Young women and depression. Origin, outcome, and nursing care

Depression in young women occurs at a rate twice that of men. Physiologic, psychological, and social phenomena contribute to the development of this multifactorial disorder that interferes with the productivity of women at the height of their work and family careers. Neuroendocrine factors, both menstrually linked and independent of menstrual functioning, have been implicated in gender-biased distribution of affective disorder. Equally salient for women are environmental and cognitive factors that contribute to loss of hope and a sense of helplessness in managing day-to-day responsibilities. Social discrimination and the social roles performed by women may expose them to more stresses or those that are not easily managed. Each of these factors may leave women more vulnerable to the onset of affective disorder. Despite this, there is much nurses can do in the prevention and treatment of depression using a biopsychosocial strategic approach. Psychoeducation, physiologic assessment and intervention, and a maintained caring interaction with the client can promote a return to normal mood and effective functioning for most women with affective illness.