Depression in rural women: implications for nurse practitioners in primary care settings.
OBJECTIVE
The purpose of this study was threefold: (a) to determine what percent of rural women self-report as currently depressed when asked; (b) to explore the congruence between self-report of depression and Center for Epidemiologic Studies-Depression Scale (CES-D) score; and (c) to identify factors associated with congruence between self-report of depression and CES-D score.


METHODS
Self-report data were collected from 140 women who lived in a rural community in the Midwest. The convenience sample was recruited at a Federally Qualified Health Center.


CONCLUSIONS
The percent of rural women who self-reported as currently depressed was 36.4%. Congruence between self-report of depression and CES-D score was 76.8%, indicating the majority of women were able to identify if they were depressed or not. Women in the incongruent group were significantly more likely to be diagnosed with diabetes, reported more headaches, and received treatment for depression in the past.


CONCLUSIONS
Dependence on primary care providers to identify and treat depression is the current standard of care for the vast majority of rural women. As more advanced practice registered nurses work in rural areas, they need to be cognizant of the high rates of depression in women and the most effective strategies for identifying and treating.
McAuley Health Center, Detroit, Michigan, USA. grohcj@udmercy.edu
Carla J
CJ
Groh
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D009722:Nurse Practitioners; D024802:Nurse's Role; D011320:Primary Health Care; D012307:Risk Factors; D012423:Rural Health / Q000706:statistics & numerical data*; D057566:Self Report; D012959:Socioeconomic Factors; D014930:Women / Q000523:psychology*; D055815:Young Adult