Lee Yejin, Hong Ickpyo, Lee Mi Jung, Park Hae Yean
Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO, USA.
Department of Occupational Therapy, University of Texas Medical Branch, Galveston, TX, USA.
Ann Rehabil Med. 2019 Jun;43(3):250-261. doi: 10.5535/arm.2019.43.3.250. Epub 2019 Jun 28.
To compare the risk of depressive symptoms in adults with physical disabilities between rehabilitationreceivers and non-receivers.
A total of 3,568 adults with physical disabilities were retrieved from the 2014 Korean National Survey on People with Disabilities database. Four covariate adjustment methods (a multivariable regression model, inverse probability of treatment weighting [IPTW] adjusted for normalized weight, IPTW with stabilized weight, and greedy algorithm with 1:1 propensity score matching) were used to estimate the odds of having depressive symptoms. The dependent variable was depressive symptoms and the independent variable was the use of rehabilitation services. Baseline covariates were 19 demographic variables and 10 chronic condition variables.
The four covariate adjustment methods revealed that adults with physical disabilities receiving rehabilitation services had a higher risk of depressive symptoms than those who did not receive these services (adjusted odds ratio, 1.191-1.294).
Our findings suggest that adults with physical disabilities receiving rehabilitation services have higher risk of developing depressive symptoms. Therefore, rehabilitation professionals need to pay attention to depressive symptoms and establish therapeutic strategies that can reduce such risk in rehabilitation settings.
比较接受康复治疗和未接受康复治疗的成年身体残疾者出现抑郁症状的风险。
从2014年韩国全国残疾人调查数据库中检索出3568名成年身体残疾者。采用四种协变量调整方法（多变量回归模型、根据标准化体重调整的治疗逆概率加权法[IPTW]、稳定体重的IPTW以及1:1倾向得分匹配的贪婪算法）来估计出现抑郁症状的几率。因变量为抑郁症状，自变量为康复服务的使用情况。基线协变量包括19个人口统计学变量和10个慢性病变量。
四种协变量调整方法显示，接受康复服务的成年身体残疾者出现抑郁症状的风险高于未接受这些服务的人（调整后的优势比为1.191 - 1.294）。
我们的研究结果表明，接受康复服务成年身体残疾者出现抑郁症状的风险更高。因此，康复专业人员需要关注抑郁症状，并制定能够在康复环境中降低此类风险的治疗策略。
