Ease of marital communication and depressive symptom severity among men and women in rural Uganda: cross-sectional, whole-population study.

Autor: Jurinsky J; Peabody College, Vanderbilt University, Nashville, TN, USA., Perkins JM; Peabody College, Vanderbilt University, Nashville, TN, USA. jessica.m.perkins@vanderbilt.edu.; Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, USA. jessica.m.perkins@vanderbilt.edu., Kakuhikire B; Mbarara University of Science and Technology, Mbarara, Uganda., Nyakato VN; Mbarara University of Science and Technology, Mbarara, Uganda., Baguma C; Mbarara University of Science and Technology, Mbarara, Uganda., Rasmussen JD; Duke University, Durham, NC, USA., Satinsky EN; Center for Global Health, Massachusetts General Hospital, Boston, MA, USA., Ahereza P; Mbarara University of Science and Technology, Mbarara, Uganda., Kananura J; Mbarara University of Science and Technology, Mbarara, Uganda., Audet CM; Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, USA.; University of Witwatersrand, Johannesburg, South Africa., Bangsberg DR; Mbarara University of Science and Technology, Mbarara, Uganda.; Oregon Health & Science University-Portland State University School of Public Health, Portland, OR, USA., Tsai AC; Mbarara University of Science and Technology, Mbarara, Uganda.; Center for Global Health, Massachusetts General Hospital, Boston, MA, USA.; Harvard Medical School, Boston, MA, USA.; Mongan Institute, Massachusetts General Hospital, Boston, MA, USA.
Jazyk: angličtina
Zdroj: Social psychiatry and psychiatric epidemiology [Soc Psychiatry Psychiatr Epidemiol] 2022 Feb; Vol. 57 (2), pp. 343-352. Date of Electronic Publication: 2021 Aug 06.
DOI: 10.1007/s00127-021-02135-4
Abstrakt: Purpose: Depression is a major contributor to the global burden of disease. The extent to which marital communication may influence depression in contexts with little mental health support is unknown.
Methods: We conducted a whole-population study of married adult residents of eight villages in a rural region of southwestern Uganda. Depression symptom severity was measured using a modified version of the Hopkins Symptom Checklist for Depression, with > 1.75 classified as a positive screen for probable depression. Respondents were asked to report about ease of marital communication ('never easy', 'easy once in a while', 'easy most of the time' or 'always easy'). Sex-stratified, multivariable Poisson regression models were fit to estimate the association between depression symptom severity and marital communication.
Results: Among 492 female and 447 male participants (response rate = 96%), 23 women and 5 men reported communication as 'never easy' and 154 women and 72 men reported it as 'easy once in a while'. Reporting communication as 'never easy' was associated with an increased risk of probable depression among women (adjusted relative risk [ARR], 2.06; 95% confidence interval [CI], 1.08-3.93, p = 0.028) and among men (ARR, 7.10; 95% CI 1.70-29.56, p = 0.007).
Conclusion: In this whole-population study of married adults in rural Uganda, difficulty of marital communication was associated with depression symptom severity. Additional research is needed to assess whether communication training facilitated by local leaders or incorporated into couples-based services might be a novel pathway to address mental health burden.
(© 2021. Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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