01952nas a2200397   4500000000100000008004100001653003100042653002600073653002600099653001900125653002300144653002000167653001600187653001500203653001100218653001100229653002800240653002300268653001500291653001600306653000900322653001000331653003000341100001300371700001300384700001800397700001300415700001000428700001700438700001400455245020200469300001100671490000700682520085100689022001401540       2008                            d10aSurveys and Questionnaires10aStress, Psychological10aSocioeconomic Factors10aSocial Support10aSocial Environment10aQuality of Life10aMiddle Aged10aLymphedema10aHumans10aFemale10aElephantiasis, Filarial10aDominican Republic10aDepression10aComorbidity10aAged10aAdult10aAdaptation, Psychological1 aPerson B1 aAddiss D1 aBartholomew K1 aMeijer C1 aPou V1 aGonzálvez G1 aBorne BVD00a"Can it be that god does not remember me": a qualitative study on the psychological distress, suffering, and coping of Dominican women with chronic filarial lymphedema and elephantiasis of the leg.  a349-650 v293 a<p>The psychological states of Dominican women with chronic lymphedema and elephantiasis of the leg and the coping strategies they used to ameliorate the negative psychological effects of this condition were explored using modified precepts of grounded theory method. Qualitative data were gathered through in-depth interviewing and focus group discussions held in the Dominican Republic. Thematic results found that compounding their physical disfigurement, functional limitations, and social losses were feelings of depression, embarrassment, social isolation, and despair. Adaptive problem solving and emotion-focused coping strategies that emerged during analysis also are discussed. It is recommended that management of psychological distress should be a significant component of lymphedema management programs in developing countries.</p>
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