This phenomenological study, using the Husserlian philosophy, explored the perceptions of Nigerian-born immigrant women in the United States and their portrayal of depression. Through face-to-face, semi-structured, audio-taped interviews incorporating open-ended questions and probes to facilitate discussion, the study examined a purposive sample of 19 Nigerian-born immigrant women's perception of depression. Data were analysed using Colaizzi's seven step method of data analysis. The findings from the study uncovered six themes: (1) craziness and madness; (2) curse and evil spirit possession; (3) denial and secrecy; (4) isolation and rejection; (5) spirituality and religion; and (6) need for education. Findings indicated that Nigerian-born women were not able to differentiate depression from other types of mental illnesses. The women described depression as something that affects others and not them. The women's perception provided insight into why the clergy was preferred for treatment of depression rather than health care professionals. The findings of the study should increase the awareness of nurses and other health care professionals of the need to focus on evidence-based, culturally specific research, and illuminate issues surrounding depression in this population. © 2009 Blackwell Publishing.

Phenomenology Qualitative methodology Depression Women's mental health

Nigeria cultural anthropology Cultural Diversity social psychology hospitalization nursing Stereotyping human middle aged statistics Aged ethnology religion United States Humans Severity of Illness Index Emigrants and Immigrants female Religion and Psychology Spirituality Article awareness adult migration Depressive Disorder, Major Nurse-Patient Relations major depression nurse patient relationship attitude to health