Relationship between family processes and social support mediating marital satiasfaction: Structural model of social support in major depression women
2015
Family and social support serves as a strong impediment against depression in those women suffering from Major
Depression Disorder (MDD). The present study aims at determining the relationship found between family processes
and social support through mediating marital satisfaction in MDD women. This cross-sectional study was conducted on
188 MDD women selected from among those patients referred to Bozorgmehr Psychiatry Clinic affiliated by Tabriz
University of Medical Sciences. The MDD patients were recognized through structured clinical interviews for DSMTV-TR using SCID. Index of Marital Satisfaction (IMS), Family Processes Scale (FPS), and Norbeck Social Support
Questionnaire (NSSQ) were used to collect data. Also, statistical methods such as Multivariate Analysis of Variance,
Mann-Whitney U-test, and Structural path analysis were used to data analysis. MDD women reported low educational
level and less social support (P<0.05). In comparison with women having 2-3 children, childless MDD women reported
higher mean considering social support (P<0.05). Structural path analysis demonstrated that marital satisfaction and
family problem solving directly predict social support. There was an indirect relationship between family process
(family coping strategies, family cohesion, family communication, and family religious beliefs) and mediating marital
satisfaction (RMSEA=0.05, CFI=0.92, IFI=0.92). The findings emphasize on the significance of the relationship found
between family processes and social support through mediating marital satisfaction in MDD women
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