title: Sickle cell disease: a stigmatizing condition that may lead to depression.
abstract: Individuals with a chronic illness such as sickle cell disease are at risk for depression. Moreover, they are at risk for untreated depression. Depression may go untreated because of the stigma and high rates of disability associated with this chronic illness that most often affects African Americans in the United States. The purpose of this cross-sectional study was to describe depressive symptoms using the Beck Depression Inventory Fast Screen in a sample of 232 African American adults with sickle cell disease. Respondents reported higher levels of depression (26%) and depressive symptoms (32%) than did the overall United States population (9.5%). All adults with chronic illnesses need to be screened for depression in primary care practice sites where the diagnosis and treatment of depression needs to be coordinated.
authors.affiliation: Yale University, School of Nursing, New Haven, CT 06536, USA. cmj26@email.med.yale.edu
authors.forename: Coretta
authors.initials: C
authors.lastname: Jenerette
authors.forename: Marjorie
authors.initials: M
authors.lastname: Funk
authors.forename: Carolyn
authors.initials: C
authors.lastname: Murdaugh
mesh_terms: D000046:Academic Medical Centers; D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000208:ethnology* / Q000706:statistics & numerical data; D000368:Aged; D000755:Anemia, Sickle Cell / Q000150:complications / Q000208:ethnology*; D001294:Attitude to Health / Q000208:ethnology*; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000208:ethnology* / Q000209:etiology; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D011159:Population Surveillance; D015995:Prevalence; D011320:Primary Health Care; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D015144:Southeastern United States / Q000453:epidemiology; D013240:Stereotyping; D011795:Surveys and Questionnaires