|
Research
project
Dr
Sue Outram
PhD
|
|
Doctoral
Thesis:
Experiences of mid-aged women
in NSW seeking help for psychological distress
Supervisor: Professor
Jill Cockburn
University: Faculty
of Medicine & Health Sciences, University of Newcastle,
Australia
This thesis has used a multidisciplinary perspective and
qualitative and quantitative methods to explore mid-aged
Australian women's perceptions and experiences of psychological
distress, and in particular their experiences of seeking
help for their difficulties. The high burden of illness
for mental health problems in women is undisputed. However
the diagnosis, aetiology and treatment of mental health
problems is disputed territory, with the debate lying
between extreme poles of the biomedical and social models
of ill-health. The data used in this study came from Survey
1 of the mid-age cohort (n=14,000). Analysis was followed
by a detailed sub-study of a sample of women with low
mental health scores, and three indepth interviews four
years later. The substudy used semi-structured telephone
interviews with 322 women to explore their perceptions
and experiences of mental health problems. There were
many perceived causes, and these were mostly in the social
domain, especially family difficulties. Women's dissatisfaction
with their main relationship was one of the most consistent
predictors of poor mental health. Women consulted a wide
variety of health professionals, with GPs the professionals
most often consulted. Although most women reported fairly
high levels of satisfaction with the responses of their
GP, many were also critical of GPs in general, in terms
of communication and caring, interest, knowledge and skills
in mental health problems, an over-reliance on psychotropic
medicines, and lack of holistic care. The assumption that
GPs are the "best people" to treat mental health
problems was questioned, and respondents identified a
need for greater choice in health services, particularly
for rural women. Finally, there was no single explanation,
or remedy, for psychological difficulties in these women's
lives. Stereotyped images of mid-aged women made unhappy
by their empty nests or hormonal unbalance was not supported
by these women's stories of their lives.
|
|
|
|