Showing posts with label family relationship. Show all posts
Showing posts with label family relationship. Show all posts

Parenting Causes High Stress and Clinical Depression

While parenthood brings immense amounts of joy, pride, personal growth and other good things to those with children, it can also bring a lot of challenges, and researchers are finding that these challenges can take a toll. A parenting stress study by Florida State University professor Robin Simon and Vanderbilt University's Ranae Evenson found that parents have significantly higher levels of depression than adults who do not have children.


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Here are some of the highlights of the study’s findings:


Higher Risk Factors


The study found that certain types of parents have higher levels of depression than other parents. Those who exhibited more symptoms of depression included:
  • Parents of adult children living at home

  • Parents of adult children not living at home

  • Parents who do not have custody of their minor children



Lower Risk Factors


Those who exhibited the least depressive symptoms included:
  • Parents living with minor biological children

  • Parents living with minor adopted children

  • Parents living with minor stepchildren.

(These findings were surprising, as it was assumed that these parents experience the greatest amounts of stress.)


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The Marriage Buffer


Married parents also have fewer symptoms than those who were unmarried.




Both men and women were found to be equally effected by depression, a finding that actually shocked researchers, as it was inconsistent with previous studies and contradicts the historically held assumption that parenthood affects women more.


All Parents Are At Greater Risk


There is no category of parent, among all those listed above, who experienced lower levels of depression than non-parents, which researchers found surprising, especially because other adult roles, like being married and employed, are linked with greater levels of emotional well-being.


Lifelong Effects


Also surprising was the finding that these symptoms don’t go away when the kids grow up and move out of the house! Researchers believe that this is because parents still worry about their children and how they’re getting along in the world throughout their lives, from the time they’re colicky infants and tantrum-prone toddlers to the days when they’re worried about promotions at work and marital problems of their own.


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What's Behind This?


The researchers believe that this is because parents have more to worry about than other people do. We worry about our children’s well-being all throughout their lives, from the time that they’re tiny and dealing with colic, teething and tantrums, to the time they’re dealing with finding jobs and partners and having kids of their own. It’s not that parents don’t enjoy their children or their roles, but the emotional toll of parenting can be high, partially because parents in the United States are often relatively socially isolated and don’t always have support from the community or even their extended family.


"It's how we do parenting in this society," Simon said. "We do it in a very isolated way and the onus is on us as individuals to get it right. Our successes are our own, but so are our failures. It's emotionally draining."


Something that may be additionally difficult for parents is that people don’t always talk about the difficulties of parenting or realize how much support is needed. This study can help parents see that they are taking on a role that’s challenging as well as rewarding, validate feelings that they might be having, and encourage them to seek social support and take care of themselves.


"Parents should know they are not alone; other people are feeling this way, too," she said. "This is a really difficult role, but we romanticize it in American culture. Parenthood is not the way it is in TV commercials."


New Parents at Risk


While the report, offered before, proposed that the parents with minor biological children are in relatively low risk of depression, the research, which tracked nearly 87,000 families in the United Kingdom between 1993 and 2007, found an opposite - the highest risk for depression occurred in the first years after a child’s birth.


Overall, 39 percent of mothers and 21 percent of fathers had experienced an episode of depression during the first 12 years of their child’s life. After the first year of parenting, a mother’s risk for depression dropped by half, while experienced fathers faced only about a quarter of the depression risk compared with new fathers. Although depression risk for both parents dropped considerably in the second year, it remained steady through a child’s 12th year.


Parents who had an earlier history of depression, who had children at a relatively young age or who had lower incomes were at highest risk for a depressive episode during their parenting years, according to the study, published online in The Archives of Pediatrics and Adolescent Medicine.


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Parenting as Pure Joy?


Michael Lewis, professor of pediatrics and psychiatry and director of the Institute for the Study of Child Development at the Robert Wood Johnson Medical School in New Brunswick, N.J., says that the idea of parenthood as pure joy "was always a bit of a wonderful myth."


Over the last 150 years, he said, children have moved from being an economic advantage to an economic burden in the United States. We used to be able to send children to work in the fields; older kids tended to the babies. When not pressed into service, they mostly stayed out of the way.


With the advent of Dr. Spock, the parenting industry, obligatory music and soccer lessons and a colossal marketplace that propels kids to desire and parents to guilt, children have become the center of the household.


Meredith Small, a Cornell University anthropologist and author of "Kids: How Biology and Culture Shape the Way We Raise Our Children," sees cultural forces conspiring to make life lousy for parents.


"Western culture is the worst place to be if you want to be a parent," she says. "If you look at any other culture, people would think that this is nutty."


She said parents have never been as alone as they are in the United States today. In places like India, lots of people sleep in one big house. When the baby wakes up at 2 a.m., six people are available to help. Higher birth rates mean there are older children to take care of the younger ones. Worldwide, she says, 90 percent of child care is done by other children.


Even in many European countries, things are better; working mothers -- and sometimes fathers -- are paid a portion of their salaries to stay home during the first year or more with their young children. Parents get six weeks of vacation and extra time off to take care of sick kids. Good child care is subsidized by the government. College and graduate schools are paid for by the government.


Here, Small said, nuclear families aren't large enough. "Parents are tired, they are overworked, they are extended, they are irritated and they've got nobody to help them."


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How to Manage Parenting Stress?


So short of sending the kids back into the fields, having more babies, inviting the neighbors to live with us or charging the kids rent, what's an overwhelmed parent to do?


Family therapist Neil Bernstein, who has offices in the District and Virginia, offers this simple advice: "Get a life."


For the record, he doesn't necessarily accept the study's conclusion that people with children are more depressed. Still, "What parents need to know and should take away from this is that it's important to look after your own mental health, not to live vicariously through your child," he said.


People should have their own interests and look after their relationships the same way they look after their children. And if it all seems too overwhelming, it's worth seeking help from a professional.


"Being a good parent does not mean being totally absorbed in your children," he said.




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Marital Problems and Depression

As the U.S. divorce rate of almost 50 percent attests, keeping a marriage together can be pretty tough even under normal circumstances. But depression can complicate ordinary marital problems and make marital success even more challenging, said University of Georgia psychology professor Steven Beach.


Depression affects more than 19 million Americans, said Beach, who is director of UGA’s Institute for Behavioral Research. “Although people tend to dismiss it because it’s such a commonly known and diagnosed problem, depression actually causes greater difficulties than many other disorders.” Causing patients to feel helpless, unable to perform some of the simplest everyday tasks and pessimistic about the future, depression can be debilitating for the individual and make it harder to deal with the ups and downs that occur in every marriage, Beach said.


Marriage is a natural arena in which to study the interpersonal aspects of depression because it is such a powerful interpersonal environment. Events that “pile up” on a person who becomes depressed often stem from interactions with family and close friends. Some of the most powerful interpersonal events are those that occur between a husband and a wife. Although troubles in close relationships may contribute to depression, improvement in marital relationships can also help with recovery. This may reflect the importance of marriage as a source of support and the fact that many traditional sources of support are less available than they used to be, Beach said.


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While the increase in rates of depression over the past 100 years is not thoroughly understood, some cultural anthropologists believe it results from the lack of inter-personal networks in modern society. For example, people are more likely to move several times over their lives — repeatedly losing contact with potential support groups — at the same time that new forms of communication have tended to replace face-to-face interactions. In the midst of this change, “marriage remains a core interpersonal relationship in modern society,” Beach said. “That may be why marital quality so consistently correlates with depression.” The loss of other interpersonal networks and sources of support may also put marriage at risk in the context of depression.


When a marriage is not working it turns into a stressor, which often causes depression among females and leads males to alcohol abuse. Stressful marriage is the leading cause for depression among women. Women genetically predisposed to stress are three times more likely to develop depression than women not genetically predisposed. Even though this is not a social factor, it is important to point it out as a possible predisposition to depression based on social factors.


If one partner suffers from chronic depression, it is very likely that the other partner will develop depression as well. Even when the depressed partner overcomes this depression, it is common to relapse if he or she has an unsatisfying marriage. Marital distress can also occur if the distressed partner’s behavior triggers negative effects in the spouse. In the large proportion of couples experiencing marital distress, at least one partner is clinically depressed, adding even more stress to the other partner.


These inter-partner problems could even lead to physical abuse. Such abuse is generally perpetrated by the male but in some instances it comes from the female.


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In short, the stress-generation model of depression can help to explain the two-way relation between marital discord and depression. Marital distress can lead to depression and depression can lead to marital distress.


The connection between depression and marital distress is influenced principally through the way individuals explain the negative behavior of their partner. Individual's personal explanations of negative martial events greatly impacts marital satisfaction and their emotional state. Trying to attribute blame to someone is pointless and results in unnecessary suffering for the depressed and the caretaker spouse. Searching for a source to blame wastes energy that would be better spent in learning more about the illness and possible treatments. Those who suffer from depression don't choose to and are not simply lacking willpower, "they cannot, through any exercise of will, get out of the predicament they are in".


By understanding that depression is not intentional caretaker spouses may be able to change they way they think of their spouses. For example caretaker spouses my see their spouses as a victim rather than a saboteur of the marriage. A better use of time and energy would be to search for understanding and increased capabilities for compassion and patience. Developing patience through increased understanding is one of the best tools a caretaker spouse can acquire. Patience will be especially beneficial when dealing with the continuous ups and downs of depression and even the constant care needed for patients who may be in danger of suicide.


Caretaker spouses can provide encouragement and realistically remind the depressed of God's love, and the love of family members. It will be important not to lose patience and to avoid saying things such as "just snap out of it" or "get a little backbone". The importance of avoiding such phrases is exemplified through this quote from Helping and Healing Our Families by Morrison: “Anyone who has ever witnessed the almost unbearable pain and uncontrollable weeping of a severe panic attack, or the indescribable sadness of severely depressed person who cries all day and retreats in hopeless apathy, would never think for a moment that mental illness is just a matter of willpower.”


Recognizing that depression and not the spouse is the villain is a huge step in the battle. However while patience, compassion, and love provide support and are crucial for learning to live with depression within a marriage they are not a cure for the illness therefore it is important to seek knowledge of the illness and of treatment options.


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The hopelessness model is important as well. Hopelessness can be seen in people who believe that there is nothing they can do to either better themselves or change an outcome of an important event. People who believe that future control is possible experience anxiety in an effort to gain control. If one is convinced that one is helpless in controlling important events but is not sure if the bad outcome will actually occur, a mixed anxiety/depression syndrome will probably surface. In contrast, if one is convinced that bad outcomes will definitely occur regardless of what one does, then helplessness becomes hopelessness and depression sets in. It is normal to become depressed if one believes that there is nothing one can do to prevent a negative outcome.


Stressful life events are a big cause of depression. They include marital problems, divorce, job loss, and poverty. Life events can be seen as dependent or independent. Independent life events happen due to causes outside of one's control--for example, a hurricane taking one’s house or being laid off from work. Dependent life events are ones for which one holds a partial responsibility; generally these are more likely to cause depression than independent life events. One can easily overcome independent life events by blaming the negative outcome on outside factors, hence removing the responsibility from oneself, making it easy to deal with and not turn the negative outcome inward.


Generally if a man does not feel capable of providing for his family he might view himself as not worthwhile, and this can lead to depression. Depending on the culture, a man must be able to support his family. If he feels that he is incapable of doing so and believes he is a failure, it is inevitable for depression to set in. This is true in capitalistic and developed countries, having its origins in the prehistoric past.


Social factors and stressful life events not only cause people to become depressed but also in many cases predispose people to depression by becoming contributory stressors. Thus, in effect, they can become both diatheses and stressors.


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