Prevalence of Depression in Women: Gender-Based Analysis
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This assignment explores the prevalence of depression in women and the contributing factors. It also proposes a health promotion program to manage depression among women effectively.
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Running head: DEPRESSION DEPRESSION Name of the student: Name of the university: Author note:
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1 DEPRESSION Introduction: Depression is a common but serious mental health condition which impacts not only the feelings of the affected individual in a negative manner but also the ways they think and act. This disorder accompanies the feelings of sadness and loss if interests and pleasures in activities which were enjoyed earlier (McMohan et al., 2015). This disorder even results in various forms of physical as well as emotional problems that reduce the ability of the individuals to function properly in both professional and personal lives. The present day studies and researches have provided detailed information about the prevalence of the depression in the nation along with the opinion that gender indeed plays one of the determinants in the development of depression (Woolhouse et al., 2015). This assignment would show how gender plays the contributing role of development of depression. It would also propose a health promotion program that would help in managing depression among the specific gender cohort effectively. Prevalence of depression in a gender-based analysis: Australia is found to be the second nation all over the globe with the highest number of people suffering from depression with 5.9% of the people being affected. This number is just after the nation of Ukraine that has the largest number of depressed population accounting for about 6.3% in the nation. Researchers who have undertaken statistical analysis have shown that about 1 in 7 people in the nation of Australia experience symptoms of depression throughout their lifetime (Bruggman et al., 2017). One of the most noted data from this statistical analysis had shown that prevalence of depression in women is twice to that of the number of men in the nation. One of the factor that has been found by researchers to explain this difference is that mood changes as well as depressed feelings are natural outcomes of the hormonal alterations
2 DEPRESSION which are more frequent in the women. However, changes in the hormones cannot necessarily be one of the most important causes of depression. Biological factors along with different forms of inherited traits and even personal life circumstances are found to develop depression in the women. Studies have found that one of the most important cohort of women who largely remain exposed to the development of the risk of depression are those women who are in their first year of the post partum stage (Shivappa et al., 2016). Researchers are of the opinion that women who are in their months of pregnancy as well as those who are in the following year after giving birth to their babies are often seen to develop depressive symptoms. It has been found that about 1 in 10 women in the first category and those 1 in 7 women in the later categories can be found to suffer from depression respectively. This form of depression called the antenatal depression often seems to accompany symptoms like that of the persistent and generalized concern as well as the panic attacks about the development and well-being of the child (Williams et al., 2015). Other symptoms are seen to include the abrupt mood swings, compulsive behaviors, low mood, feelings of sadness, nervousness of the situation and many others. This is indeed one of the most harmful and dangerous phases for the mothers as they are found to develop suicidal tendencies. In such situations, it becomes extremely important to provide as much mental and physical support to such mothers to help them overcome such depressive phase successfully. Society can be held equally responsible for the development of depression among the women. One of the most important contributing factors is the expectations set by the society about the job roles and responsibilities set for males and females (Chang et al., 2017). The expectations dictate women to be associated with the responsibilities of home-making with serving their duties to the family members, spouse, children and others, attending to their needs,
3 DEPRESSION caring for their comfort and many others. This often leaves time for the women to care for their own selves and take out time for earning for themselves or being dedicated to their likings and hobbies. In order to avoid societal criticism and discriminations, women tend to suppress their wishes, likings and career opportunities and continue attending to families. This results in emotional turmoil and depression in women (Yelland et al., 2015). Another factor that also creates depression is the gender biased discrimination like that pay gaps experienced by women in the nation of Australia. Evidences of less pay for women when sharing same responsibilities in offices, inhibitionof promotionof women tohigher positionsinorganizations,negative comments-abuses—bullying and sexual harassments in the offices also make such women withdraw themselves from meeting their aspirations. This factor mainly contributes to depression among the women population in the nation which is not experienced by the males to such an extent. Another factor that also results in depression among the women is the rising prevalence of domestic violence and abuse in the nation affecting both the physical and mental health of women of the nation. Data shows 1 in every 4 women had experienced emotional abuse and 1 in 5 women have experienced sexual violence from their current as well as former partners since the age of 15 (Edwards et al., 2015). About 85% of the women in the nation have been sexually harassed and 40% of the women had continued to experience violence from their partners even when temporarily separated. Intimate partner violence had already leaded to contribution of illness, disability; depression as well as premature deaths aged 18-44. Hence, such violence of women had been another major contributor to development of depression on the women.
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4 DEPRESSION Models for health promotion: Program “Women power” This model of health promotion mainly takes place in five important steps. Every important steps guide the policy makers or the health promoters to develop strategies and take initiatives at all the five levels to ensure helping women of the nation to overcome depression. The first step is called the interpersonal or that of the individual factors which influence the knowledge, attitudes, personality as well as the beliefs of the women. It is very important for women to identify that they are suffering from depression. This is because most of the women of the nation have accepted their emotional turmoil and grief as a part of their lives where they cannot identify that they are suffering from mental health. hence everycommunityleadersshoulddevelopbrochuresandpamphletsdiscussingthe disorder in details and providing checklists which can help women find out whether their symptoms of depression are present or not (Almeida et al., 2016). They can also arrange for workshops with eminent speakers to motivate them and change their knowledge, attitudes, beliefs, and personality. In this way, they would be able to develop the knowledge about their own heath and this would make them approach for support. It would help them to learn that domestic violence, pay gap issues, stigmatization of the roles should not be accepted and that they should be reported to. Changes in values and beliefs would help such people to tackle their mental health effectively The second step is called the interpersonal factors like interactions with other people which can help to provide support or create barriers in personal growth. For these, different charitable organizations and peer group supports might initiate initiatives where
5 DEPRESSION they try to connect with more women suffering from depression. These organizations can help in identifying the women and can provide them necessary support as much as possible. Peer group workers have members who have successfully overcome depression in their live and are now successful (Brijnath et al., 2016). Such people can interact with already depressed women encouraging them and helping them in every ways possible to overcome depression. Since they are experiences, they can share their stories and help make depressed women motivates to bring out changes in their own lives The third aspect is institutional as well organizational factors that include rules and regulations, policies and informal structures that contain or promote the behaviors. Here, the government needs to publish policies that would aim in mitigating the social factors contributing to depression. The Department of Health should be instructed in initiating screening sessions for women in every community to find out the rate of people affected and as per healthcare services should be arranged immediately (Crome et al., 2015). Every organization should be monitored by government led monitoring bodies to inspect issues of bullying, sexual harassment, gender pay gaps, and others. Human resources system should initiate zero tolerance policies on any violence over women and also initiate gender pay equality policies. The next aspect is the community factors like that formal and social norms that are found to exit among individuals, organizations and groups which can limit or enhance healthy behaviors. Communities should initiate health promotion programs like health education sessions to help women identify depression and understand ways about how to overcome them. The pamphlets can be circulated which would comprise of details about services, counselors, therapists and others which can help them to approach for such services. It
6 DEPRESSION has been found that individuals. Communities should undertake the initiatives to educate the people about overcoming stigmatization and discrimination about women roles arranging for talk shows (Landstate et al., 2016). Community healthcare centers should be instructed to conduct screening sessions for women who are expecting and those who have delivered their babies for up to two years. The next stage is called public policy factors. The local, federal as well as the state should introduce laws that would regulate as well as support health actions and practices for early detection, control as well as management for disorders. Policy makers need to produce strict laws for violence on women, and gender pay gap where they would be penalizing and punishing the perpetrators (Lovestad et al., 2017). Health policies guiding women as well as professionals about the initiatives they need to take to overcome discrimination would be also published. This would help as guiding framework enabling the vulnerable women to take initiatives for their recovery or for prevention. Conclusion: From the above discussion, it has been seen that depression is higher among women in the nation. Some of the causes apart from biological influences are socials stigmatization about roles of women in hones, gender pay gap, sexual harassment and bullying a workplaces and domestic violence, and post partum depression. With the help of socio-ecological model, program “women power” had been developed that would help in managing the prevalence of depression among women in nation.
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7 DEPRESSION References: Almeida, O. P., Marsh, K., Flicker, L., Hickey, M., Sim, M., & Ford, A. (2016). Depressive symptoms in midlife: the role of reproductive stage.Menopause,23(6), 669-675. Brijnath, B., & Antoniades, J. (2016). “I'm running my depression:” Self-management of depression in neoliberal Australia.Social Science & Medicine,152, 1-8. Brüggmann, D., Wagner, C., Klingelhöfer, D., Schöffel, N., Bendels, M., Louwen, F., ... & Groneberg, D. A. (2017). Maternal depression research: socioeconomic analysis and density-equalizing mapping of the global research architecture.Archives of women's mental health,20(1), 25-37. Chang, M. X. L., Jetten, J., Cruwys, T., & Haslam, C. (2017). Cultural identity and the expression of depression: A social identity perspective.Journal of Community & Applied Social Psychology,27(1), 16-34. Crome, E., Grove, R., Baillie, A. J., Sunderland, M., Teesson, M., & Slade, T. (2015). DSM-IV and DSM-5 social anxiety disorder in the Australian community.Australian & New Zealand Journal of Psychiatry,49(3), 227-235. Edwards, C., Mukherjee, S., Simpson, L., Palmer, L. J., Almeida, O. P., & Hillman, D. R. (2015). Depressive symptoms before and after treatment of obstructive sleep apnea in men and women.Journal of clinical sleep medicine,11(09), 1029-1038. Landstedt, E., Almquist, Y. B., Eriksson, M., & Hammarström, A. (2016). Disentangling the directions of associations between structural social capital and mental health: longitudinal
8 DEPRESSION analysesof gender,civicengagementand depressive symptoms.SocialScience& Medicine,163, 135-143. Lövestad, S., Löve, J., Vaez, M., & Krantz, G. (2017). Prevalence of intimate partner violence and its association with symptoms of depression; a cross-sectional study based on a female population sample in Sweden.BMC public health,17(1), 335. McMahon, C. A., Boivin, J., Gibson, F. L., Hammarberg, K., Wynter, K., & Fisher, J. R. (2015). Older maternal age and major depressive episodes in the first two years after birth: Findingsfrom theParentalAge and TransitiontoParenthood Australia(PATPA) study.Journal of affective disorders,175, 454-462. Shivappa, N., Schoenaker, D. A., Hebert, J. R., & Mishra, G. D. (2016). Association between inflammatory potential of diet and risk of depression in middle-aged women: the Australian Longitudinal Study on Women’s Health.British Journal of Nutrition,116(6), 1077-1086. Williams, L. J., Pasco, J. A., Stuart, A. L., Jacka, F. N., Brennan, S. L., Dobbins, A. G., ... & Berk, M. (2015). Psychiatric disorders, psychotropic medication use and falls among women: an observational study.BMC psychiatry,15(1), 75. Woolhouse, H., Gartland, D., Mensah, F., & Brown, S. J. (2015). Maternal depression from early pregnancy to 4 years postpartum in a prospective pregnancy cohort study: implications forprimaryhealthcare.BJOG:AnInternationalJournalofObstetrics& Gynaecology,122(3), 312-321.
9 DEPRESSION Yelland, C., Girke, T., Tottman, C., & Williams, A. S. (2015). Clinical characteristics and mental health outcomes for women admitted to an Australian Mother–Baby Unit: a focus on borderlinepersonalitydisorderandemotionaldysregulation?.Australasian Psychiatry,23(6), 683-687.