKING PART IN BIOBANK RESEARCH: VERSION A THE EMERGE SURVEY ON TAKING PART IN BIOBANK RESEARCH: VERSION A What is this survey about? This survey is about your views on taking part in medical research. We want to understand what you think about

More information

Psychosocial Outcomes and Health-Related Quality of Life in Adult Childhood Cancer Survivors: A Report from the Childhood Cancer Survivor Study

Psychosocial Outcomes and Health-Related Quality of Life in Adult Childhood Cancer Survivors: A Report from the Childhood Cancer Survivor Study 435 Psychosocial Outcomes and Health-Related Quality of Life in Adult Childhood Cancer Survivors: A Report from the Childhood Cancer Survivor Study Lonnie K. Zeltzer, 1 Qian Lu, 1 Wendy Leisenring, 3 Jennie

More information

Collecting & Making Sense of

Collecting & Making Sense of Collecting & Making Sense of Quantitative Data Deborah Eldredge, PhD, RN Director, Quality, Research & Magnet Recognition i Oregon Health & Science University Margo A. Halm, RN, PhD, ACNS-BC, FAHA Director,

More information

DEPRESSION AND ANXIETY STATUS IN KANSAS

DEPRESSION AND ANXIETY STATUS IN KANSAS DEPRESSION AND ANXIETY STATUS IN KANSAS 2011 Behavioral Risk Factor Surveillance System This report was prepared by the Bureau of Health Promotion, Kansas Department of Health and Environment February

More information

Functional Tools Pain and Activity Questionnaire

Functional Tools Pain and Activity Questionnaire Job dissatisfaction (Bigos, Battie et al. 1991; Papageorgiou, Macfarlane et al. 1997; Thomas, Silman et al. 1999; Linton 2001), fear avoidance and pain catastrophizing (Ciccone and Just 2001; Fritz, George

More information

Posttraumatic Stress and Attributions in College Students after a Tornado. Introduction. Introduction. Sarah Scott & Lisa Beck

Posttraumatic Stress and Attributions in College Students after a Tornado. Introduction. Introduction. Sarah Scott & Lisa Beck Posttraumatic Stress and Attributions in College Students after a Tornado Sarah Scott & Lisa Beck Department of Behavioral Sciences Faculty Mentor: Caleb W. Lack, Ph.D. Most adults will be exposed to a

More information

Study Guide #2: MULTIPLE REGRESSION in education

Study Guide #2: MULTIPLE REGRESSION in education Study Guide #2: MULTIPLE REGRESSION in education What is Multiple Regression? When using Multiple Regression in education, researchers use the term independent variables to identify those variables that

More information

Victim Index Reliability and Validity Study

Victim Index Reliability and Validity Study Victim Index Reliability and Validity Study Abstract The validity of the Victim Index (VI) was investigated in a sample of 666 participants. The VI has eight scales for measuring morale, suicide ideation,

More information

RATES OF SYMPTOMS OF DEPRESSION IN A NATIONAL SAMPLE 1

RATES OF SYMPTOMS OF DEPRESSION IN A NATIONAL SAMPLE 1 AMERICAN JOURNAL or EPIDEMIOLOGY Copyright 1981 by The Johns Hopkins University School of Hygiene and Public Health All rights reserved Vol. 114, No. 4 Printed in RATES OF SYMPTOMS OF DEPRESSION IN A NATIONAL

More information

REPORT DOCUMENTATION PAGE

REPORT DOCUMENTATION PAGE REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions,

More information

The Association between Sleep Duration, Insomnia and Weight Change in the Women s Health Initiative Observational Study

The Association between Sleep Duration, Insomnia and Weight Change in the Women s Health Initiative Observational Study University of Massachusetts Amherst ScholarWorks@UMass Amherst Masters Theses Dissertations and Theses 2017 The Association between Sleep Duration, Insomnia and Weight Change in the Women s Health Initiative

More information

Abstract. Marzieh Imani (1) Anahita Khodabakhshi Koolae (2) Masoumeh Rahmatizadeh (3)

Abstract. Marzieh Imani (1) Anahita Khodabakhshi Koolae (2) Masoumeh Rahmatizadeh (3) ORIGINAL CONTRIBUTION AND CLINICAL INVESTIGATION Association between social support of family and friends and meaning of life with Depression among spinal cord injuries disabilities and non-disabilities

More information

Prevalence and correlates of sedentary behaviour in an Atlantic Canadian populationbased. Cindy Forbes

Prevalence and correlates of sedentary behaviour in an Atlantic Canadian populationbased. Cindy Forbes Prevalence and correlates of sedentary behaviour in an Atlantic Canadian populationbased cohort Cindy Forbes Introduction Sitting time (i.e., sedentary behaviour) has been shown to be a risk factor for

More information

Personal goals of Dutch homeless people. Jorien van der Laan, Impuls - Netherlands Center for Social Care Research

Personal goals of Dutch homeless people. Jorien van der Laan, Impuls - Netherlands Center for Social Care Research Personal goals of Dutch homeless people Jorien van der Laan, Impuls - Netherlands Center for Social Care Research Copenhagen, 23rd September 2015 What did we found? Findings: At entering the social relief

More information

Relationship between Physical Disability and Depression by Gender Noh, Jin; Kwon, Young Dae; Park, Jumin; Oh, In-Hwan; Kim, Jinseok

Relationship between Physical Disability and Depression by Gender Noh, Jin; Kwon, Young Dae; Park, Jumin; Oh, In-Hwan; Kim, Jinseok University of Groningen Relationship between Physical Disability and Depression by Gender Noh, Jin; Kwon, Young Dae; Park, Jumin; Oh, In-Hwan; Kim, Jinseok Published in: Plos one DOI: 10.1371/journal.pone.0166238

More information

Infertility services reported by men in the United States: national survey data

Infertility services reported by men in the United States: national survey data MALE FACTOR Infertility services reported by men in the United States: national survey data John E. Anderson, Ph.D., Sherry L. Farr, Ph.D., M.S.P.H., Denise J. Jamieson, M.D., M.P.H., Lee Warner, Ph.D.,

More information

Active Lifestyle, Health, and Perceived Well-being

Active Lifestyle, Health, and Perceived Well-being Active Lifestyle, Health, and Perceived Well-being Prior studies have documented that physical activity leads to improved health and well-being through two main pathways: 1) improved cardiovascular function

More information

Prediction of Depressive Distress in a Community Sample of Women: The Role of Sexual Orientation

Prediction of Depressive Distress in a Community Sample of Women: The Role of Sexual Orientation Prediction of Depressive Distress in a Community Sample of Women: The Role of Sexual Orientation Alicia K. Matthews, PhD, Tonda L. Hughes, PhD, RN, Timothy Johnson, PhD, Lisa A. Razzano, PhD, and Roberta

More information

Is Food Insecurity Associated with Weight Status in Saudi Women?

Is Food Insecurity Associated with Weight Status in Saudi Women? 2014 International Conference on Food Security and Nutrition IPCBEE vol.67 (2014) (2014) IACSIT Press, Singapore DOI: 10.7763/IPCBEE. 2014. V67. 2 Is Food Insecurity Associated with Weight Status in Saudi

More information

Changes in Beliefs, Catastrophizing, and Coping Are Associated With Improvement in Multidisciplinary Pain Treatment

Changes in Beliefs, Catastrophizing, and Coping Are Associated With Improvement in Multidisciplinary Pain Treatment Journal of Consulting and Clinical Psychology 2001, Vol. 69, No. 4, 655-662 Copyright 2001 by the American Psychological Association, Inc. 0022-006X/01/J5.00 DOI: 10.1037//0022-006X.69.4.655 Changes in

More information

STATISTICS 8 CHAPTERS 1 TO 6, SAMPLE MULTIPLE CHOICE QUESTIONS

STATISTICS 8 CHAPTERS 1 TO 6, SAMPLE MULTIPLE CHOICE QUESTIONS STATISTICS 8 CHAPTERS 1 TO 6, SAMPLE MULTIPLE CHOICE QUESTIONS Circle the best answer. This scenario applies to Questions 1 and 2: A study was done to compare the lung capacity of coal miners to the lung

More information

Comparison of Multiple DUI Offenders Selecting Either Antabuse or 12-Step Treatment Programs

Comparison of Multiple DUI Offenders Selecting Either Antabuse or 12-Step Treatment Programs Comparison of Multiple DUI Offenders Selecting Either Antabuse or 12-Step Treatment Programs Mary-EIlen Fortini Occupational Health Services 125 East Sir Francis Drake Blvd. Larkspur, CA USA 94939-1860

More information

Avoidant Coping Moderates the Association between Anxiety and Physical Functioning in Patients with Chronic Heart Failure

Avoidant Coping Moderates the Association between Anxiety and Physical Functioning in Patients with Chronic Heart Failure Avoidant Coping Moderates the Association between Anxiety and Physical Functioning in Patients with Chronic Heart Failure Eisenberg SA 1, Shen BJ 1, Singh K 1, Schwarz ER 2, Mallon SM 3 1 University of

More information

Towards gaining a greater understanding of Elder Abuse and Neglect in New Zealand

Towards gaining a greater understanding of Elder Abuse and Neglect in New Zealand Towards gaining a greater understanding of Elder Abuse and Neglect in New Zealand June 2015 2 OFFICE FOR SENIOR CITIZENS Acknowledgements The Office for Senior Citizens would like to acknowledge our appreciation

More information