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Cited by 29Family Caregiving in Mental IllnessMental Health Treatment and AccessNursing care and research

Caregivers' experiences with major depression concealed by physical illness in patients recruited from central Ugandan primary health care centers

Muhwezi, Wilson Winstons, Okello, Elialilia Sarikiaeli, Neema, Stella, Musisi, Seggane·2008·Qualitative Health Research
DOI 10.1177/1049732308320038
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Abstract

In this article, we present caregivers' grapples with major depression seen among their physically ill patients. A thematic analysis of 29 in-depth caregiver interviews identified four themes: (a) caregivers' perceptions of depression, (b) barriers to caregivers' focus on depression, (c) resources and opportunities for managing depression, and (d) caregivers' perspectives on consequences of depression. Patients' physical illnesses concealed depressive episodes. Caregivers could not apply the label of “depression” but enumerated its indicative features. Stigmatization of depression, common with other mental illnesses and poverty, undermined caregiving. Vital caregiving resources included caregivers' willingness to meet patients' basic needs, facilitating patients' access to health care, informal counseling of patients, and ensuring patients' spiritual nourishment. Caregivers' management of depression in physically ill patients was expensive, but they coped; however, caregiving was burdensome. Ongoing support should be given not only to patients but caregivers, as well. To provide appropriate care, caregivers deserve sensitization about depression in the context of physical illness.

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  • In some instances, specifiers or qualifiers have specific treatment implications, for example, use of antipsychotics in the presence of psychotic features or the use of light therapy in seasonal depression.

    “In some instances, these features have specific treatment implications, for example, use of antipsychotics in the presence of psychotic features or the use of light therapy in seasonal depression. 84”

    From Time for united action on depression: a Lancet–World Psychiatric Association Commission (2022) · cites this paper as [84]

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Authors
Muhwezi, W. W., Okello, E. S., Neema, S., & Musisi, S.
Affiliations
Makerere University (UG)
ORCID
Venue
Qualitative Health Research
Publisher
SAGE Publications
Published
2008-08
Volume
18
Issue
8
Pages
1096-1114
ISSN
  • 1049-7323 (ISSN-L)
  • 1552-7557
DOI
10.1177/1049732308320038
OpenAlex
W2121109466
Cited by
29
References
96
Citations by year
2025: 2 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 2 · 2012: 3
FWCI
1.86
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Qualitative Health Research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
Keywords
major depressive disorder, physical illness, caregiver experiences, depression stigma, caregiver burden, spiritual care, primary care, Uganda
MeSH terms
Adaptation, Psychological, Adult, Community Health Centers, Major Depressive Disorder, Depressive Disorder, Major, Disease, Female, Humans, Interviews as Topic, Male, Patients, Poverty, Prejudice, Primary Health Care, Uganda, Caregivers

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