Barriers to Seeking and Accepting Treatment for Perinatal Depression: A Qualitative Study in Rio de Janeiro, Brazil

Baldisserotto, Marcia Leonardi; Theme, M.M.; Gomez, Liliana Yanet; Reis, Talita Borges Queiroga Dos

doi:10.1007/s10597-019-00450-4

Cited by 21 publications

(25 citation statements)

References 22 publications

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“…A large body of included studies (85%) has reported that fear of being stigmatized hindered people from seeking MH services(17, 18, 20, 23-25, 31, 33, 35, 37, 39, 42, 44, 45, 48-50, 52-54).B-1-2-Personal stigma/Shame: according to the findings of current review, self-stigma and embarrassment is the second attitudinal barrier to the utilization of MH services. Self-stigma is a feeling of shame that in many cases leads to reduction in utilization of MH services(18,20,44,48,50,(52)(53)(54).B-1-3-Concerns about the effectiveness of services: this study indicates that another frequent barrier to the utilization of MH services in LMICs is concern about the effectiveness of services. Patients who suppose that MH service would not help them are less likely to seek and utilize these services(18, 23- 25, 48, 49).…”

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confidence: 84%

“…Lack of confidence in professionals: results of the review demonstrate that due to the unsuccessful or bad experience with MH care providers, patients may lose their confidence in professionals and may reduce utilization of available services(17,48,50). B-1-9-Poor compliance with treatment: this study showed that the last attitudinal barrier to the utilization MH services is patients' poor compliance with treatment.…”

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confidence: 86%

“…Imperfect insurance legislation, incomplete basic premium package, low population coverage, and unaffordable premiums are among the most frequent deficits of MH insurance in these countries(20,23,37,39,42).B-3-Knowledge barriersB-3-1-Lack of knowledge about mental health problem: this study showed that the most frequent knowledge barrier to the utilization of MH services in LMICs is lack of adequate knowledge about MH problems among patients and their families. Recognition of MH problems by patients and their families is the first step in utilization of the services(17,18,25,35,42,45,(48)(49)(50)(51)(52). B-3-2-Lack of information on available services: This study indicated that lack of information about availability of services is another important knowledge barrier to the utilization of MH services.…”

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confidence: 92%

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Key Barriers to the Provision and Utilization of Mental Health Services in Low-and Middle-Income Countries: A Scope Study

Sarikhani

Bastani

Rafiee

et al. 2020

Community Ment Health J

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Background: Mental Health(MH) is among the main determinants of community well-being and a remarkable portion of global burden of diseases is pertaining to mental disorders. Despite this fact, little attention has been given to the provision of adequate and appropriate MH services and improving equitable access to these services in some parts of the world especially in low-and middleincome countries(LMICs). This review was aimed to identify key barriers to the provision and utilization of MH services in LMICs. Methods: We carried out a systematic and comprehensive search on 7 important online databases for English-language literature on key barriers to the provision and utilization of MH services in LMICs from Jan 2000 to Nov 2019. Arksey and O'Malley instructor was used in 5 steps to implement scope study. The extracted materials were tabulated and synthesized using a qualitative content analysis approach. Results: Three main themes were developed regarding the barriers to the provision of MH services in LMICs including resource and administrative barriers, information and knowledge obstacles, as well as policy and legislation barriers. Also four main themes emerged about barriers to the utilization of MH services including attitudinal, structural, knowledge, and treatment-related barriers. Conclusion: Equitable access to MH services in LMICs is under influence of many barriers in both provision and utilization sides. In order to alleviate these problems, health systems in LMICs could adopt some strategies including integration of MH policy into general health policy, improvement of public MH knowledge regarding the MH and its related issues, developing anti-stigma programs, reallocation of health resources toward high-priority MH needs, developing community-based insurance, as well as integration of MH services into all levels of health-care systems. Further studies are also required for determining relative importance of the barriers and their related solutions based on the national context of each country.

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confidence: 84%

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confidence: 86%

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confidence: 92%

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Key Barriers to the Provision and Utilization of Mental Health Services in Low-and Middle-Income Countries: A Scope Study

Sarikhani

Bastani

Rafiee

et al. 2020

Community Ment Health J

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“…counselling or medications) is necessary. Nevertheless, most studies reported that PND women did not seek professional help [ 9 - 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…For instance, women could not perceive the depressive symptoms as problematic due to a lack of depression literacy [ 10 , 12 , 13 ]. Meanwhile, stigma has been established as a barrier to help-seeking for PND women [ 9 - 11 , 14 , 15 ]. Women were also reported to be ashamed and humiliated about their PND symptoms.…”

Section: Introductionmentioning

confidence: 99%

The Malaysian Women's Experience of Care and Management of Postnatal Depression

Arifin

Cheyne

Maxwell

et al. 2021

CPEMH

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Objectives: Early detection and intervention for Maternal Postnatal Depression (PND) are imperative to prevent devastating consequences for mothers, babies, and families. However, there are no guidelines that explicitly focus on the management of PND in Malaysia. Consequently, it is unclear whether women with PND are receiving proper care and treatment. Therefore, this study aimed to explore Malaysian Women's experience in managing PND symptoms. Methods: A qualitative study was conducted among 33 women attending Maternal and Child Health (MCH) clinics in Kuala Lumpur. Data were obtained through a face-to-face semi-structured interview and analysed using framework analysis. Results: The women considered PND as a personal and temporary issue. Therefore, professional care was deemed unnecessary for them. Additionally, all Malay women considered religious approach as their primary coping strategy for PND. However, this was not the case for most Indian and Chinese women. Conclusion: The findings of this study indicated that women did not acknowledge the roles of Healthcare Practitioners (HCPs) in alleviating their emotional distress.Also, they perceived PND as a personal problem and less serious emotional condition. It is due to this perception that the women adopted self-help care as their primary coping strategy for PND. However, the coping strategy varied between different cultures. These findings underscore the importance of HCPs’ proactive action to detect and alleviate PND symptoms as their attitude towards PND may influence Women's help-seeking behaviour.

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Factors affecting the implementation of task-sharing interventions for perinatal depression in low- and middle-income countries: A systematic review and qualitative metasynthesis

Zhu

Wang

et al. 2022

Journal of Affective Disorders

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Barriers to Seeking and Accepting Treatment for Perinatal Depression: A Qualitative Study in Rio de Janeiro, Brazil

Cited by 21 publications

References 22 publications

Key Barriers to the Provision and Utilization of Mental Health Services in Low-and Middle-Income Countries: A Scope Study

Key Barriers to the Provision and Utilization of Mental Health Services in Low-and Middle-Income Countries: A Scope Study

The Malaysian Women's Experience of Care and Management of Postnatal Depression

Factors affecting the implementation of task-sharing interventions for perinatal depression in low- and middle-income countries: A systematic review and qualitative metasynthesis

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