Midlife Depression and the “Empty Nest” Syndrome in Indian Women

The incidence of midlife depression in Indian (South African) women presenting at a general hospital psychological clinic is reported. Of 56 women aged between 40 and 55 yr. who presented at the clinic during a 2-yr. period, 32 (57.1%) showed clinical depression. Of the depressed 21 were referred primarily for bodily pains in the absence of organic pathology. Feelings of loneliness and isolation related to children leaving home were reported by 19 patients. The breakdown of the extended-family system, through acculturation, and its psychological effects on middle-aged women are discussed.