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KMID : 0928320160160010011
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Korean Journal of Health Promotion and Disease Prevention
2016 Volume.16 No. 1 p.11 ~ p.19
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The Impact of a Spouse's Depression on Family Functioning and Communication
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유승현:Yoo Seung-Hyun
권혁주:Kwon Hyuk-Ju/김병수:Kim Byung-Su/김선희:Kim Sun-Hee/김영식:Kim Young-Sik/김철민:Kim Chul-Min/선우성:Sunwoo Sung/오한진:Oh Han-Jin/이정아:Lee Jung-Ah/최희정:Choi Hee-Jeong/황희진:Hwang Hee-Jin/옥선화:Ok Sun-Wha
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Abstract
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Background: Depression is known to affect family function and communication. However, the distress experienced by those who have spouse with depression has not been properly assessed to date. This study attempted to examine the effect of depression on family function and communication as reported by the spouses of the depressed patients.
Methods: The participants of this study were 445 couples who visited 28 family doctors from April 2009 to June 2011. The Family Adaptability and Cohesion Evaluation Scale III (FACES-III) was used to evaluate the family function, and the family communication scale in FACES-IV was used to evaluate communication among family members. A score of more than 21 points on the CES-D scale was used to indicate depression. The relationships between family type, family communication, and the depression of one’s spouse were analyzed using the chi-square test and logistic regression.
Results: The odds ratios, indicating how the family is heading towards an extreme level, were statistically significant in all male and female respondents (male: odds ratio [OR] 3.08, 95% confidence interval [CI] 1.73-5.48; female: OR 2.09, 95% CI 1.02-4.27). On the other hand, only female respondents with depressed spouses reported their family communication not to be good (male: OR 1.65, 95% CI 0.88-3.07; female: OR 2.48, 95% CI, 1.25-4.93).
Conclusions: This study revealed people perceive their family function and communication not good when they have spouses with depression. There was no gender difference in the evaluation of their family function, but the perception on their family communication were different by gender.
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KEYWORD
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Depression, Spouses, Family functioning, Commuincation
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