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Major depression and family life: the family's way of living with a long-term illness
University West, Department of Nursing, Health and Culture, Division of Nursing.ORCID iD: 0000-0001-5705-5705
2009 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Göteborg: Institute of Health and Care Sciences at Sahlgrenska Academy, University of Gothenburg , 2009. , p. 50
Keywords [en]
Children, content analysis, everyday life-world, family, family life, phenomenological hermeneutics, major depression, parents
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-2511ISBN: 978-91-628-7668-5 (print)OAI: oai:DiVA.org:hv-2511DiVA, id: diva2:323600
Available from: 2010-06-11 Created: 2010-06-11 Last updated: 2014-05-08Bibliographically approved
List of papers
1. Living with major depression: Experiences from families' perspectives
Open this publication in new window or tab >>Living with major depression: Experiences from families' perspectives
2009 (English)In: Scandinavian Journal of Caring Sciences, Vol. 23, no 2, p. 309-316Article in journal (Refereed) Published
Keywords
Children, Content analysis, Family, Major depression, Narrative group interview, Nursing
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-1670 (URN)10.1111/j.1471-6712.2008.00624.x (DOI)
Available from: 2009-09-28 Created: 2009-09-25 Last updated: 2014-05-08Bibliographically approved
2. The meaning of major depression in family life: The viewpoint of the ill parent
Open this publication in new window or tab >>The meaning of major depression in family life: The viewpoint of the ill parent
2010 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, no 1-2, p. 284-293Article, review/survey (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 naïve 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.

Keywords
depression, family, mental health, nursing, parents, phenomenological hermeneutics
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-2153 (URN)10.1111/j.1365-2702.2009.02851.x (DOI)
Available from: 2010-01-20 Created: 2010-01-20 Last updated: 2017-12-12Bibliographically approved
3. Children's view of a major depression affecting a parent in the family
Open this publication in new window or tab >>Children's view of a major depression affecting a parent in the family
2011 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 32, no 9, p. 560-567Article in journal (Refereed) Published
Abstract [en]

This study aims to elucidate, from the children's perspective, the meaning for family life of a parent suffering a major depression disorder. Eight children and young adults were interviewed. Phenomenological-hermeneutic analysis generated two themes: (1) "Being a rescuing observer" with the subthemes, "Being attentive" and "Being considerate," and (2) "Being a frustrated observer" with the subthemes, "feeling discomfort" and "being out of it." Children's lives alternate between responsibility and loneliness as they wait for reciprocity in family life to return to normal. Children need support in order to manage their sense of responsibility and loneliness adequately.

Keywords
Depression
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-2512 (URN)10.3109/01612840.2011.579689 (DOI)
Available from: 2010-06-11 Created: 2010-06-11 Last updated: 2017-12-12Bibliographically approved
4. Major depression in a family: What happens and how to manage - A case study
Open this publication in new window or tab >>Major depression in a family: What happens and how to manage - A case study
2007 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 28, no 7, p. 691-706Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Informa Healthcare, 2007
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-126 (URN)10.1080/01612840701416023 (DOI)
Available from: 2009-04-14 Created: 2009-04-14 Last updated: 2017-12-13Bibliographically approved

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