Castillo-Manzano RM, Arankowsky-Sandoval G

Language: Spanish
References: 15
Page: 128-135
PDF size: 156.89 Kb.

ABSTRACT

Introduction. Depression is the most frequent cause of disability worldwide. Domestic violence is also a remarkable public health problem, and could be an important risk factor for depression.
Objective. To determine whether domestic violence is a risk factor for major depression in women living in southeast México.
Materials and methods. A control-case study was designed. The cases were patients attending the Psychiatric consultancy of Hospital General Regional “Ignacio García Téllez” and met the DSMIV criteria for major depression according to the DSM-IV. Controls were women seeking for other medical care that did not meet the DSM-IV criteria for major depression. The National Interview for Dynamics of Relationships in Dwellings (ENDIREH) was used to evaluate domestic violence. Data was analysed by Chi² test as univariate analysis, those variables showing statistical association were included into a logistic regression model.
Results. A total of 270 cases and 540 controls were included in the study from whom the age was 41.2 ±12.1 and 40.8±12.1 years old (p=0.62), respectively. Domestic violence was detected in 129 cases (47.8%) and 113 controls (20.9%), and this was associated to major depression (OR=3.4; CI 95% 2.5-4.7). Other factors identified as associated with major depression were, being married (RM=1.6; IC 95% 1.2-2.2) (p ‹ 0.001); low socioeconomic status (RM=1.5; IC 95% 1.0-2.4) (p‹ 0.03) and minimal social aid support (RM=1.9; IC 95% 1.40-2.72) (p‹0.001) also.
Conclusions. Domestic violence is associated to major depression in women, this remarks the need to implement measures for its eradication.

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