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Digitale Dissertation

Jeannette Bischkopf :
Coping with the burden of living with a depressed spouse
A qualitative study
Zur Lebenssituation der Partner depressiver Patienten

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|Abstract| |Table of Contents| |More Information|

Abstract

Aims. To date clinical research on the couple relationships of depressed patients have focused mainly on the aetiology, course or treatment of the depression. The aim of the present study was to reconstruct the changes in marital or partner and family relationships experienced by the spouses and partners of depressed patients. Methods. The dissertation is based on a qualitative analysis of narrative interviews carried out to establish the situations of the study participants (n=54) in a longitudinal study on the "Burden of Caring for Mentally Ill Family Members - Economic and Health Aspects". This research project was conducted by Prof. Dr. med. M.C. Angermeyer at the Clinic and Outpatient Clinic for Psychiatry of the University of Leipzig. Results. Depressed patients' partners experience the depression as a life event with far-reaching consequences for their family relationships and daily lives. The coping mechanisms employed can be categorised under the dimensions "degree of involvement" and "exertion of influence". Specific supportive services are necessary to counteract the acute and long-term consequences of living with a depressed spouse. Conclusions. In the clinical context active, co-operative coping mechanisms, i.e. coping mechanisms with a high degree of involvement and exertion of influence on the part of spouses and partners, should be promoted. The results of the study indicate that greater attention should be paid to relationship issues in the treatment of depressed patients and that supportive measures should be instituted to reduce the burden borne by their spouses and partners.

Table of Contents

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0.1. Deckblätter 0
0.2. Abstract 3
0.3. Inhaltsverzeichnis 6
1. Einleitung 9
2. Klinische Aspekte von Depression 12
3. Dyadische Aspekte von Depression 29
4. Depression aus Angehörigenperspektive 44
5. Fragestellung und Konzeption der Untersuchung 60
6. Methodische Basis und Durchführung der Untersuchung 64
7. Depression und die Auswirkungen aus Partnerperspektive 86
8. Dimensionen der Krankheitsbewältigung aus Partnerperspektive 109
9. Stresserleben und Entlastungsstrategien der Partner 128
10. Diskussion 139
11. Zusammenfassung der Ergebnisse 158
12. Literaturverzeichnis 160
A. Anhang - Fallanalysen 187
B. Anhang - Auswertungsbeispiel 265
C. Anhang - Erklärung 273

More Information:

Online available: http://www.diss.fu-berlin.de/2003/10/indexe.html
Language of PhDThesis: german
Keywords: depression, spouse, burden, coping, qualitative
DNB-Sachgruppe: 11 Psychologie
Date of disputation: 16-Dec-2002
PhDThesis from: Fachbereich Erziehungswissenschaft und Psychologie, Freie Universität Berlin
First Referee: Prof. Dr. Anna Auckenthaler
Second Referee: Prof. Dr. Dieter Kleiber
Third Referee: Prof. Dr. Manfred Zaumseil, PD Dr. Susanne Zank, Dr. Christian Stiglmayr
Contact (Author): bischk@zedat.fu-berlin.de
Contact (Advisor): auckenth@zedat.fu-berlin.de
Date created:28-Jan-2003
Date available:28-Jan-2003

 

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