Life events, social problems and physical health status as predictors of emotional distress in men and women in a community setting

Zimmermann-Tansella, Christa; Donini, Stefano; Lattanzi, Marcello; Siciliani, Orazio; Turrina, Cesare; Wilkinson, Greg

doi:10.1017/s0033291700020614

Cited by 21 publications

(6 citation statements)

References 21 publications

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“…When studied separately, by various researchers, social conditions such as poverty, lack of education, unemployment, living in poor housing, life events and working conditions contribute individually and synergistically to depression among women (Bobak, Pikhart, Hertzman, Rose, & Marmot (1998); Nilsson et al, 2003;Zimmermann-Tansella et al, 1991). This study also suggests that poor social conditions are related with increased depression among pregnant women but only in the univariate analysis.…”

Section: Discussionmentioning

confidence: 61%

Social environment and depression among pregnant women in urban areas of Pakistan: Importance of social relations

Kazi

Fatmi

Hatcher

et al. 2006

Social Science & Medicine

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Aspects of the social environment, including social conditions (socio-economic status, household situations, chronic illnesses) and social relations (attitude and behaviors of relations) are major determinants of depression among women. This study evaluates the relative power of social relations and social conditions in predicting depression among pregnant women in Pakistan. In the qualitative phase of the study, social environmental determinants were identified through literature search, and experts' opinions from psychologists, psychiatrists, gynecologists, sociologists and researchers. Along with this, 79 in-depth interviews were conducted with pregnant women drawn from six hospitals (public and private) and two communities in Karachi, Pakistan. Identified determinants of depression were grouped into themes of social conditions and social relations and pregnancy-related concerns. In the study's quantitative phase, the relative power of the identified themes and categories, based on their scores for predicting depression (determined by the Center for Epidemiological Studies-Depression Scale (CES-D scale)), was determined through multivariate linear regression. Social environmental determinants of pregnant women were described under the themes and categories of (1) social relations: involving husband, in-laws and children; (2) social conditions: involving the economy, illness, life events, household work, environmental circumstances and social problems; and (3) pregnancy-related concerns i.e. symptoms of pregnancy, changes during pregnancy, dependency and concern for unborn baby. Multivariate analysis found that among these themes, social relations and pregnancy-related concerns were significantly associated with total CES-D scores. Among the categories besides increasing age and less education, husband, in-laws, household work and pregnancy symptoms were significantly associated with total CES-D scores. The study highlights the importance of social relations compared to social conditions for determining depression in pregnant women.

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Section: Discussionmentioning

confidence: 61%

Social environment and depression among pregnant women in urban areas of Pakistan: Importance of social relations

Kazi

Fatmi

Hatcher

et al. 2006

Social Science & Medicine

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“…An important yet largely neglected question regarding the nature of the life stress-depression relationship is whether certain types of life events are more depressogenic than others. A small body of research has examined this question, indicating that loss events [ 24 – 26 ] or events within the interpersonal domain [ 27 , 28 ] are more strongly predictive of depression than other events. However, an important facet of life events that, despite possessing high face validity, has received little research attention is whether events that are meaningful or personally salient are more depressogenic.…”

Section: Introductionmentioning

confidence: 99%

The Specific Role of Relationship Life Events in the Onset of Depression during Pregnancy and the Postpartum

et al. 2015

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BackgroundThe precipitating role of life events in the onset of depression is well-established. The present study sought to examine whether life events hypothesised to be personally salient would be more strongly associated with depression than other life events. In a sample of women making the first transition to parenthood, we hypothesised that negative events related to the partner relationship would be particularly salient and thus more strongly predictive of depression than other events.MethodsA community-based sample of 316 first-time mothers stratified by psychosocial risk completed interviews at 32 weeks gestation and 29 weeks postpartum to assess dated occurrence of life events and depression onsets from conception to 29 weeks postpartum. Complete data was available from 273 (86.4%). Cox proportional hazards regression was used to examine risk for onset of depression in the 6 months following a relationship event versus other events, after accounting for past history of depression and other potential confounders.Results52 women (19.0%) experienced an onset of depression between conception and 6 months postpartum. Both relationship events (Hazard Ratio = 2.1, p = .001) and other life events (Hazard Ratio = 1.3, p = .020) were associated with increased risk for depression onset; however, relationship events showed a significantly greater risk for depression than did other life events (p = .044).ConclusionsThe results are consistent with the hypothesis that personally salient events are more predictive of depression onset than other events. Further, they indicate the clinical significance of events related to the partner relationship during pregnancy and the postpartum.

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“…Existen numerosos trabajos que señalan la relación entre los acontecimientos vitales y la aparición de malestar emocional, síntomas psiquiátricos aislados e incluso trastornos mentales (40,41,42). En nuestro estudio hemos encontrado que el número de sucesos vitales que señalan trastornos mentales y códigos Z eran similares.…”

Section: Lozano a Ortiz R Gonzálezunclassified

Análisis comparativo de los pacientes con y sin trastorno mental diagnosticable

Serrano¹,

Lobo

González-González³

2011

Rev. Asoc. Esp. Neuropsiq.

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Life events, social problems and physical health status as predictors of emotional distress in men and women in a community setting

Cited by 21 publications

References 21 publications

Social environment and depression among pregnant women in urban areas of Pakistan: Importance of social relations

Social environment and depression among pregnant women in urban areas of Pakistan: Importance of social relations

The Specific Role of Relationship Life Events in the Onset of Depression during Pregnancy and the Postpartum

Análisis comparativo de los pacientes con y sin trastorno mental diagnosticable

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