Friedland J, McColl M
Department of Rehabilitation Medicine, University of Toronto, Ontario, Canada.
Soc Sci Med. 1992 Feb;34(4):395-403. doi: 10.1016/0277-9536(92)90299-6.
Although the literature on this subject is fraught with ambiguity, it appears that there is a higher incidence of depression in people with disabilities than in the general population. The etiology of the disorder is by no means clear but several of the explanations which exist for depression in general, appear particularly suited when considering the disabled population. In this article, theoretical origins of the relationship between depression and disability are explored under two broad headings: Biological Factors and Psychosocial Factors. Clinical interventions and social-ecological implications pertinent to the various etiologies are discussed in relation to facilitating psychosocial adjustment and preventing serious depression. Problems of definition and methodology are noted and the importance of focusing attention on this high-risk population is stressed.
尽管关于这个主题的文献充满了模糊性，但似乎残疾人中抑郁症的发病率高于普通人群。这种疾病的病因远未明确，但一般来说，几种对抑郁症的解释，在考虑残疾人群体时显得尤为适用。在本文中，抑郁症与残疾之间关系的理论根源将在两个宽泛的标题下进行探讨：生物因素和心理社会因素。针对各种病因的临床干预措施及社会生态影响，将围绕促进心理社会适应和预防严重抑郁症进行讨论。文中指出了定义和方法上的问题，并强调了关注这一高危人群的重要性。
