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The meaning of major depression in family life: the viewpoint of the ill parent
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
2010 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, no 1-2§, p. 284-293Article in journal (Refereed) Published
Abstract [en]

Aim and objective.

The aim was to elucidate the meaning of major depression in family life

from the viewpoint of an ill parent.

Background.

Major depression according to Diagnostic and Statistical Manual of

Mental Disorders is common and may appear repeatedly over several

years, and affects family life. Depression in parents has a negative

impact on family function and children's health; however, studies

regarding the deeper understanding of major depression in family life

are lacking.

Design.

A qualitative explorative study using narrative interviews with eight

parents who were identified with major depression.

Methods.

A phenomenological-hermeneutic method of interpretation was used for

analysing interview texts and included naive understanding, a

structural analysis where text was divided into meaning units, which

were condensed and abstracted, and finally a comprehensive

understanding.

Result.

Two themes were extracted: 'to be afflicted in an almost unmanageable

situation' with sub-themes 'feeling hopelessly bad', 'being worthless',

'being unsatisfied' and the theme 'to reconcile oneself to the

situation' with sub-themes 'being active', 'being satisfied' and

'maintaining parenthood'.

Conclusion.

Comprehensive understanding revealed the parents' simultaneous

suffering and dignity in family life; suffering with serious lack of

well-being and health, destroyed self-confidence and unhappiness, and

dignity with strength, confidence and joy in children. The movement

between suffering and dignity complicated family life. Dignity was

threatened by the awareness that suffering in major depression was

recurrent. Dignity had to be repeatedly restored for self and the

family, and family dignity has to be restored before others outside the

family circle.

Relevance to clinical practice.

A deeper understanding of the meaning of major depression in family

life is helpful and for healthcare professionals to prevent individual

and family suffering by assisting and preserving dignity.

 

Place, publisher, year, edition, pages
2010. Vol. 19, no 1-2§, p. 284-293
Keywords [en]
depression; family; mental health; nursing; parents; phenomenological hermeneutics
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-10933DOI: 10.1111/j.1365-2702.2009.02851.xISI: 000272888800031Scopus ID: 2-s2.0-73149122106OAI: oai:DiVA.org:miun-10933DiVA, id: diva2:284868
Available from: 2010-01-08 Created: 2010-01-08 Last updated: 2017-12-12Bibliographically approved

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Danielson, Ella

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