Depression in women is a major mental health issue and social work practitioners can, at some stage in their careers, expect to work with women experiencing depression. Journal therapy, the use of writing for therapeutic purposes, is one example of support and intervention offered to women. The use of journal therapy and specifically the use of journalling by women in Women’s Journalling Groups were investigated in this research. Limited research had been undertaken in the area of journal therapy with women experiencing depression. / The research was undertaken in four phases and used a modified form of grounded theory to develop the research design and to identify and articulate ideas about women’s use of journalling during depression. Phase one established the baseline knowledge for the research through a Co-operative Inquiry underpinned by feminist research principles. Findings from the Inquiry identified: / Two key methods of journalling and women’s responses to depression: • The Considered Acknowledgement, Acceptance and Contemplation framework • The Proactive Resistance, Rehearsal, Agency and Action framework; / Four key narratives that women had created about their journalling and their understanding of depression in women: • Identification and expression of emotions; • Identity, sense of self and self-value; • Structural and social roles, relationships and expectations; and • Transformative choices, opportunities and accomplishments; / Phase two involved the conceptualising, formalising and transfer of this knowledge into the development of a Women’s Journalling Group program. Through the facilitation of two Women’s Journalling Groups in phase three, the journalling activities were found by women to be relevant and meaningful for them in assisting them to understand their depression and move toward recovery. Phase four included the final stage of knowledge utilisation and transfer. / A most significant and new finding from this research was that journalling undertaken by the women was a form of action in response to their depression. Far from being a passive, ruminative, purposeless pastime, journalling was an evolving and sustaining action that enabled the women to gain insights and understandings into themselves and their depression. Journalling activities enabled women to identify and express the many feelings and thoughts that attached to their depression. In reaching clearer understandings of themselves and their depression and in gaining confidence in making choices about their future, women were engaged in processes of consciousness-raising and resistance. Resistance to social and structural expectations, roles and stereotypes was important for the women who could then redefine and redevelop their authentic sense of self and identity. Resistance could occur on an individual level in the journal and on a collective level within Women’s Journalling Groups. / The major outcomes of this research have resulted in a model of journalling that has been used to develop a theoretically grounded Women’s Journalling Group program. Whist some further developmental work is required with the program, it nevertheless provides a tested therapeutic intervention that can be offered to women experiencing depression.

Thesis (M.A.)--Oregon State University, 2009. / Printout. Includes bibliographical references (leaves 87-97). Also available on the World Wide Web.

Thesis (Ph.D.)--University of California, Davis, 2008. / Adviser: J. Edward Taylor. Includes bibliographical references.

Thesis (Ph. D.)--University of Washington, 2000. / Vita. Includes bibliographical references (leaves 152-165).

Thesis (Ph.D.)--McMaster University, 2004. / Advisor: Ann Herring. Includes bibliographical references (leaves 274-297). Also available online.

Thesis (Ph.D.) - University of Queensland, 2005. / Includes bibliographical references.

Since the legalization of abortion, some research studies have argued that abortion has a neutral effect when considering other coexistent factors (e.g. Adler et al., 1990; Major et al., 2000; Steinberg & Russo, 2008). Other studies have concluded that abortion has a negative influence on women's psyche (e.g. Congleton & Calhoun, 1993; Cougle, Reardon, & Coleman, 2005; Hamana et al., 2010). College populations have been generally excluded from abortion research, even though, in 2007, 57% of women obtaining abortions were between the ages of 20 and 30 years (U.S. Census Bureau, 2012). This study intended to measure the influence of induced abortion on the current mental health status of college women and describe the characteristics of women obtaining abortions. An online survey was administered to female college students (N= 46). The participants were divided into two pregnancy outcome groups: (1) women who reported a history of fetal deliveries, and (2) women who reported a history of abortion. Each group was asked if abortion or fetal delivery contributed to their current mental health status. Independent variables included the participants' pregnancy outcome (abortion vs. delivery) and establishing if abortion/fetal delivery contributed to current mental health (yes/no answer). The dependent variables included current psychological distress symptoms as measured by the nine primary symptom dimensions of the Symptom Checklist-90-Revised. The data were analyzed using a two-way mixed-design MANOVA. Evidence indicated that psychological symptoms were not dependent on respondents' perception of whether or not current mental health was affected by pregnancy outcome. This study does not support public policies or practice based on the belief that abortion emotionally harms women. Further research should concentrate in strategies to prevent unwanted pregnancy in order to reduce the need for abortion.

This study explored factors that lead to adaptation among married women in the military during the stressor of deployment. The Double ABCX Model of Family Stress and Adaptation (McCubbin & Patterson, 1 983a, 1 983b, 1 983c) provided a strong theoretical model for this study, on which the empirical model for this study was based. In this study's empirical model, the variables that led to adaptation include the stressor event of military deployment, pile-up of demands (marital pile-up, family pile-up, financial pile-up, and job pile-up), resources (personal resources, family system resources, and social support resources), and perception (perception of deployment and perception of all). The 1999-2000 United States Air Force Community Needs Assessment was analyzed using Structural Equation Modeling and Multiple Hierarchical Regression. The Structural Equation Modeling Analysis did not yield a path model and a Multiple Hierarchical Regression was executed in order to determine which variables in the path model contribute to adaptation. In this analysis, the independent variables were entered according to the theoretical consideration of the Double ABCX Model of Family Stress and Adaptation (McCubbin & Patterson, 1983a, 1983b, 1983c) and the proposed path model. The results Multiple Hierarchical Regression indicate that pileup of demands and resources provided a significant contribution to adaptation. However, deployment and perception did not contribute to the variance in adaptation, which was incongruent to previous findings. The most significant limitation of the study is the disadvantages of conducting a secondary analysis since measures available are less than ideal for the variables in the model. There were several benefits of the study, including the inclusion of women in the military, improvement of the Double ABCX Model of Family Stress and Adaptation (McCubbin & Patterson, 1983a, 1983b, 1983c), and potential early evaluation and intervention of families during periods of stress. Future research is indicated, focusing on extended deployments, qualitative studies exploring the role of perception in adaptation, other understudied population in the military (civilian husbands, men in the military, and dual military couples), and additional model improvement. / Graduation date: 2004

Previous research suggests that marital problems, inhibited communication, social rejection, and mutual hostility characterize the interpersonal behavior of depressed patients. The specificity and external validity of these results is questionable since most of this research used analogue designs or lacked important control groups necessary to separate the effects of depression from psychological disturbance in general. This study examined interpersonal aspects of depression within the context of the marital relationship. A battery of standardized and original questionnaires was administered to couples in three comparison groups defined by the wife's level of depression and psychotherapy patient status: a depressed patient group, a non-depressed patient group, and a normal control group. Results of planned comparisons revealed that, relative to the married couples with nondepressed patients and normal control wives, the depressed patients and their husbands saw their marriages as more maladjusted with less open communication. Husbands of the depressed patients also reported feeling more anxiety and acting less honestly or supportively specifically when interacting with their spouses. Husbands in the depressed patient group also rated their wives more negatively in terms of their overall interpersonal impact and saw their own actions as more generally negative when interacting with the depressed spouse. Both spouses in the depressed patient group rated themselves as feeling more hostile generally, while the husbands saw the depressed patients as specifically impacting them in a hostile manner. These results were seen as consistent with Coyne's interpersonal model of depression which suggests that depressed behavior and affect may be maintained by the responses it evokes from interacting others. The finding of greater hostility in both the depressed patients and their husbands replicates previous controlled research but contradicts most psychological theories of depression which predict lowered hostility in depression. Implications for further research and therapy with depressed patients are also discussed.

Dissertation (PhD)--University of Stellenbosch, 2003. / ENGLISH ABSTRACT: Although it is common knowledge that regular exercise has many beneficial effects on the human body, it is also true that many highly competitive athletes neglect their health for the sake of performance. With this as a general objective for the study, women athletes of the Matie Athletics Club were recruited as subjects and were monitored and tested for several health-related parameters. Current results indicate that, although the average total cholesterol (TC) concentrations of the group were within normal ranges, quite a number of the sprint and field athletes had TC values regarded as a cardiovascular risk (> 5.2 mmol.l"). Serum testosterone levels of the sprint and field athletes were also higher than those of the distance athletes, but a correlation between TC and testosterone was not established. In general, cholesterol intake of women athletes was within the recommended daily allowance (RDA) prescriptions. The high-density lipoprotein fraction was also within the norm, but a better chemical pathological range had been expected. All haematological parameters were within the normal ranges of distribution, but the red blood cell count, haemoglobin concentration and hematocrit were on average lower than the standard average for females. Athletes, quite often, have higher plasma volumes than average and this can disguise normal haematological values and is described as sport anaemia. The current study has also indicated an iron deficiency (83% RDA) in the diet of female athletes in general. Thus the relatively low observed red blood cell count could not necessarily be attributed to sport anaemia. The energy intake was also poor and did not comply with the energy needs of the athletes. Bone mineral density (BMD) and plasma electrolytes were normal. Distance athletes had a higher BMD of the hip compared to the lumbar spine area. This is probably related to the stress to the hip associated with running. A correlation was observed between TC and BMD of the hip of eumenorrheal and amenorrheal athletes, which had not been observed before. The influence of the phase of the menstrual cycle on the immune system is controversial, and the results of the thesis confirm those of other studies that indicated no influence. In addition, it has been shown that the exogenous ingestion of glutamine, before the onset of exercise, can increase the plasma concentration thereof, and that the formerly observed decline (also seen in the current study) after intense exercise can be totally neutralized. This had not been reported before. The physiological significance of this has not been established, but the assumption is that a continuous adequate supply of glutamine will benefit the immune cells with regard to its reaction to pathogens. As reported by others, it has been shown that the ingestion of 5% glucose during long duration exercise eases the stress on the immune system, as both leucocytes and cortisol levels were attenuated compared to intake of a placebo. A new discovery, however, was that the ad libitum ingestion of glucose was not enough to produce desired significant results. The importance of this finding may have practical implications with regard to desirable amounts of glucose supplementation during races. In conclusion: Female athletes of club performance level are on general in a healthy condition, but are not excluded from the risk with regard to cholesterol. The screening of TC alone is insufficient with regard to competitive athletes, unless the sub-fractions are screened as well during routine medical examinations. Adjustments with regard to the energy and iron content of the diet are suggested. Supplementation of glutamine and glucose before and during exercise could be beneficial to the immune system. More studies with regard to the association of cholesterol with BMD are recommended. / AFRIKAANSE OPSOMMING: Alhoewel dit algemeen bekend is dat oefening groot voordele vir die gesondheid van die liggaam inhou, is dit ook so dat atlete wat hoogs kompeterend is hul gesondheid kan verwaarloos ten koste van prestasie. Dit was die oorkoepelende doel van hierdie studie om vroue-atlete van die Maties Atletiekklub as proefpersone te toets en te monitor vir verskeie gesondheidsverwante parameters. Huidige resultate dui daarop dat alhoewel die gemiddelde totale cholesterol (TC) van die groep binne die normale grense was, 'n hele aantal van die naelloop- en veldatlete het TC gehad wat oor die grens was wat as 'n risiko (> 5.2 mmol.l") vir kardiovaskulêre verwante siektes beskou kan word. Serumtestosteroon-konsentrasie van die naelloop- en veldatlete was ook hoër as dié van die langafstandatlete, maar dit het nie gekorrileer met TC nie. In die algemeen was die cholesterolinname van vroue-atlete binne die aanbevole dieettoelaag (ADT) voorskrifte. Die hoë-digtheid-lipoproteïenfraksie was ook binne die normale, maar nie volgens verwagting in 'n meer gunstige chemies-patalogies gebied van verspreiding nie. Alle hematologiese parameters was binne die normale grense, maar die gemiddelde rooibloedseltelling en hemoglobienkonsentrasie, asook die hematokrit was deurgaans laer as die standaard gemiddeld vir dames. Atlete het heel dikwels hoër plasmavolumes as normaal en dit kan normale hematologiese tellings verbloem en word beskryf as sportanemie. Die huidige studie het egter ook getoon dat 'n ystertekort (83% ADT) in die dieet algemeen in vroue-atlete kan voorkom en daarom kan die relatief lae rooiseltellings nie noodwendig aan sport anemie toegeskryf word nie. Die energie-inname was ook laag en het nie aan die energiebehoeftes voorsien nie. Beenmineraaldigtheid (BMD) en plasma-elektroliete was normaal. Langafstandatlete het 'n hoër BMD van die heupbeen teenoor die werwelkolom getoon wat waarskynlik verband hou met die stres wat deur hardloop op die heupbeen geplaas word. 'n Verband is ook gevind tussen die BMD van die heup en TC van eumenorreale en amenorreale atlete wat nie vantevore waargeneem is nie. Die invloed van die fase van die menstruale siklus op die immuunstelsel is kontroversieel en die bevindinge in die tesis dra by tot die stawing van studies wat geen invloed bevind het nie. Voorts is getoon dat die eksogene inname van glutamien voor die aanvang van oefening, plasmaglutamien kan verhoog en dat die verlaging daarvan, wat voorheen (asook in die huidige studie) na intense oefening waargeneem word, geheel en al teengewerk kan word. Dit is nog nie vantevore waargeneem nie, en mag 'n fisiologiese voordeel inhou vir die immuunselle ten opsigte van hul reaksie op patogene. Dit is huidig, ook soos voorheen, aangetoon dat die inname van 5% glukose tydens langdurige oefening die stres wat op die immuunsisteem geplaas word, verminder word. Dit, omrede beide die leukosiete en kortisolkonsentrasies laer was in vergelyking met 'n plaseboproefneming. 'n Nuwe bevinding is egter dat die onvoorgeskrewe inname van glukose nie genoegsaam is om dieselfde insiggewende resulaat te toon nie. Die belang van hierdie bevinding mag praktiese gevolge hê vir die gewenste voorskrifte van glukose-inname tydens wedlope. In opsomming: Vroue-atlete van klubprestasiegehalte is oor die algemeen gesond, maar is nie vrygespreek van risiko in terme van cholesterol nie. Die monitering van TC alleenlik is onvoldoende in kompeterende atlete en die subfraksies moet derhalwe deel wees van roetine ondersoeke. Dieetaanpassings ten opsigte van die energie- en ysterinhoud kan aanbeveel word. Supplementasie van glutamien en glukose voor en tydens oefening respektiewelik, kan voordelig wees vir die immuunsisteem. Verdere studies word aanbeveel in terme van die verbande tussen cholesterol en BMD.