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Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
Women and depression and culture
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Women and depression and culture

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December 2012 Women's Connection luncheon presentation on Women and Depression by Connie Marsh, MD, associate medical director of Via Christi Senior Behavioral Health.

December 2012 Women's Connection luncheon presentation on Women and Depression by Connie Marsh, MD, associate medical director of Via Christi Senior Behavioral Health.

Published in: Health & Medicine
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Transcript

  • 1. Connie Marsh MDUniversity of Kansas School of Medicine-Wichita
  • 2.  Importance of topic By 2020, depression will be the second greatest cause of disability world wide
  • 3.  In any given year, what percentage of individuals will have depression? a. 2% b. 5% c. 10%
  • 4.  True or False Women and men have the same rates of depression.
  • 5.  What percentage of women, over a life time, will have depression? a. 7% b. 13% c. 21%
  • 6.  Importance ◦ impact
  • 7.  Impact ◦ Isolation ◦ Work problems ◦ Family problems ◦ Worsening medical problems ◦ Suicide attempt and completion  15%
  • 8.  Importance ◦ Impact on illness  Greater disability and impairment  Diabetes  Lung disease  High blood pressure  Back problems  Heart disease
  • 9.  For most women, depression usually first occurs a. Age 15-24 b. Age 25-44 c. Age 45-55
  • 10.  Neglected ◦ 60% detection by primary care doctor ◦ Less than 2/3 of people with depression seek treatment  Inadequate treatment is common
  • 11.  What does depression look like?
  • 12.  Mood Sleep Appetite Energy Interests Guilt Concentration Slowed down Thoughts of suicide
  • 13.  Women more likely ◦ Seasonal component ◦ Excess eating ◦ Excess sleeping
  • 14.  What does depression look like?
  • 15.  Perception of mental illness Stigma Willingness to accept treatment Compliance to treatment Role expectations Immigration
  • 16.  Rates of depression across races/ethnic groups ◦ Globally ◦ Within US culture  900 young women  21% of whites  28% of African Americans  29% of Hispanics
  • 17.  Male/female disparity
  • 18.  Social ◦ Introspection encouraged in girls Socioeconomic ◦ Single parent ◦ Social isolation Psychological ◦ Increased rates of sexual/physical abuse in females
  • 19.  Male/female disparity ◦ ENDOCRINE/neurotransmittors ESTROGEN
  • 20.  Puberty Premenstrual Pregnancy/lactation Postpartum Perimenopause
  • 21.  What are risk factors for depression?
  • 22.  For males and females ◦ Family history ◦ Personal history ◦ Serious medical illness ◦ Decreased social support ◦ Serious life stress ◦ Substance abuse, including alcohol, MJ, cigarettes
  • 23.  For females ◦ Loss of parent before age 10 ◦ Childhood sexual/physical abuse ◦ History of depression after pregnancy ◦ Single parent ◦ Unhappy/abusive marriage ◦ Presence of young children in home
  • 24.  Psychotherapy Antidepressant medication Life style changes ◦ Exercise ◦ Nutrition ◦ Socialization
  • 25.  If risk factors ◦ Recognize susceptibility ◦ Don’t ignore symptoms, including irritability ◦ Get therapy Stay healthy ◦ Exercise ◦ Avoid substances—drugs, alcohol, MJ, smoking
  • 26.  Get help early ◦ More treatable ◦ Less impact on job/family/relationships  Vicious cycle ◦ Recognize stressful times as susceptible times Increase social support network ◦ ASK for help ◦ If young children in home, especially important

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