Exploring the Pathway towards Depression among Working Married Women – A Qualitative Study Done In Urban Area of Kancheepuram District, Tamil Nadu

Authors

  • Keerthana Ramesh Department of Community medicine, SBMCH, Chennai
  • Umadevi R Department of Community medicine, SBMCH, Chennai
  • Anandhaeashwar VM Department of Community medicine, SBMCH, Chennai
  • Charulatha RJ Department of Community medicine, SBMCH, Chennai
  • Nithya V Department of Community medicine, SBMCH, Chennai

DOI:

https://doi.org/10.5455/njcm.20211224052530

Keywords:

Patient health questionnaire, job satisfaction, peer pressure

Abstract

Introduction: Globally, around 264 million people suffer from depression according to World Health Organization (WHO). As per the National Mental Health Survey (NMHS), in the year 2015-2016, one in 20 people over the age of 18 years have ever had depression in India amounting to 45 million persons with depression in the year 2015. This study aimed to find out the self-perceived reasons of depression among married working women residing in an urban area of Kancheepuram district, Tamil Nadu. 

Methodology: This is a qualitative study done on married working urban women above 18 years of age visiting an UHTC of a private medical college at Anakaputhur. Patient Health Questionnaire (PHQ-9) was used to assess whether they have depression. Data was collected by in-depth interviews, and it was recorded and transcribed verbatim.

Results: Based on the responses obtained from the participants the following themes and subthemes are formed like Workplace factors, Factors related to family, social factors and Mental Health seeking behaviour. Among the workplace factors job satisfaction, long working hours and relationship with peers were common reasons elicited.

Conclusion: Most of these problems could be overcome only if the society changes their mentality about women and practice gender equality and social justice.

References

World Health Organization. Depression. Available from https://www.who.int/health-topics/depression#tab=tab_1. Accessed on 13 November 2021.

Charlson FJ, Baxter AJ, Cheng HG, Shidhaye R, Whiteford HA. The burden of mental, neurological, and substance use disor-ders in China and India: a systematic analysis of community representative epidemiological studies. Lancet. 2016; 388:376–89.

National Mental Health Survey of India, 2015–16. Prevalence, Pattern and Outcomes. Bengaluru: National Institute of Men-tal Health and Neurosciences. 2016 Available from http://www.nimhans.ac.in. Accessed on 21 October 2021.

Cyranowski JM, Frank E, Young E, Shear MK. Adolescent onset of the gender difference in lifetime rates of major depression: a theoretical model. Archives of general psychiatry. 2000 Jan 1;57(1):21-7.

Deswal B, Pawar A. An epidemiological study of mental disor-ders at Pune, Maharashtra. Indian J Community Med. 2012;37:116.

Shidhaye R, Gangale S, Patel V. Prevalence and treatment cov-erage for depression: a population-based survey in Vidarbha, India. Soc Psychiatry Psychiatr Epidemiol. 2016;51:993–1003

Dudhatra RR, Jogsan YA. Mental health and depression among working and non-working women. International Journal of Scientific and Research Publications. 2012;2(8)

World Health Organization. Gender and Women’s Mental health. Available from https://www.who.int/teams/mental-health-and-substance-use/promotion-prevention/gender-and-women-s-mental-health. Accessed on 22 October 2021.

Kopp MS, Stauder A, Purebl G, Janszky I, Skrabski A. Work stress and mental health in a changing society. European Journal of Public Health. 2008;18(3):238–244

Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: Validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–13.

Parkar SR, Fernandes J, Weiss MG. Contextualizing mental health: Gendered experiences in a Mumbai slum. Anthropolo-gy & Medicine. 2003 Dec 1;10(3):291-308.

Das J, Das RK, Das V. The mental health gender-gap in urban India: patterns and narratives. Social Science & Medicine. 2012 Nov 1;75(9):1660-72.

Kermode M, Herrman H, Arole R, White J, Premkumar R, Patel V. Empowerment of women and mental health promotion: a qualitative study in rural Maharashtra, India. BMC public health. 2007 Dec;7(1):1-10.

Travasso SM, Rajaraman D, Heymann SJ. A qualitative study of factors affecting mental health amongst low-income working mothers in Bangalore, India. BMC women's health. 2014 Dec;14(1):1-1.

Weston G, Zilanawala A, Webb E, Carvalho LA, McMunn A. Long work hours, weekend working and depressive symp-toms in men and women: findings from a UK population-based study. J Epidemiol Community Health. 2019 May 1;73(5):465-74.

Aazami S, Shamsuddin K, Akmal S, Azami G. The relationship between job satisfaction and psychological/physical health among Malaysian working women. The Malaysian journal of medical sciences: MJMS. 2015 Jul;22(4):40.

Slade PD. Body image in anorexia nervosa. The British Journal of Psychiatry. 1988;153(S2):20-2.

Jackson KL, Janssen I, Appelhans BM, Kazlauskaite R, Kara-volos K, Dugan SA, et al. Body image satisfaction and depres-sion in midlife women: the Study of Women’s Health Across the Nation (SWAN). Archives of women's mental health. 2014 Jun;17(3):177-87.

Faragher EB, Cass M, Cooper CL. The relationship between job satisfaction and health: a meta-analysis. From stress to well-being Volume 1. 2013:254-71.

Aazami S, Shamsuddin K, Akmal S, Azami G. The relationship between job satisfaction and psychological/physical health among Malaysian working women. The Malaysian journal of medical sciences: MJMS. 2015 Jul;22(4):40.

Das J, Das RK, Das V. The mental health gender-gap in urban India: patterns and narratives. Social Science & Medicine. 2012 Nov 1;75(9):1660-72.

Bhattacharya A, Camacho D, Kimberly LL, Lukens EP. Wom-en’s experiences and perceptions of depression in India: A metaethnography. Qualitative health research. 2019 Jan;29(1):80-95.

Yokoya S, Maeno T, Sakamoto N, Goto R, Maeno T. A brief sur-vey of public knowledge and stigma towards depression. Journal of clinical medicine research. 2018 Mar;10(3):202.

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Published

2022-02-28

How to Cite

1.
Ramesh K, R U, VM A, RJ C, V N. Exploring the Pathway towards Depression among Working Married Women – A Qualitative Study Done In Urban Area of Kancheepuram District, Tamil Nadu. Natl J Community Med [Internet]. 2022 Feb. 28 [cited 2024 Mar. 28];13(02):90-5. Available from: https://www.njcmindia.com/index.php/file/article/view/156

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Original Research Articles