The influence of family function and structure on depression in middle aged women
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20233756Keywords:
Depression, Family function, Family structure, Middle-aged womenAbstract
Background: Depression is both a mood disorder and a chronic illness of public health importance that accounts for a great socioeconomic burden worldwide. The family influences the health beliefs and health related behavior and it is supposed to provide emotional, financial, physical and emotional support during this period. Aim of the study was to assess the influence of family function and structure on depression in middle-aged women.
Methods: The study was a descriptive cross-sectional hospital-based study. Three hundred and two (302) middle-aged women were recruited by simple random sampling method. Relevant data were collected using pretested interviewer administered questionnaire that incorporated family structure, family APGAR and major depression inventory (MDI).
Results: More than half (56%) of the participants had a functional family, 66.2% of them were in a monogamous marriage while 64.7% were from a nuclear family. The prevalence of depression was 5.3%; 31.3% of these were from functional family while 68.7% were from dysfunctional family. There was a significant association between family functionality, spousal characteristics such as wife beating and spousal alcohol use with depression.
Conclusions: The prevalence of depression was low amongst married middle-aged women currently living with their spouses while no relationship was noted between family structure and depression. Family assessment especially family functionality is highly recommended in assessing depression.
Metrics
References
Compton WM, Conway KP, Stinson FS, Grant BF. Changes in the prevalence of major depression and comorbid substance use disorders in the United States between 1991-1992 and 2001-2002. Am J Psychiatr. 2006;163(1):2141-7.
Gureje O, Lasebikan VO, Kola L, Makanjuola VO. Lifetime and 12-month Prevalence of Mental Disorders in the Nigeria Survey of Mental Health and Well-being. The British Journal of Psychiatry.2006,188:465-471.
World Health Organization. World health statistics 2007. Available at: http://www.who.int/whosis/ whostat 2007. Assessed on 2 November 2023.
Benjamin JS, Virginia MM, Alcott S. Kaplan and Sadock's Synopsis of Psychiatry. Tenth edition. 2009;527-6.
Demyttenaere K, Bruffaerts R, Posada-Villa J. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA. 2004;291:2581-90.
Melinda SMA, Jaelline J. Depression in women. Available at: www.helpguide.org/mental/depression/ women. Accessed on 2 November 2023.
Cheryl Platzman Weinstock. Understanding Depression at Midlife. Women's Health at Available at: WomansDay.com. Accessed on 2 November 2023.
Inem VA, Ayankogbe OO, Obazee EM, Ladipo MMA, Udonwa NE, Odusote K. Conceptual and Contextual Paradigm of the Family as a Unit of Care. Nig Med Pract. 2004;45(1):9-12.
Murdock GP. Universality of Family. Available at: https://www.sociologyguide.com/socio-short-notes/view-short-notes.php?id=110. Accessed on 9 September 2023.
Olarewaju AM, Akintunde AE, Femi F, Ibrahim B, Olugbenga AA. Pattern of Depressio and Family Support in Nigerian Family Practice Population. Internet J Fam Pract. 2007;5(2):23-36.
Aileen B, Pascual MD. The family as a Unit of care. Available at https://www.slideshare.net/abpascual/ 2013-family-as-a-unit-of-care. Accessed on 2 November 2023.
National Population Commission. Ondo State 2006 Population Census. Available at: http://www.ondostatistics.org/ondo_profile.php. Accessed on 2 November 2023.
Asuzu MC. Epidemiological Methodology. Nig J Epidermil. 2011;1:15-9.
Shittu RO, Issa BA, Olarewaju GT, Mahmoud AO, Aderibigbe ST, Odeigah LO. A Comparison of Clinical Features of Deprssed People Living with HIV/AIDS in Nigeria,West Africa. J Med Psych. 2014;3(1):60-9.
Bech P, Timmerby N, Martiny N, Lunde M, Soendergaard S. Psychometric evaluation of the Major Depression Inventory (MDI) as depression severity scale using the LEAD (Longitudinal Expert Assessment of All Data) as index of validity. BMC Psychiatr. 2015;15:190-201.
Addis IB, Van Den Eeden SK. Sexual Activity and Function in Middle-Aged and Older Women. Obstetr Gynecol. 2006;107(4):755-64.
Singh M, Singh HG. Assessment of the Health Status of Middle aged Female School Teachers of Varanasi city. Internet J Heal. 2005;5(1):25-36
Sandra Z, Olivier B, Valérie T, Everyday Heroes, (Trust Africa,2011) Available at: http://www.trustafrica.org/documents/Everyday_Heroes.pdf.16. Accessed on 2 November 2023.
Adedokun BO, Morhason-Bello IO, Ojengbede OA. Sexual Activity and Urological Morbidities among Nigerian Menopausal Women Findings from a Community Based Survey. Ann Med Heal Sci Res. 2014;4(2):206-9.
Bromberger JT, Harlow S, Avis N, Howard M, Kravitz DO, Cordal A. Racial/Ethnic Differences in the Prevalence of Depressive Symptoms Among Middle-Aged Women: The Study of Women’s Health Across the Nation (swan). Am J Publ Heal. 2004;94(8):23-35.
Rich JL, Byrne JM, Curryer C, Byles J, Loxton D. Prevalence and Correlates of Depression among Australian Women: A systematic literature review Jan 1999-Jan 2010. Biomed Central J. 2013;6(1):34-41.
Jack II. A Retrospective Study of the Prevalence of Depression among Women Attending a Mental Health Clinic in the Niger Delta Region. Ann Behav Sci. 2016;2(1)12-16.
Patel V, Kirkwood BR, Pednekar S, Pereira B, Barros P, Fremandos J, et al. Gender Disadvantage and Reproductive Health RISK Factors for Common Mental Disorders in Women. a Community Survey in India. Arch Gen Psy. 2006;63(4):404-13.
Gupta A, Priya B, Williams J, Sharma M, Gupta R, Kuman JD et al. Intra household evaluations of alcohol abuse in with Depression and Suicide in Women. A Cross Sectional Community Based Study in Chennai, India. Bio Med Central. 2015;15:636.
Odue BB, Ofegbu OS, Aniwada CE, Okechukwu EF. The Influence of Family Characteristics on Glyceamic Control Among Adults Patients with Type 2DM Attending the GOPC, National Hospital Abuja, Nigeria. S Afr Fam Pract. 2015;57(6):347-53.
Muhwezi WW, Agren N, Neoma S, Musisi S, Maganda AK. Life Events and Depression in the Context of the Changing African Family. WACP J. 2007;2(1):10-26.
Ibrahim AK, Kelly SJ, Adams CE, Glazebrook C. A systematic review of studies on depression prevalence among university students. J Psychiatrist Res. 2013;47:391-400.