Abstract
BackgroundMajor depressive disorder is the most common psychological disorder and affects many people worldwide. Therefore, it is important to identify the factors that cause or facilitate this disorder.ObjectivesThe aim of this qualitative study was to identify the facilitating factors of depression from the perspective of Iranian patients with major depressive disorder.MethodsThis qualitative study was conducted by content analysis method. Data were collected via purposeful sampling (maximum variation sampling) by conducting semi-structured interviews until reaching data saturation. In-depth interviews were conducted with 12 participants, including patients with major depressive disorder and their families in Razi Psychiatric Training and Treatment Center in Urmia (RPsTT) from November 2018 to February 2020. The process of data analysis was based on the Landman and Grenheim method. The accuracy and trustworthiness of the data were obtained through the Lincoln and Guba criteria.ResultsThe analysis of interviews with the participants indicated four major categories: a. Environmental factors (approved by 8 participants), b. Attitudinal factors (approved by 12 participants), c. Economic factors (approved by 9 participants) and d. Situational factors (approved by 10 participants).ConclusionIn order to prevent major depressive disorder or to reduce the signs of this disorder and improve these patients quality of life, paying attention to the facilitating factors from patient’s perspective based on their community culture can be effective. Among facilitating factors, attitudinal factors have the most impact on the incidence and exacerbation of this disorder from the perspective of patients.
Highlights
Major depressive disorder (MDD1) is a complex mood disorder characterized by persistent and overwhelming depression [1]
Their families mentioned in interviews that environmental factors, attitudinal factors, economic factors, and situational factors are among the factors affecting the lives of these patients and can greatly increase their depressive symptoms
From the perspective of patients with depressive disorder and their families in Iranian society, there is a strong relationship between exacerbation of depression and these factors
Summary
Major depressive disorder (MDD1) is a complex mood disorder characterized by persistent and overwhelming depression [1]. In the Approximately 350 million people worldwide have major depressive disorder [4, 5]. Depression has been diagnosed in nearly 4% of the world’s population with a prevalence of 16.6% throughout life, which has a major impact on social and public health [6]. Suicide rate in these patients is 4% and its recurrence rate is high and increases social and economic burdens [1]. Major depressive disorder is the most common psychological disorder and affects many people worldwide. It is important to identify the factors that cause or facilitate this disorder
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