A multiperspectival exploration of depression in old age : the lived experience of psychiatrists and community living older women

Abstract

Depression experienced by community-dwelling women in later life was found to have an intricate and complex relationship with culture and roles which impacted the way the condition was experienced. This research aimed to explore the lived experience of older women who lived with depression within their community and to look at the views of psychiatrists who worked with older women who suffered from depression. Interpretative phenomenological analysis (IPA) was used to analyse this phenomenon from multiple perspectives. Nine participants (group 1: five older females that lived with depression; group 2: four psychiatrists) were recruited through purposive and snowball sampling, and semi-structured interviews were carried out. The findings that emerged from the older women highlighted the diverse tools utilised to cope with their presenting symptoms. It was also elucidated how depression had a life-altering effect, in that the way they thought and perceived life was markedly different. The psychiatrists offered their insight and experience with depressed older women, such as how often depression stemmed from changes in family dynamics. Social norms, roles, duties, culture and one’s generation also played a major part in how older women experienced depression. After comparing and contrasting the interviews of group 1 and group 2, a holistic understanding of the lived experience of depressed older women was elicited. This resulted in an in-depth and comprehensive view of the biological, social, and psychological aspects of the phenomenon in question. In conclusion, this research highlighted various recommendations for clinical health practice, policymakers, education and future research in relation to the area of depression in older females.