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Abstract
A total of 223 participants were included in this study. The mean PHQ-9 score was 9.8 ± 3.2. Bivariate analysis demonstrated a significant difference in depression scores based on sex. Multivariate analysis revealed that female sex (β = 1.27; p = 0.007), history of violence (β = 1.63; p < 0.001), and stigma (β = 1.37; p = 0.002) were significantly associated with higher PHQ-9 scores. Age, employment status, and marital status were not significantly associated with depression severity. Conclusion: Psychosocial factors, particularly a history of violence and stigma, play an important role in the severity of depression among adults. These findings highlight the importance of comprehensive approaches to depression prevention and management that take both demographic and psychosocial factors into account.
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References
- American, D. A. (2023). Depression. https://www.psychiatry.org/patients-families/depression/what-is-depression#:~:text=The six tabs below provide,)%2C premenstrual dysphoric disorder%2C and
- Bures, R. M., Koropeckyj‐Cox, T., & Loree, M. (2009). Childlessness, Parenthood, and Depressive Symptoms Among Middle-Aged and Older Adults. In Journal of Family Issues. https://doi.org/10.1177/0192513x08331114
- Contreras, J. M. F. (2021). Effectiveness of a Web-based Intervention on Parental Psychological Flexibility and Emotion Regulation. UNIVERSIDAD DE ALMERÍA.
- Dardas, L. A., Silva, S. G., Smoski, M. J., Noonan, D., & Simmons, L. A. (2018). Adolescent Depression in Jordan: Symptoms Profile, Gender Differences, and the Role of Social Context. Journal of Psychosocial Nursing and Mental Health Services, 56(2), 44–55. https://doi.org/10.3928/02793695-20171027-04
- Dhamayanti, M., Noviandhari, A., Masdiani, N., Pandia, V., & Sekarwana, N. (2020). The Association of Depression With Child Abuse Among Indonesian Adolescents. In BMC Pediatrics. https://doi.org/10.1186/s12887-020-02218-2
- Faiq, S. F., Amin, A., & Robinow, A. (2017). Depression in the Older People : A Perspective From Kurdistan of Iraq. In Middle East Journal of Age and Ageing. https://doi.org/10.5742/mejaa.2017.93091
- Filiatreau, L. M., Ebasone, P. V., Dzudié, A., Wainberg, M. L., Yotebieng, M., Anastos, K., & Parcesepe, A. M. (2024). Intersectional HIV- And Depression-Related Stigma Among People With HIV Entering HIV Care in Cameroon. In Aids and Behavior. https://doi.org/10.1007/s10461-024-04375-2
- I-NAMHS. (2022). Indonesia – National Adolescent Mental Health Survey (I-NAMHS).
- Jenabi, E., & Khazaei, S. (2018). Prevalence Rate of Intimate Partner Violence by WHO Region: An Appraisal by Current Data. In Asian Journal of Health Sciences. https://doi.org/10.15419/ajhs.v4i1.441
- Lei, R., Sun, Y. V, Liao, J., Yuan, Y., Sun, L., Yu-geng, L., Yang, X., Ma, W., & Yu, Z. (2021). Sex Hormone Levels in Females of Different Ages Suffering From Depression. In BMC Women S Health. https://doi.org/10.1186/s12905-021-01350-0
- Linden, A. Vander. (2019). Cross-cultural validation of the PHQ-9 in Bahasa Indonesia to measure depression among persons affected by leprosy. Medicine, January, 58.
- Montesinos, A. H., Rapp, M. A., Temur-Erman, S., Heinz, A., Hegerl, U., & Schouler‐Ocak, M. (2012). The Influence of Stigma on Depression, Overall Psychological Distress, and Somatization Among Female Turkish Migrants. In European Psychiatry. https://doi.org/10.1016/s0924-9338(12)75704-8
- Mossey, J., Gallagher, R. M., & Tirumalasetti, F. (2000). The Effects of Pain and Depression on Physical Functioning in Elderly Residents of a Continuing Care Retirement Community. In Pain Medicine. https://doi.org/10.1046/j.1526-4637.2000.00040.x
- Paralikas, T., Μαλλιαρού, Μ., Theofanidis, D., Christina, B., Nikolaos, C., Fountouki, A., Georgios, T., & Stiliani, K. (2021). Physical and Mental Health Level of the Elderly Living in Central Greece. In Materia Socio Medica. https://doi.org/10.5455/msm.2021.33.16-20
- Pradeep, J., Ekstrand, M., Selvam, S., Heylen, E., Mony, P., & Srinivasan, K. (2021). Risk Factors for Severity of Depression in participants with Chronic Medical Conditions in rural Primary Health Care Settings in India. Journal of Affective Disorders Reports, 3, 100071. https://doi.org/10.1016/j.jadr.2020.100071
- Sabri, Y. (2021). Depression and Post-Traumatic Stress Disorder in Females Exposed to Intimate Partner Violence. In Middle East Current Psychiatry. https://doi.org/10.1186/s43045-021-00157-x
- Scherbakov, D., Heider, P. M., Obeid, J. S., Alekseyenko, A. V, & Lenert, L. (2025). Gender Differences in Depression Symptom Severity: An AI-expedited Meta-Analysis. https://doi.org/10.21203/rs.3.rs-6578485/v1
- Simanjuntak, T. D. (2022). Prevalensi dan Faktor-faktor yang Berhubungan dengan Simtom Prevalensi dan Faktor-faktor yang Berhubungan dengan Simtom Depresi pada Penduduk di Indonesia ( Analisis Data IFLS5 Tahun. 6(2). https://doi.org/10.7454/epidkes.v6i2.6313
- Tessier, E. D., Rachor, G. S., Boehme, B. A. E., Asmundson, G. J. G., & Hysuick-weik, B. (2025). Depression Severity and Its Predictors : Findings from a Nationally Representative Canadian Sample. 6(3), 14.
- WHO. (2022). Mental disorders. https://www.who.int/news-room/fact-sheets/detail/mental-disorders
- WHO. (2023). Depressive disorder. https://www.who.int/news-room/fact-sheets/detail/depression
- Yaman, F., Aksoy, C. C., Leblebicier, M. A., & Sahın, E. (2023). Kronik Non-Spesifik Bel Ağrılı Yaşlılarda Ağrı Ve Depresyon Düzeylerinin Yaşam Kalitesi Ile İlişkisi Varmıdır? In Osmangazi̇ Journal of Medicine. https://doi.org/10.20515/otd.1231484
- Zainal, N. Z. (2008). Depressive Symptoms in Middle-Aged Women in Peninsular Malaysia. In Asia Pacific Journal of Public Health. https://doi.org/10.1177/1010539508322538
- Zhang, D. (2023). Predictors of Perceived, Personal, and Self- Stigma on Depression and Relevant Interventions. In Lecture Notes in Education Psychology and Public Media. https://doi.org/10.54254/2753-7048/3/2022521
References
American, D. A. (2023). Depression. https://www.psychiatry.org/patients-families/depression/what-is-depression#:~:text=The six tabs below provide,)%2C premenstrual dysphoric disorder%2C and
Bures, R. M., Koropeckyj‐Cox, T., & Loree, M. (2009). Childlessness, Parenthood, and Depressive Symptoms Among Middle-Aged and Older Adults. In Journal of Family Issues. https://doi.org/10.1177/0192513x08331114
Contreras, J. M. F. (2021). Effectiveness of a Web-based Intervention on Parental Psychological Flexibility and Emotion Regulation. UNIVERSIDAD DE ALMERÍA.
Dardas, L. A., Silva, S. G., Smoski, M. J., Noonan, D., & Simmons, L. A. (2018). Adolescent Depression in Jordan: Symptoms Profile, Gender Differences, and the Role of Social Context. Journal of Psychosocial Nursing and Mental Health Services, 56(2), 44–55. https://doi.org/10.3928/02793695-20171027-04
Dhamayanti, M., Noviandhari, A., Masdiani, N., Pandia, V., & Sekarwana, N. (2020). The Association of Depression With Child Abuse Among Indonesian Adolescents. In BMC Pediatrics. https://doi.org/10.1186/s12887-020-02218-2
Faiq, S. F., Amin, A., & Robinow, A. (2017). Depression in the Older People : A Perspective From Kurdistan of Iraq. In Middle East Journal of Age and Ageing. https://doi.org/10.5742/mejaa.2017.93091
Filiatreau, L. M., Ebasone, P. V., Dzudié, A., Wainberg, M. L., Yotebieng, M., Anastos, K., & Parcesepe, A. M. (2024). Intersectional HIV- And Depression-Related Stigma Among People With HIV Entering HIV Care in Cameroon. In Aids and Behavior. https://doi.org/10.1007/s10461-024-04375-2
I-NAMHS. (2022). Indonesia – National Adolescent Mental Health Survey (I-NAMHS).
Jenabi, E., & Khazaei, S. (2018). Prevalence Rate of Intimate Partner Violence by WHO Region: An Appraisal by Current Data. In Asian Journal of Health Sciences. https://doi.org/10.15419/ajhs.v4i1.441
Lei, R., Sun, Y. V, Liao, J., Yuan, Y., Sun, L., Yu-geng, L., Yang, X., Ma, W., & Yu, Z. (2021). Sex Hormone Levels in Females of Different Ages Suffering From Depression. In BMC Women S Health. https://doi.org/10.1186/s12905-021-01350-0
Linden, A. Vander. (2019). Cross-cultural validation of the PHQ-9 in Bahasa Indonesia to measure depression among persons affected by leprosy. Medicine, January, 58.
Montesinos, A. H., Rapp, M. A., Temur-Erman, S., Heinz, A., Hegerl, U., & Schouler‐Ocak, M. (2012). The Influence of Stigma on Depression, Overall Psychological Distress, and Somatization Among Female Turkish Migrants. In European Psychiatry. https://doi.org/10.1016/s0924-9338(12)75704-8
Mossey, J., Gallagher, R. M., & Tirumalasetti, F. (2000). The Effects of Pain and Depression on Physical Functioning in Elderly Residents of a Continuing Care Retirement Community. In Pain Medicine. https://doi.org/10.1046/j.1526-4637.2000.00040.x
Paralikas, T., Μαλλιαρού, Μ., Theofanidis, D., Christina, B., Nikolaos, C., Fountouki, A., Georgios, T., & Stiliani, K. (2021). Physical and Mental Health Level of the Elderly Living in Central Greece. In Materia Socio Medica. https://doi.org/10.5455/msm.2021.33.16-20
Pradeep, J., Ekstrand, M., Selvam, S., Heylen, E., Mony, P., & Srinivasan, K. (2021). Risk Factors for Severity of Depression in participants with Chronic Medical Conditions in rural Primary Health Care Settings in India. Journal of Affective Disorders Reports, 3, 100071. https://doi.org/10.1016/j.jadr.2020.100071
Sabri, Y. (2021). Depression and Post-Traumatic Stress Disorder in Females Exposed to Intimate Partner Violence. In Middle East Current Psychiatry. https://doi.org/10.1186/s43045-021-00157-x
Scherbakov, D., Heider, P. M., Obeid, J. S., Alekseyenko, A. V, & Lenert, L. (2025). Gender Differences in Depression Symptom Severity: An AI-expedited Meta-Analysis. https://doi.org/10.21203/rs.3.rs-6578485/v1
Simanjuntak, T. D. (2022). Prevalensi dan Faktor-faktor yang Berhubungan dengan Simtom Prevalensi dan Faktor-faktor yang Berhubungan dengan Simtom Depresi pada Penduduk di Indonesia ( Analisis Data IFLS5 Tahun. 6(2). https://doi.org/10.7454/epidkes.v6i2.6313
Tessier, E. D., Rachor, G. S., Boehme, B. A. E., Asmundson, G. J. G., & Hysuick-weik, B. (2025). Depression Severity and Its Predictors : Findings from a Nationally Representative Canadian Sample. 6(3), 14.
WHO. (2022). Mental disorders. https://www.who.int/news-room/fact-sheets/detail/mental-disorders
WHO. (2023). Depressive disorder. https://www.who.int/news-room/fact-sheets/detail/depression
Yaman, F., Aksoy, C. C., Leblebicier, M. A., & Sahın, E. (2023). Kronik Non-Spesifik Bel Ağrılı Yaşlılarda Ağrı Ve Depresyon Düzeylerinin Yaşam Kalitesi Ile İlişkisi Varmıdır? In Osmangazi̇ Journal of Medicine. https://doi.org/10.20515/otd.1231484
Zainal, N. Z. (2008). Depressive Symptoms in Middle-Aged Women in Peninsular Malaysia. In Asia Pacific Journal of Public Health. https://doi.org/10.1177/1010539508322538
Zhang, D. (2023). Predictors of Perceived, Personal, and Self- Stigma on Depression and Relevant Interventions. In Lecture Notes in Education Psychology and Public Media. https://doi.org/10.54254/2753-7048/3/2022521