Journal ArticleDOI
Postpartum depression help-seeking barriers and maternal treatment preferences: a qualitative systematic review
TLDR
It is suggested that women did not proactively seek help, and the barriers involved both maternal and health professional factors, which will assist health professionals in addressing these barriers and in developing preventive and treatment interventions in accord with maternal preferences.Abstract:
: Background: Despite the well-documented risk factors and health consequences of postpartum depression, it often remains undetected and untreated. No study has comprehensively examined postpartum depression help-seeking barriers, and very few studies have specifically examined the acceptability of postpartum depression treatment approaches. The objective of this study was to examine systematically the literature to identify postpartum depression help-seeking barriers and maternal treatment preferences. Methods: Medline, CINAHL, and EMBASE databases were searched using specific key words, and published peer-reviewed articles from 1966 to 2005 were scanned for inclusion criteria. Results: Of the 40 articles included in this qualitative systematic review, most studies focused on women’s experiences of postpartum depression where help seeking emerged as a theme. A common help-seeking barrier was women’s inability to disclose their feelings, which was often reinforced by family members and health professionals’ reluctance to respond to the mothers’ emotional and practical needs. The lack of knowledge about postpartum depression or the acceptance of myths was a significant help-seeking barrier and rendered mothers unable to recognize the symptoms of depression. Significant health service barriers were identified. Women preferred to have “talking therapies” with someone who was nonjudgmental rather than receive pharmacological interventions. Conclusions: These results suggest that women did not proactively seek help, and the barriers involved both maternal and health professional factors. Common themes related to specific treatment preferences emerged from women of diverse cultural backgrounds. The clinical implications outlined in this review will assist health professionals in addressing these barriers and in developing preventive and treatment interventions that are in accord with maternal preferences. (BIRTH 33:4 December 2006)read more
Citations
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Journal ArticleDOI
Common mental health problems in immigrants and refugees: general approach in primary care
Laurence J. Kirmayer,Lavanya Narasiah,Marie Munoz,Meb Rashid,Andrew G. Ryder,Jaswant Guzder,Ghayda Hassan,Cécile Rousseau,Kevin Pottie +8 more
TL;DR: Systematic inquiry into patients’ migration trajectory and subsequent follow-up on culturally appropriate indicators of social, vocational and family functioning over time will allow clinicians to recognize problems in adaptation and undertake mental health promotion, disease prevention or treatment interventions in a timely way.
Journal ArticleDOI
Psychosocial and psychological interventions for treating postpartum depression
Cindy-Lee Dennis,Ellen Hodnett +1 more
TL;DR: Overall psychosocial interventions do not reduce the numbers of women who develop postpartum depression, however, a promising intervention is the provision of intensive, professionally-based post partum support.
Journal ArticleDOI
The Relationship Between Infant-Feeding Outcomes and Postpartum Depression: A Qualitative Systematic Review
Cindy-Lee Dennis,Karen McQueen +1 more
TL;DR: The results from this review suggest that women with depressive symptomatology in the early postpartum period may be at increased risk for negative infant-feeding outcomes including decreased breastfeeding duration, increased breastfeeding difficulties, and decreased levels of breastfeeding self-efficacy.
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Women’s Attitudes, Preferences, and Perceived Barriers to Treatment for Perinatal Depression
TL;DR: Understanding what prevents women from seeking or obtaining help for depression and determining what they prefer in the way of treatment may lead to improved depression treatment rates and hold promise for improving the overall health of childbearing women.
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Moms Are Not OK: COVID-19 and Maternal Mental Health.
TL;DR: This rapid response survey identifies a substantial increase in the likelihood of maternal depression and anxiety during the COVID-19 pandemic, which highlights the strong need for heightened assessment and treatment of maternal mental health.
References
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Journal ArticleDOI
Rates and risk of postpartum depression—a meta-analysis
Michael W. O'Hara,Annette Swain +1 more
TL;DR: The average prevalence rate of non-psychotic postpartum depression based on the results of a large number of studies is 13% as discussed by the authors, and the average prevalence estimates are affected by the nature of the assessment method.
Journal ArticleDOI
Predictors of postpartum depression: an update.
TL;DR: Results confirmed findings of an earlier meta-analysis and in addition revealed four new predictors of postpartum depression: self-esteem, marital status, socioeconomic status, and unplanned/unwanted pregnancy.
Journal ArticleDOI
The impact of postnatal depression and associated adversity on early mother-infant interactions and later infant outcome.
TL;DR: Depressed mothers were less sensitively attuned to their infants, and were less affirming and more negating of infant experience, and similar difficulties in maternal interactions were also evident in the context of social and personal adversity.
Journal ArticleDOI
The measurement of patient satisfaction
TL;DR: The difficulties involved in executing patient satisfaction surveys are identified, the potential cost-effectiveness of qualitative techniques are discussed, and the paper concludes by discussing how health care management systems could more effectively absorb the findings of patient satisfaction survey.
Journal ArticleDOI
Paternal postpartum depression, its relationship to maternal postpartum depression, and implications for family health
TL;DR: Consideration of postpartum depression in fathers as well as mothers, and consideration of co-occurrence of depression in couples, is an important next step in research and practice involving childbearing families.
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