Role commitment and coping strategies in female patients with depressive disorders at King Chulalongkorn Memorial Hospital
Keywords:
Coping strategies, depressive disorder, role commitment, social supportAbstract
Background: Role commitment, coping strategies, and social support were factors associated with depression in female depressed patients. However, studies concerning these factors in Thai female depressed patients were still limited.
Objective: To determine the severity and associated factors of depression in female patients with depressive disorders. The associated factors included role commitment, coping strategies, and social support.
Methods: One hundred and fifty two patients aged 18 years and above diagnosed as major depressive disorder or persistent depressive disorder or double depression using DSM-5 criteria were recruited. All subjects completed five questionnaires, namely: 1) Demographic Questionnaire; 2) Beck Depression Inventory-II (BDI-II) – Thai Version; 3) Multiple Role Commitment Questionnaire; 4) Coping Scale; and, 5) Social Support Questionnaire. Medical data forms were completed by the researcher. Logistic regression was performed to identify the potential predictors of depression.
Results: The mean score of the depression severity in female depressed patients was moderate (24.2 13.8) from the total score of 63. Factors associated with moderate-to-severe level of depression were low caregiver and kinship role commitment, low use of seeking social support coping strategy, low emotional support (P < 0.05), age under or equal to 30 years, income less or equal to 20,000 baht, having none-to-low husband care burden, low use of problem focused coping strategy, high use of avoidance coping strategy, receiving low social support and informational support (P < 0.01). The logistic regression analysis indicated that the risks for moderate to severe level of depression were age under or equal 30 years, low income, low husband care burden, low caregiver and kinship role commitment, low problem focused and seeking social support coping strategies, high avoidance coping strategy, and low social support.
Conclusion: Depression in most female patients were in the severe level. Promoting multiple role commitment, using the suitable coping strategies, and increasing social support may help reduce female patients’ depressive symptoms.
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