J Korean Acad Psychiatr Ment Health Nurs.  2014 Dec;23(4):217-225. 10.12934/jkpmhn.2014.23.4.217.

Korean Housewives Living through Depression: A Grounded Theory Study

Affiliations
  • 1Division of Nursing, Hanyang University, Seoul, Korea. ljseop@hanyang.ac.kr
  • 2Hanyang Graduate School of Information in Clinical Nursing, Seoul, Korea.
  • 3Department of Nursing Science, Kyungbuk College, Yeongju, Korea.
  • 4Hunter College, City University of New York, New York, USA.

Abstract

PURPOSE
This study was conducted to generate theoretical constructs on depression from the study data by examining and interpreting Korean housewives' experience with depression to elicit its meaning, understand it better, and develop empirical knowledge on it.
METHODS
The data were collected in a community public mental health center between April 1, 2012 and September 30, 2012 using in-depth interviews and theoretical sampling. The participants were 12 women aged 40-64 years who scored 7 or higher in the Korean version of the 21-item Hamilton Rating Scale for Depression (Kim, 1980). Collected data were analyzed by grounded theory methodology using open, axial, selective coding process.
RESULTS
It was found that the basic socio-psychological process of Korean housewives' living through depression could be summarized into the following four phases: (1) the vanishing of the self into thin air, (2) becoming an empty shell, and (3) searching for the meaning of life, (4) fulfilling of an empty shell.
CONCLUSION
This study may enhance the culturally elusive understanding of Korean housewives' experience with depression. As they are living through a hollow empty shell which looks normal on the outside, so can't get support from their families. It's important to educate their families about depressive phases.

Keyword

Depression; Life; Qualitative research

MeSH Terms

Clinical Coding
Depression*
Female
Humans
Mental Health
Qualitative Research

Figure

  • Figure 1 Depressed Korean housewives living through a hollow empty shell.


Reference

1. Williams D, Gonzalez H, Neighbors H, Nesse R, Abelson J, Sweetman J, et al. Prevalence and distribution of major depressive disorder in African-Americans, Caribbean blacks, and non-Hispanic whites. Arch Gen Psychiatry. 2007; 64(3):305–315. http://dx.doi.org/10.1001/archpsyc.64.3.305.
Article
2. Kessler R. Epidemiology of women and depression. J Affect Disord. 2003; 74(1):5–13. http://dx.doi.org/10.1016/s0165-0327(02)00426-3.
Article
3. Harvard Medical School. Women and depression. Harv Ment Health Lett. 2004; 20(11):1–4.
4. Beauboeuf-Lafontant T. You have to show strength: An exploration of gender, race, and depression. Gend Soc. 2007; 21(1):28–51. http://dx.doi.org/10.1177/0891243206294108.
5. Tseng WS. Clinician's Guide to Cultural Psychiatry. San Diego: Academic Press;2003.
6. Shin KR, Shin C, Park SY, Yi HR. Prevalence and determining factors related to depression among adult women in Korea. J Korean Acad Nurs. 2004; 34(8):1388–1394.
Article
7. Shin KR. A study on depression among middle-aged women. J Korean Acad Soc Adult Nurs. 1999; 11(4):858–869.
8. Kim E, Jo SA, Hwang JY, Shin C, Kim DK, Woo EK, et al. A survey of depressive symptoms among South Korean adults after the Korean financial crisis of late 1997: prevalence and correlates. Ann Epidemiol. 2005; 15(2):145–152. http://dx.doi.org/10.1016/j.annepidem.2004.05.004.
Article
9. Kim MD, Hong SC, Lee CI, Kwak YS, Shin TK, Jang YH, et al. Prevalence of depression and correlates of depressive symptoms for residents in the urban part of Jeju Island, Korea. Int J Soc Psychiatry. 2007; 53(2):123–134. http://dx.doi.org/10.1177/0020764006075022.
Article
10. Lee WK, Bang HJ. The effects of mindfulness-based group intervention on the mental health of middle-aged Korean women in a community. Stress and Health. 2010; 26(4):341–348. http://dx.doi.org/10.1002/smi.1303.
Article
11. Sin MK, Choe MA, Kim JI, Chae YR, Jeon MY. Depressive symptoms in community-dwelling elderly Korean immigrants and elderly Koreans: cross-cultural comparison. Res Gerontol Nurs. 2010; 3(4):262–269. http://dx.doi.org/10.3928/19404921-20100108-01.
Article
12. Jang SN, Kawachi I, Chang JY, Boo K, Shin HG, Lee HJ, et al. Marital status, gender, and depression: analysis of the baseline survey of the Korean longitudinal study of aging. Soc Sci Med. 2009; 69(11):1608–1615. http://dx.doi.org/10.1016/j.socscimed.2009.09.007.
Article
13. Bernstein KS, Lee JS, Park SY, Jyoung JP. Symptom manifestations and expressions among Korean immigrant women suffering from depression. J Adv Nurs. 2008; 61(4):393–402. http://dx.doi.org/10.1111/j.1365-2648.2007.04533.x.
Article
14. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington DC: American Psychiatric Association;2000.
15. Bae JI. An experience of depression: a phenomenological approach. J Korean Psychiatr Ment Health Nurs. 2003; 12(1):36–46.
16. Watanabe S. Utsubyo wa Naoru. In : Oh KS, editor. translator. Seoul: Dondowon;2007.
17. Cha SE. Marital status of the elderly: does it really matter for health? Hanguk Nonyonhak. 2007; 27(2):371–392.
18. Kim TH, Jun GY. A study on conjugal support, share of household activities, and marital adjustment in old age. Hanguk Nonyonhak. 1997; 17(2):167–182.
19. Strauss A, Corbin J. Basics of Qualitative Research: Techniques and Procedures for Developing the Grounded Theory. 3rd ed. London: Sage;2008.
20. Morse J. The cultural sensitivity of the grounded theory. Qual Health Res. 2001; 11(6):721–722. http://dx.doi.org/10.1177/104973201129119406.
21. Kim YS. A study of depressive symptoms in chronic schizophrenics. New Med J. 1980; 23(6):95–99.
22. Lincoln Y, Guba E. Naturalistic inquiry. Beverly Hills: Sage;1985.
23. Schreiber R. (Re)Defining my self: women's process of recovery from depression. Qual Health Res. 1996; 6(4):469–491. http://dx.doi.org/10.1177/104973239600600402.
Article
24. Abrams LS, Dornig K, Curran L. Barriers to service use for postpartum depression symptoms among low-income ethnic minority mothers in the United States. Qual Health Res. 2009; 19(4):535–551. http://dx.doi.org/10.1177/1049732309332794.
Article
25. Schreiber R. Understanding and helping depressed women. Arch Psychiatr Nurs. 1996; 10(3):165–175. http://dx.doi.org/10.1016/s0883-9417(96)80018-5.
Article
26. McDonald M, Lee SH. Despite a High Suicide Rate, South Koreans Resist Therapy. The New York Times;2011. 07. 11. p. A6.
27. Horton-Deutsch S, Horton J. Mindfulness: overcoming intractable conflict. Arch Psychiatr Nurs. 2003; 17(4):186–193. http://dx.doi.org/10.1016/s0883-9417(03)00089-x.
Article
28. Jang Y, Chriboga D, Okazaki S. Attitudes toward mental health services: age-group differences in Korean-Americans. Aging Ment Health. 2009; 13(1):127–134. http://dx.doi.org/10.1080/13607860802591070.
Article
29. Lee S, Juon HS, Martinez G, Hsu C, Robinson E, Bawa J, et al. Model minority at risk: expressed needs for mental health by Asian-American young adults. J Community Health. 2008; 34(2):144–152. http://dx.doi.org/10.1007/s10900-008-9137-1.
Article
30. Mauritz M, Meijel B. Loss and grief in patients with schizophrenia: on living in another world. Arch Psychiatr Nurs. 2009; 23(3):251–260. http://dx.doi.org/10.1016/j.apnu.2008.06.006.
Article
Full Text Links
  • JKAPMHN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr