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.

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Women and depression and culture

  1. 1. Connie Marsh MDUniversity of Kansas School of Medicine-Wichita
  2. 2.  Importance of topic By 2020, depression will be the second greatest cause of disability world wide
  3. 3.  In any given year, what percentage of individuals will have depression? a. 2% b. 5% c. 10%
  4. 4.  True or False Women and men have the same rates of depression.
  5. 5.  What percentage of women, over a life time, will have depression? a. 7% b. 13% c. 21%
  6. 6.  Importance ◦ impact
  7. 7.  Impact ◦ Isolation ◦ Work problems ◦ Family problems ◦ Worsening medical problems ◦ Suicide attempt and completion  15%
  8. 8.  Importance ◦ Impact on illness  Greater disability and impairment  Diabetes  Lung disease  High blood pressure  Back problems  Heart disease
  9. 9.  For most women, depression usually first occurs a. Age 15-24 b. Age 25-44 c. Age 45-55
  10. 10.  Neglected ◦ 60% detection by primary care doctor ◦ Less than 2/3 of people with depression seek treatment  Inadequate treatment is common
  11. 11.  What does depression look like?
  12. 12.  Mood Sleep Appetite Energy Interests Guilt Concentration Slowed down Thoughts of suicide
  13. 13.  Women more likely ◦ Seasonal component ◦ Excess eating ◦ Excess sleeping
  14. 14.  What does depression look like?
  15. 15.  Perception of mental illness Stigma Willingness to accept treatment Compliance to treatment Role expectations Immigration
  16. 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. 17.  Male/female disparity
  18. 18.  Social ◦ Introspection encouraged in girls Socioeconomic ◦ Single parent ◦ Social isolation Psychological ◦ Increased rates of sexual/physical abuse in females
  19. 19.  Male/female disparity ◦ ENDOCRINE/neurotransmittors ESTROGEN
  20. 20.  Puberty Premenstrual Pregnancy/lactation Postpartum Perimenopause
  21. 21.  What are risk factors for depression?
  22. 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. 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. 24.  Psychotherapy Antidepressant medication Life style changes ◦ Exercise ◦ Nutrition ◦ Socialization
  25. 25.  If risk factors ◦ Recognize susceptibility ◦ Don’t ignore symptoms, including irritability ◦ Get therapy Stay healthy ◦ Exercise ◦ Avoid substances—drugs, alcohol, MJ, smoking
  26. 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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