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Purpose <p>This study investigated the interactive effects of disability severity and disability-related stress on depression among adults with disabilities in Korea, while also considering sociodemographic, behavioral, and health-related factors.</p> Methods <p>We used three waves (2016–2018) of the nationally representative Panel Survey of Employment for the Disabled (PSED). The analytic sample included 4,349 respondents aged 15–64 years. Depression was self-reported (past-year). Independent variables were disability-related stress, disability severity, and their interaction. Multivariable logistic regressions estimated adjusted odds ratios (ORs) and 95% CIs; subgroup analyses were conducted by sex and age.</p> Results <p>Compared with no stress and mild disability, high stress with mild disability (OR = 8.16) and high stress with severe disability (OR = 9.23) were associated with markedly higher odds of depression, while marital status and employment were protective. In contrast, poor self-rated health and the need for regular treatment increased risk. Stratified analyses confirmed robustness across sex and age, and metropolitan residence showed an additional protective association.</p> Conclusion <p>Our findings suggest that disability-related stress and disability severity jointly shape depression risk, indicating cumulative disadvantage. Policies should integrate stress management, accessible mental health care, and social participation (e.g., employment support, family/social networks) to promote health equity for people with disabilities in Korea.</p>

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When stress Meets severity: dual pathways to depression among people with disabilities

  • 期刊论文

  • 发表日期：

    2026年2月24日

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  • Gyeong-Min Lee,
  • Hyun Jun Lee,
  • Jae-Hyun Kim

摘要

Purpose

This study investigated the interactive effects of disability severity and disability-related stress on depression among adults with disabilities in Korea, while also considering sociodemographic, behavioral, and health-related factors.

Methods

We used three waves (2016–2018) of the nationally representative Panel Survey of Employment for the Disabled (PSED). The analytic sample included 4,349 respondents aged 15–64 years. Depression was self-reported (past-year). Independent variables were disability-related stress, disability severity, and their interaction. Multivariable logistic regressions estimated adjusted odds ratios (ORs) and 95% CIs; subgroup analyses were conducted by sex and age.

Results

Compared with no stress and mild disability, high stress with mild disability (OR = 8.16) and high stress with severe disability (OR = 9.23) were associated with markedly higher odds of depression, while marital status and employment were protective. In contrast, poor self-rated health and the need for regular treatment increased risk. Stratified analyses confirmed robustness across sex and age, and metropolitan residence showed an additional protective association.

Conclusion

Our findings suggest that disability-related stress and disability severity jointly shape depression risk, indicating cumulative disadvantage. Policies should integrate stress management, accessible mental health care, and social participation (e.g., employment support, family/social networks) to promote health equity for people with disabilities in Korea.