Regardless of how it is measured, elevated depressive symptoms are very common in women, so that it is very likely that 20% of these mothers would experience psychological distress regardless of their children’s disability [Lin et al., 1986; Kessler et al., 1997; Glidden and Schoolcraft, 2003]. The terminology used to describe this psychological distress is important be cause there is some controversy over how to interpret information from written self-report measures of depression. Bailey et al. [2007] discuss the fact that elevated levels of depressive symptoms as measured with common selfreport instruments like the Beck Depression Inventory (BDI) [Beck et al., 1988] or the Center for Epidemiology Depression Scale (CES-D) [Radloff, 1977] are not accurate indicators of prevalence of the clinical condition, major depression, which can only be diagnosed by clinical interview with a trained diagnostician. It is for this reason that we refer to psychological distress as elevated levels of depression symptoms. Although self-report measures do not identify cases of clinical depression, there are important reasons for being concerned about individuals who express an elevated level of psychological distress on written self-report measures, even though they may not experience clinical depression.