Korean J Health Promot.  2016 Mar;16(1):1-10. 10.15384/kjhp.2016.16.1.1.

Factors Influencing Middle-aged Women's Depression

• Lee HS
• Kim C
• Lee D

• KMID: 2247033
• DOI: http://doi.org/10.15384/kjhp.2016.16.1.1

Abstract

BACKGROUND
According to the 2013 statistics, The prevalence rate of depression of women was twice compare to man. Especially, about 53% of depression patients were women over age 40. So this study was conducted to analyze whether women's depression is influenced by their socio-demographic characteristics, life stress, and social support.
METHODS
This study was a descriptive survey, and data were collected during the period from the 1st to 31st of August in 2015, using a self-reporting questionnaire from 196 women aged between 40 and 60 who were sampled from an urban area through convenient sampling.
RESULTS
First, among the sub-factors of life stress, health-related & role conflict stress were highest. And life stress was higher when social support was low. Second, social support was higher when exercise was done regularly. Lastly, the results of structural equation modeling analysis showed that life stress and social support had a significant effect on depression. Life stress had a significant direct effect on social support, and social support had a significant direct effect on depression. Life stress had an indirect effect on depression through the medium of social support, and their explanatory power was R2=0.68 and R2=0.64, respectively.
CONCLUSIONS
This study confirmed that depression was in a very close relationship with life stress and social support. This finding suggests that future health policies for managing middle-aged women's depression should focus on reducing life stress and reinforcing their social support.

Keyword

Women; Stress; Social support; Depression

MeSH Terms

Depression*
Female
Health Policy
Humans
Prevalence
Stress, Psychological

Figure

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  Figure 1. Research model and standardized factor loading values. Model fit analysis by SEM; df＝23, χ2＝62.12, χ2/df＝2.70, GFI＝0.93, AGFI＝0.90, RMSEA＝0.09, NFI＝0.91, CFI＝0.94, TLI＝0.91.

Reference

References

1. Korea Health Insurance Review & Assessment Service. Depression in midlife and elderly. Wonju: Korea Health Insurance Review & Assessment Service;2014. [Accessed September 20, 2015].http://www.hira.or.kr/dummy.do?pgmid=HIRAA020041000000&cmsurl=/cms/inform/02/1330938_27116.html&subject.

2. Korea Ministry of Health & Welfare & Korea Center for Disease Control and Prevention. The Korean National Health and Nutrition Examination Survey [KNHANES Ⅵ-1]. Sejong: Korea Ministry of Health & Welfare & Korea Center for Disease Control and Prevention;2014. [Accessed September 20, 2015].http://www.cdc.go.kr/CDC/contents/CdcKrContentView.jsp. ?cid=60949&menuIds=HOME001-MNU1130-MNU1639-M. p. NU1749–MNU1761.

3. Soares CN. Depression in peri- and postmenopausal women: prevalence, pathophysiology and pharmacological management. Drugs Aging. 2013; 30:677–85.

4. Kim SJ, Kim SY. A study on the relationship of marital intimacy, depression, and menopausal symptoms in middle-aged women. Korean J Women Health Nurs. 2013; 19(3):176–87.

5. Lee HY, Jeon HS. Effects of life satisfaction expectancy, mindfulness and social support on depression of the marital middle-aged women. Jour of KoCon.a. 2011; 11(7):275–84.

6. Tinsley EG, Sullivan-Guest S, McGuire J. Feminie sex role and depression in middle-aged women. Sex Roles. 1984; 11:25–32.

7. Park GJ, Lee KH. A structural model for depression in middle-aged women. Korean J Women Health Nurs. 2002; 8(1):69–84.

8. Park GJ, Lee JH, Kim MO, Bang BK, Youn SJ, Choi EJ. Relationships among perceived life stress, self-esteem and depression in middle-aged women. J Korean Acad Community Health Nurs. 2002; 13(2):354–62.

9. Vines AI, Ta M, Esserman D, Baird DD. A comparison of the occurrence and perceived stress of major life events in black and white women. Women Health. 2009; 49(5):368–80.

10. Lee PS. Correlation study among anger, perceived stress and mental health status in middle aged women. J Korean Acad Nurs. 2003; 33(6):856–64.

11. Choi MK, Lee YH. Depression, powerlessness, social support, and socioeconomic status in middle aged community residents. J Korean Acad Psych Mental Health Nurs. 2010; 19(2):196–204.

12. Chang SJ, Chee W, Im EO. Menopausal symptoms and physical activity in multiethnic groups of midlife women: a secondary analysis. J Adv Nurs. 2012; 69(9):1953–65.

13. Oman RF, Oman KK. A case-control study of psychosocial and aerobic exercise factors in women with symptoms of depression. J Psychol. 2003; 137(4):338–50.

14. Yeh SH, Lin LW, Chuang YK, Liu CL, Tsai LJ, Tsuei FS, et al. Effects of music aerobic exercise on depression and brain-derived neurotrophic factor levels in community dwelling women. Biomed Res Int. 2015; 2015:135893.

15. Mauas V, Kopala-Sibley D, Zuroff D. Depressive symptoms in the transition to menopause: the roles of irritability, personality vulnerability, and self-regulation. Arch Womens Ment Health. 2014; 17(4):279–89.

16. Lee HS, Kim C. Menopausal symptoms and depression among midlife women. J Korean Acad Community Health Nurs. 2010; 21(4):429–38.

17. Oi N, Ohi K. The relationship between psychosocial problems including depression and behavioral trends among middle-aged menopausal women in a cohort study. Int J Cosmet Sci. 2013; 35(6):581–7.

18. Park E. A study on social support and depression by gender among adults. Korean J Women Health Nurs. 2011; 17(2):169–77.

19. Uebelacker LA, Eaton CB, Weisberg R, Sands M, Williams C, Calhoun C, et al. Social support and physical activity as moderators of life stress in predicting baseline depression and change in depression over time in the women's health initiative. Soc Psychiatry Psychiatr Epidemiol. 2013; 48(12):1971–82.

20. Everard KM, Lach HW, Fisher EB, Baum MC. Relationship of activity and social support to the functional health of older adults. J Gerontol B Psychol Sci Soc Sci. 2000; 55(4):S208–12.

21. Chae SM, Park JW, Kang HS. Relationships of acculturative stress, depression, and social support to health related quality of life in Vietnamese immigrant women in South Korea. J Transcult Nurs. 2014; 25(2):137–44.

22. Holmes TH, Rahe RH. The social readjustment rating scale. J Psychosom Res. 1967; 11(2):213–8.

23. Park SM. The effect of middle aged women's social support, life stress and self-esteem on depression [dissertation]. Busan: Dong-A University;2008. Korean.

24. Yoon YC. A study of factors influencing the psychosocial crises of middle aged women [Thesis]. Daejeon: Mokwon University;2000. Korean.

25. Radloff LS. The CES-D scale a self-report depression scale for research in the general population. Appl Psychol Meas. 1997; 1(3):385–401.

26. Bae SW, Shin WS. The factor structure of the CES-D scale (the Center for Epidemiologic Studies-Depression Scale): an application of confirmatory factor analysis. Health Soc Sci. 2005; 18(18):165–90.

27. Kim JY, Cho SM, Seo GH, Cho SJ, Kim JK, Cho MJ. Transcultural difference in expressing depressive symptoms in Koreans-Factor structure of the center for epidemiologic studies depression scale (CES-D). Korean J Psychopathol. 2000; 9(1):78–87.

28. Heo JE, Tae YS. Influence of spiritual wellbeing and social support on depression in middle-aged women. Korean J Adult Nurs. 2014; 26(2):181–90.

29. Artinian NT, Washington OG, Flack JM, Hockman EM, Jen KL. Depression, stress, and blood pressure in urban African-American women. Prog Cardiovasc Nurs. 2006; 21(2):68–75.

30. Heo JE. Structural equation model on depression in middle aged married women [Thesis]. Busan: Kosin University;2015. Korean.