Masentuneen elämänhallinnan tukeminen perusterveydenhuollossa

Research output: ThesisDoctoral ThesisMonograph

Abstract

Depression is a multi-faceted syndrome both in view of the background and support, treatment and rehabilitation and thus a big challenge in the whole society. To be able to prevent and treat it individually we need multiple ways to recognize determinants and risk factors of depression. The family, the nearests and the work are in the main role in developing and supporting the sense of coherence, coping strategies and self-esteem and thus preventing depressive symptoms. To collect the data about background of depression and challenges in self-esteem, sense of coherence and coping strategies as a child and as an adult, both depressed and their spouses and undepressed 30-64 aged were included into the study. The depressed were married volunteers recruited by the psychiatric nurses treating them in the health centres of Jyväskylä. The risk-group (the stressed) and the coping-group were recruited by the random sampling (n=300) from the population register. Altogether 41 individuals were interviewed and they filled the questionnaires. Quantitative and qualitative material was analyzed parallely in all the main chapters including topics of the family and the nearests, stress, work and their connections with depression. The role of childhood family in creating attachment relation and self-esteem was seen strong when analyzed by both methods. Continuum of mental health problems across the generations could be detected especially in walk of life interviews. Stressful life events may form a risk of depression without sufficient support from the family and the work. Lack of sufficient coping-strategies can lead to breaking the intimate relationships and finishing of work commitments as an adult. Stressful life events, lack of sufficient coping strategies and environmental conditions were many times repeated generation after generation and breaking down the chain was challenging. The respondents had several concrete suggestions and experiences related to good practices in maintaining sense of coherence and coping and in preventing depression and living with it. Early years of childhood and adolescence are the most fruitful in reaching good and permanent results in prevention, and the resources should be directed to these agegroups systematically. The family, the nearests and the work should be connected more closely together to support the personal coping strategies and sense of coherence to avoid and treat depression as an adult.
Original languageEnglish
Supervisors/Advisors
  • Larivaara, Pekka, Supervisor, External person
  • Partonen, Timo, Supervisor
Award date25 Jan 2019
Place of PublicationHelsinki
Publisher
Print ISBNs978-951-51-4789-9
Electronic ISBNs978-951-51-4790-5
Publication statusPublished - 2019
MoE publication typeG4 Doctoral dissertation (monograph)

Fields of Science

  • Adaptation, Psychological
  • Community Health Services
  • Depression
  • Depressive Disorder
  • Family
  • Primary Health Care
  • Risk Factors
  • Self Efficacy
  • Sense of Coherence
  • Social Support
  • Social Work
  • Stress, Psychological
  • Survival
  • Work
  • 515 Psychology
  • 3124 Neurology and psychiatry
  • 5145 Social work
  • 3141 Health care science
  • 3142 Public health care science, environmental and occupational health

Cite this

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title = "Masentuneen el{\"a}m{\"a}nhallinnan tukeminen perusterveydenhuollossa",
abstract = "Depression is a multi-faceted syndrome both in view of the background and support, treatment and rehabilitation and thus a big challenge in the whole society. To be able to prevent and treat it individually we need multiple ways to recognize determinants and risk factors of depression. The family, the nearests and the work are in the main role in developing and supporting the sense of coherence, coping strategies and self-esteem and thus preventing depressive symptoms. To collect the data about background of depression and challenges in self-esteem, sense of coherence and coping strategies as a child and as an adult, both depressed and their spouses and undepressed 30-64 aged were included into the study. The depressed were married volunteers recruited by the psychiatric nurses treating them in the health centres of Jyv{\"a}skyl{\"a}. The risk-group (the stressed) and the coping-group were recruited by the random sampling (n=300) from the population register. Altogether 41 individuals were interviewed and they filled the questionnaires. Quantitative and qualitative material was analyzed parallely in all the main chapters including topics of the family and the nearests, stress, work and their connections with depression. The role of childhood family in creating attachment relation and self-esteem was seen strong when analyzed by both methods. Continuum of mental health problems across the generations could be detected especially in walk of life interviews. Stressful life events may form a risk of depression without sufficient support from the family and the work. Lack of sufficient coping-strategies can lead to breaking the intimate relationships and finishing of work commitments as an adult. Stressful life events, lack of sufficient coping strategies and environmental conditions were many times repeated generation after generation and breaking down the chain was challenging. The respondents had several concrete suggestions and experiences related to good practices in maintaining sense of coherence and coping and in preventing depression and living with it. Early years of childhood and adolescence are the most fruitful in reaching good and permanent results in prevention, and the resources should be directed to these agegroups systematically. The family, the nearests and the work should be connected more closely together to support the personal coping strategies and sense of coherence to avoid and treat depression as an adult.",
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author = "Anneli Kuusinen-Laukkala",
note = "M1 - 354 s.",
year = "2019",
language = "English",
isbn = "978-951-51-4789-9",
publisher = "[A. Kuusinen-Laukkala]",
address = "Finland",

}

Masentuneen elämänhallinnan tukeminen perusterveydenhuollossa. / Kuusinen-Laukkala, Anneli.

Helsinki : [A. Kuusinen-Laukkala], 2019. 354 p.

Research output: ThesisDoctoral ThesisMonograph

TY - THES

T1 - Masentuneen elämänhallinnan tukeminen perusterveydenhuollossa

AU - Kuusinen-Laukkala, Anneli

N1 - M1 - 354 s.

PY - 2019

Y1 - 2019

N2 - Depression is a multi-faceted syndrome both in view of the background and support, treatment and rehabilitation and thus a big challenge in the whole society. To be able to prevent and treat it individually we need multiple ways to recognize determinants and risk factors of depression. The family, the nearests and the work are in the main role in developing and supporting the sense of coherence, coping strategies and self-esteem and thus preventing depressive symptoms. To collect the data about background of depression and challenges in self-esteem, sense of coherence and coping strategies as a child and as an adult, both depressed and their spouses and undepressed 30-64 aged were included into the study. The depressed were married volunteers recruited by the psychiatric nurses treating them in the health centres of Jyväskylä. The risk-group (the stressed) and the coping-group were recruited by the random sampling (n=300) from the population register. Altogether 41 individuals were interviewed and they filled the questionnaires. Quantitative and qualitative material was analyzed parallely in all the main chapters including topics of the family and the nearests, stress, work and their connections with depression. The role of childhood family in creating attachment relation and self-esteem was seen strong when analyzed by both methods. Continuum of mental health problems across the generations could be detected especially in walk of life interviews. Stressful life events may form a risk of depression without sufficient support from the family and the work. Lack of sufficient coping-strategies can lead to breaking the intimate relationships and finishing of work commitments as an adult. Stressful life events, lack of sufficient coping strategies and environmental conditions were many times repeated generation after generation and breaking down the chain was challenging. The respondents had several concrete suggestions and experiences related to good practices in maintaining sense of coherence and coping and in preventing depression and living with it. Early years of childhood and adolescence are the most fruitful in reaching good and permanent results in prevention, and the resources should be directed to these agegroups systematically. The family, the nearests and the work should be connected more closely together to support the personal coping strategies and sense of coherence to avoid and treat depression as an adult.

AB - Depression is a multi-faceted syndrome both in view of the background and support, treatment and rehabilitation and thus a big challenge in the whole society. To be able to prevent and treat it individually we need multiple ways to recognize determinants and risk factors of depression. The family, the nearests and the work are in the main role in developing and supporting the sense of coherence, coping strategies and self-esteem and thus preventing depressive symptoms. To collect the data about background of depression and challenges in self-esteem, sense of coherence and coping strategies as a child and as an adult, both depressed and their spouses and undepressed 30-64 aged were included into the study. The depressed were married volunteers recruited by the psychiatric nurses treating them in the health centres of Jyväskylä. The risk-group (the stressed) and the coping-group were recruited by the random sampling (n=300) from the population register. Altogether 41 individuals were interviewed and they filled the questionnaires. Quantitative and qualitative material was analyzed parallely in all the main chapters including topics of the family and the nearests, stress, work and their connections with depression. The role of childhood family in creating attachment relation and self-esteem was seen strong when analyzed by both methods. Continuum of mental health problems across the generations could be detected especially in walk of life interviews. Stressful life events may form a risk of depression without sufficient support from the family and the work. Lack of sufficient coping-strategies can lead to breaking the intimate relationships and finishing of work commitments as an adult. Stressful life events, lack of sufficient coping strategies and environmental conditions were many times repeated generation after generation and breaking down the chain was challenging. The respondents had several concrete suggestions and experiences related to good practices in maintaining sense of coherence and coping and in preventing depression and living with it. Early years of childhood and adolescence are the most fruitful in reaching good and permanent results in prevention, and the resources should be directed to these agegroups systematically. The family, the nearests and the work should be connected more closely together to support the personal coping strategies and sense of coherence to avoid and treat depression as an adult.

KW - Adaptation, Psychological

KW - Community Health Services

KW - Depression

KW - Depressive Disorder

KW - Family

KW - Primary Health Care

KW - Risk Factors

KW - Self Efficacy

KW - Sense of Coherence

KW - Social Support

KW - Social Work

KW - Stress, Psychological

KW - Survival

KW - Work

KW - 515 Psychology

KW - 3124 Neurology and psychiatry

KW - 5145 Social work

KW - 3141 Health care science

KW - 3142 Public health care science, environmental and occupational health

M3 - Doctoral Thesis

SN - 978-951-51-4789-9

PB - [A. Kuusinen-Laukkala]

CY - Helsinki

ER -