INVESTIGATION OF THE RELATIONSHIP BETWEEN DEPRESSION SYMPTOMS AND WORK-FAMILY CONFLICT AND PERCEIVED SOCIAL SUPPORT IN FEMALE HEALTHCARE WORKERS

Year 2025, Volume: 7 Issue: 2, 57 - 66, 25.08.2025

Merve Ayaz Yerkazan , Gonca Üstün

Abstract

The aim of this study is to examine the levels of work-family conflict and perceived social support as predictors of depression in female healthcare workers. This study, which is cross-sectional research in the relational screening model, was conducted with 296 women working in Eskişehir City Hospital between October 16 and December 16, 2023. Data were collected using the “Personal Information Form”, "The Work-Family Conflict Scale (WAFCS)", "Multidimensional Scale of Perceived Social Support (MSPSS)" and "Beck Depression Inventory (BDI)". The data obtained in the study were analyzed with a statistical program. It was determined that female healthcare workers experienced moderate work-family conflict (29.32±12.01), high level of perceived social support (60.08±15.46), and low depression symptoms (11.57±7.40). It was determined that there was a positive significant relationship between depression symptoms and work-family conflict in female healthcare workers (r=0.436; p<0.001), and a negative significant relationship between depression symptoms and perception of social support (r=-0.290; p<0.001). As work-family conflict increases in female healthcare workers, the level of depression increases, as perception of social support increases, the level of depression decreases. In this context, it is recommended that new studies be conducted by considering other variables that may be predictors of depression in female healthcare workers, and that individual or managerial strengthening studies be planned for the identified risk factors.

Keywords

Depression , Health professional , Social support , Woman , Work-family conflict

Ethical Statement

Amasya University Non-Interventional Clinical Research Ethics Committee (decision numbered 2023/73 dated 17.05.2023)

SAĞLIK ÇALIŞANI KADINLARDA DEPRESYON BELİRTİLERİ İLE İŞ-AİLE ÇATIŞMASI VE ALGILANAN SOSYAL DESTEK İLİŞKİSİNİN İNCELENMESİ

Abstract

Bu araştırmanın amacı; sağlık çalışanı kadınlarda depresyonun yordayıcısı olarak iş-aile çatışması ve algılanan sosyal destek düzeylerini incelemektir. İlişkisel tarama modelinde kesitsel bir araştırma olan bu çalışma, 16 Ekim-16 Aralık 2023 tarihleri arasında Eskişehir Şehir Hastanesi’nde çalışan 296 kadın ile yapıldı. Veriler; “Kişisel Bilgi Formu”, “İş-Aile Çatışması Ölçeği (İAÇÖ)”, “Çok Boyutlu Algılanan Sosyal Destek Ölçeği (ÇBASDÖ)” ve “Beck Depresyon Envanteri (BDE)” kullanılarak toplandı. Araştırmada elde edilen veriler bir istatistik programı ile analiz edildi. Sağlık çalışanı kadınların orta düzeyde iş-aile çatışması (29,32±12,01), yüksek düzeyde sosyal destek algısı (60,08±15,46), hafif düzeyde depresyon belirtileri (11,57±7,40) yaşadıkları belirlendi. Sağlık çalışanı kadınlarda depresyon belirtileri ile iş-aile çatışması arasında pozitif yönlü anlamlı (r=0,436; p<0,001); depresyon belirtileri ile sosyal destek algısı arasında negatif yönlü anlamlı (r=-0,290; p<0,001) bir ilişki olduğu saptandı. Sağlık çalışanı kadınlarda iş-aile çatışması arttıkça depresyon düzeyi artmakta; sosyal destek algısı attıkça depresyon düzeyi azalmaktadır. Bu doğrultuda sağlık çalışanı kadınlarda depresyonun yordayıcıları olabilecek diğer değişkenlerin de ele alınarak yeni çalışmalar yapılması, belirlenen risk faktörlerine yönelik bireysel ya da yönetsel güçlendirme çalışmalarının planlanması önerilmektedir.

Keywords

Depresyon , İş-aile çatışması , Kadın , Sağlık profesyoneli , Sosyal destek

Ethical Statement

Amasya Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu (17.05.2023 tarih ve 2023/73 sayılı karar)

References

• Adkins, C. L., & Premeaux, S. F. (2012). Spending time: The impact of hours worked on work–family conflict. Journal of Vocational Behavior, 80(2), 380–389. doi: 10.1016/j.jvb.2011.09.003
• Akın, A., Tunca, M., & Bayrakdar, İ. (2017). İş-Aile Çatışması Ölçeği (WAFCS) Türkçe Formu: Geçerlik ve Güvenirlik Çalışması. II. Uluslararası Sosyal Bilimler Sempozyumu içinde (ss. 39-44). Alanya: Alaaddin Keykubat Üniversitesi.
• Alnazly, E., Khraisat, O. M., Al-Bashaireh, A. M., & Bryant, C. L. (2021). Anxiety, depression, stress, fear and social support during COVID-19 pandemic among Jordanian healthcare workers. Plos One, 16(3), 18-19. doi: 10.1371/journal.pone.0247679
• ALobaid, A. M., Gosling, C. M., Khasawneh, E., McKenna, L., & Williams, B. (2020). Challenges faced by female healthcare professionals in the workforce: A scoping review. Journal of Multidisciplinary Healthcare, 13(1), 681-691. doi: 10.2147/JMDH.S254922
• Asbari, M., Purwanto, A., Sudargini, Y., & Fahmi, K. (2020). The effect of work-family conflict and social support on job satisfaction: A case study of female employees in Indonesia. International Journal of Social and Management Studies, 1(1), 32-42. doi: 10.5555/ijosmas.v1i1.3
• Asiedu, E. E. A., Annor, F., Amponsah‐Tawiah, K., & Dartey‐Baah, K. (2018). Juggling family and professional caring: Role demands, work–family conflict and burnout among registered nurses in Ghana. Nursing Open, 5(4), 611-620. doi: 10.1002/nop2.178
• Canivet, C., Ostergren, P. O., Lindeberg, S. I., Choi, B., Karasek, R., Moghaddassi, M., & Isacsson, S. O. (2010). Conflict between the work and family domains and exhaustion among vocationally active men and women. Social Science & Medicine, 70(8), 1237-1245. doi: 10.1016/j.socscimed.2009.12.029
• Cohen, A., & Liani, E. (2009). Work‐family conflict among female employees in Israeli hospitals. Personnel Review, 38(2), 124-141. doi: 10.1108/00483480910931307
• Daşbilek, F., Doğan Yüksekol, Ö., & Orhan, İ. (2022). Vardiyalı çalışan hemşirelerin iş yaşam kalitelerinin ve iş aile çatışmasının bazı değişkenler açısından incelenmesi. Sağlık ve Hemşirelik Yönetimi Dergisi, 9(2), 272-284. doi: 10.54304/SHYD.2022.75436
• Dokuka, S., Kapuza, A., Sverdlov, M., & Yalov, T. (2022). Women in gig economy work less in the evenings. Scientific Reports, 12(1), 5-7. doi: 10.1038/s41598-022-12558-x
• Dugan, A. G., & Barnes-Farrell, J. L. (2020). Working mothers’ second shift, personal resources, and self-care. Community, Work & Family, 23(1), 62-79. doi: 10.1080/13668803.2018.1449732 Eker, D., & Arkar, H. (1995). Çok boyutlu algılanan sosyal destek ölçeğinin faktör yapısı, geçerlik ve güvenirliği. Türk Psikoloji Dergisi, 10(34), 45-55.
• Farhan, S., & Atif, T. (2022). Relationship of ego resilience, perceived social support and depression with job satisfaction of working women. Pakistan Journal of Applied Psychology, 2(1), 58-67. doi: 10.52461/pjap.v2i1.860
• Gariepy, G., Honkaniemi, H., & Quesnel-Vallee, A. (2016). Social support and protection from depression: Systematic review of current findings in Western countries. The British Journal of Psychiatry, 209(4), 284-293. doi: 10.1192/bjp.bp.115.169094
• Gherardi-Donato, E. C. D. S., Cardoso, L., Teixeira, C. A. B., Pereira, S. D. S., & Reisdorfer, E. (2015). Association between depression and work stress in nursing professionals with technical education level. Revista Latino-Americana de Enfermagem, 23(4), 733-740. doi: 10.1590/0104-1169.0069.2610
• Gray‐Stanley, J. A., Muramatsu, N., Heller, T., Hughes, S., Johnson, T. P., & Ramirez‐Valles, J. (2010). Work stress and depression among direct support professionals: The role of work support and locus of control. Journal of Intellectual Disability Research, 54(8), 749-761. doi: 10.1111/j.1365-2788.2010.01303.x
• Hao, J., Wang, J., Liu, L., Wu, W., & Wu, H. (2016). Perceived organizational support impacts on the associations of work-family conflict or family-work conflict with depressive symptoms among Chinese doctors. International Journal of Environmental Research and Public Health, 13(3), 326-333. doi: 10.3390%2Fijerph13030326
• Hisli, N. (1989). Validity and reliability of the Beck Depression Inventory for university students. Psikoloji Dergisi, 7(23), 3-13.
• Hwang, E., & Yu, Y. (2021). Effect of sleep quality and depression on married female nurses’ work–family conflict. International Journal of Environmental Research and Public Health, 18(15), 9-11. doi: 10.3390/ijerph18157838
• Jolly, S., Griffith, K. A., DeCastro, R., Stewart, A., Ubel, P., & Jagsi, R. (2014). Gender differences in time spent on parenting and domestic responsibilities by high-achieving young physician-researchers. Annals of Internal Medicine, 160(5), 344-353. doi: 10.7326/M13-0974
• Ju, Y. J., Kim, W., & Lee, S. Y. (2023). Perceived social support and depressive symptoms during the COVID-19 pandemic: A nationally-representative study. International Journal of Social Psychiatry, 69(1), 47-55. doi: 10.1177/00207640211066737
• Karakurt, N., Erden, Y., & Çelik, A. S. (2023). The relationship between nurses' work stress levels and work-family conflict during the COVID-19 pandemic and the affecting factors: A study from Turkey. Archives of Psychiatric Nursing, 42(1), 61-67. doi: 10.1016/j.apnu.2022.12.015
• Kumar, A., Channa, K. A., & Bhutto, N. A. (2019). When and how workplace social support improves family performance. Applied Research in Quality of Life, 14(5), 1183–1204. doi: 10.1007/s11482-018-9647-7
• Li, X., & Zhang, X. (2015). Female doctors in China: Challenges and hopes. The Lancet, 386(10002), 1441-1442. doi: 10.1016/S0140-6736(15)00403-1
• Machado, H. P. V., Gazola, S., Fabricio, J. D. S., & Anez, M. E. M. (2016). Women entrepreneurs: Reasons and difficulties for starting in business. Revista de Administração Mackenzie, 17(3), 15-38. doi: 10.1590/167869712016/administracao.v17n3p15-38
• Mark, G., & Smith, A. P. (2012). Occupational stress, job characteristics, coping, and the mental health of nurses. British Journal of Health Psychology, 17(3), 505-521. doi: 10.1111/j.2044-8287.2011.02051.x
• Martsenkovskyi, D., Babych, V., Martsenkovska, I., Napryeyenko, O., Napryeyenko, N., & Martsenkovsky, I. (2022). Depression, anxiety, stress and trauma-related symptoms and their association with perceived social support in medical professionals during the COVID-19 pandemic in Ukraine. Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii, 31(1), 6-14. doi: 10.5114/ppn.2022.114657
• Nazim, A., Nazim, T., & Suneel, I. (2022). Perceived social support and psychological distress among healthcare professionals during COVID-19. Journal of Professional & Applied Psychology, 3(2), 143-153. doi: 10.52053/jpap.v3i2.80
• Novrandy, R. A., & Tanuwijaya, J. (2022). Pengaruh work-family conflict dan work engagement terhadap task performance dan turnover ıntention dengan mediasi supervisor support. JMBI UNSRAT (Jurnal Ilmiah Manajemen Bisnis Dan Inovasi Universitas Sam Ratulangi, 9(1), 414-430. doi: 10.35794/jmbi.v9i1.40908
• Okimoto, T. G., & Heilman, M. E. (2012). The “bad parent” assumption: How gender stereotypes affect reactions to working mothers. Journal of Social Issues, 68(4), 704–724. doi: 10.1111/j.1540-4560.2012.01772.x
• Öksüz, Y., Ayvalı, M., Coşkun, K., Baba, M., & İci, A. (2019). Algılanan sosyal destekle akılcı olmayan davranışlar ilişkisi. The Journal of Academic Social Science Studies, 4(1), 119-136. doi: 10.9761/jasss_165
• Orgambídez-Ramos, A., & de Almeida, H. (2017). Work engagement, social support, and job satisfaction in Portuguese nursing staff: A winning combination. Applied Nursing Research, 36(3), 37-41. doi: 10.1016/j.apnr.2017.05.012
• Otte, C., Gold, S. M., Penninx, B. W., Pariante, C. M., Etkin, A., Fava, M., Mohr, D. C., & Schatzberg, A. F. (2016). Major depressive disorder. Nature Reviews Disease Primers, 2(1), 1-20. doi: 10.1038/nrdp.2016.65
• Perreault, M., & Power, N. (2023). Work-life balance as a personal responsibility: The impact on strategies for coping with interrole conflict. Journal of Occupational Science, 30(2), 160-174. doi: 10.1080/14427591.2021.1894596
• Pien, L. C., Cheng, W. J., Chou, K. R., & Lin, L. C. (2021). Effect of work–family conflict, psychological job demand, and job control on the health status of nurses. International Journal of Environmental Research and Public Health, 18(7), 3540-3549. doi: 10.3390%2Fijerph18073540
• Shelton, A. J., Wang, C. D., & Zhu, W. (2017). Perceived social support and mental health: Cultural orientations as moderators. Journal of College Counseling, 20(3), 194-207. doi: 10.1002/jocc.12062
• Taghizadeh, Z., Ebadi, A., Keshavarz, S., Pourreza, A., Kazemnejad, A., & Bagherzadeh, R. (2021). Why Iranian women experience work-family conflict?. Current Women's Health Reviews, 17(2), 136-149. doi: 10.2174/1573404816999200918114602
• Yiğitbaş, Ç. (2020). Hem dezavantajlı hem de kadın olmak. Van Tıp Dergisi, 27(3), 367-370. doi: 10.5505/vtd.2020.33230
• Zhang, Y., Dugan, A. G., El Ghaziri, M., Siddique, S., & Punnett, L. (2023). Work–family conflict and depression among healthcare workers: The role of sleep and decision latitude. Workplace Health & Safety, 71(4), 195-205. doi: 10.1177/21650799221139998
• Zurlo, M. C., Vallone, F., & Smith, A. P. (2020). Work–family conflict and psychophysical health conditions of nurses: Gender differences and moderating variables. Japan Journal of Nursing Science, 17(4), 3-12. doi: 10.1111/jjns.12324