TY - JOUR KW - Surveys and Questionnaires KW - Stress, Psychological KW - Socioeconomic Factors KW - Social Support KW - Social Environment KW - Quality of Life KW - Middle Aged KW - Lymphedema KW - Humans KW - Female KW - Elephantiasis, Filarial KW - Dominican Republic KW - Depression KW - Comorbidity KW - Aged KW - Adult KW - Adaptation, Psychological AU - Person B AU - Addiss D AU - Bartholomew K AU - Meijer C AU - Pou V AU - Gonzálvez G AU - Borne BVD AB -

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.

BT - Health Care for Women International C1 -

http://www.ncbi.nlm.nih.gov/pubmed/18389432?dopt=Abstract

DO - 10.1080/07399330701876406 IS - 4 J2 - Health Care Women Int LA - eng N2 -

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.

PY - 2008 SP - 349 EP - 65 T2 - Health Care for Women International TI - "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. VL - 29 SN - 1096-4665 ER -