Public Health and Community Medicine Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Department of Neurology and Psychiatry, Faculty of Medicine, Assiut University, Assiut, Egypt.
BMC Psychiatry. 2022 Sep 10;22(1):602. doi: 10.1186/s12888-022-04239-w.
Depression affects about 3.8% of the world's population. Although marriage may contribute to subjective well-being, some marital variables could increase women's risk for depression. This study aimed to determine the prevalence of depressive symptoms and their correlates among married females attending primary healthcare facilities.
A cross-sectional study was conducted on a purposive sample of 371 married women at the primary healthcare centers, Assiut Governorate, Upper Egypt. In this study, an interviewer-administered questionnaire was used for data collection. Depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9) and marital satisfaction using the ENRICH Marital Satisfaction Scale (EMS). Standardized measurements of weight and height were performed.
According to the PHQ-9 diagnostic criteria, the prevalence of depressive symptoms among the studied married females was 30.2%. The significant predictors of depressive symptoms were advanced husbands' ages, living with an extended family, exposure to spousal verbal violence, high body weight, and low marital satisfaction levels.
Approximately one-third of married Egyptian women experienced depressive symptoms. In addition to high body weight, some social and marital factors contributed to the increase in women's vulnerability to depressive symptoms. Egyptian primary healthcare physicians should be trained to identify females with depressive symptoms and refer them to specialists if need be. To combat depression in women, it may be helpful to construct qualified marital counseling centers. This may improve marital satisfaction, decrease the negative consequences of spousal violence, and ensure the value of independence for new families.
抑郁症影响着全球约 3.8%的人口。尽管婚姻可能有助于主观幸福感，但一些婚姻变量可能会增加女性患抑郁症的风险。本研究旨在确定在初级保健机构就诊的已婚女性中抑郁症状的流行率及其相关因素。
本研究采用横断面研究方法，对埃及上埃及阿西尤特省初级保健中心的 371 名已婚女性进行了一项基于目的的抽样调查。在这项研究中，使用访谈者管理的问卷进行数据收集。使用患者健康问卷-9（PHQ-9）评估抑郁症状，使用婚姻丰富量表（EMS）评估婚姻满意度。进行了体重和身高的标准化测量。
根据 PHQ-9 诊断标准，研究中已婚女性抑郁症状的患病率为 30.2%。抑郁症状的显著预测因素是丈夫年龄较大、与大家庭一起生活、遭受配偶言语暴力、体重较高和婚姻满意度较低。
大约三分之一的埃及已婚妇女患有抑郁症状。除了体重较高外，一些社会和婚姻因素也导致女性更容易出现抑郁症状。埃及初级保健医生应该接受培训，以识别有抑郁症状的女性，如果需要，将她们转介给专家。为了治疗女性的抑郁症，建立合格的婚姻咨询中心可能会有所帮助。这可能会提高婚姻满意度、减少配偶暴力的负面影响，并确保新家庭的独立性。
