Background: There is disagreement among academics about the importance of marital conflict and mental health disorders like depression for women worldwide. The present study aimed to examine the association among marital conflict, self-silencing, depression, and dissociation in married madrassa and non-madrassa women. Moreover, this study investigated the mediating role of self-silencing and dissociation in the relationship between marital conflict and depression. Additionally, it also examined the prevalence of symptoms of dissociation and depression in married madrassa and non-madrassa women.
Methods: A purposive sampling technique was used based on the cross-sectional survey. Three hundred women (married Madrassa, n = 150; married non-Madrassa, n = 150) who fulfilled the inclusion and exclusion criteria were recruited from different Madrassa and residential areas of Rawalpindi and Islamabad, Pakistan. Psychiatric assessment was carried out through standardized instruments such as Silencing the Self-scale (STSS), Dissociative Experiences Survey (DES), Revised Dyadic Adjustment Scale (RDAS), and Beck Depression Inventory (BDI) to examine the prevalence of marital conflict, self-silencing, symptoms of depression, and dissociation.
Results: A comparative study among the groups of madrassa and non-madrassa women revealed significant differences in marital conflict, self-silencing, symptoms of depression, and dissociation. Further, the results of the present study also illustrated that self-silencing was significantly positively associated with higher levels of marital conflict, symptoms of depression, and dissociation in both married madrassa and non-madrassa women. Mediation analysis revealed that marital conflict self-silencing was playing the role of mediator between marital conflict and symptoms of depression in both married madrassa and non-madrassa women.
Conclusions: This study suggested that marital conflict and self-silencing could trigger mental issues such as depression and dissociation in married madrassa and non-madrassa women. The current study's findings will be useful in understanding and resolving the mental health issues of married women.
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