Evaluating family knowledge about sexual health in patients with severe mental illness: a qualitative study in Iran

Mirsepassi, Zahra; Raisi, Firoozeh; Shahvari, Zahra; Firoozikhojastefar, Reihaneh; Yahyavi, Seyyed Taha

doi:10.1186/s12888-022-03788-4

Cited by 1 publication

(2 citation statements)

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“…Participants without lived experience of SMI were included in 11 studies [19][105][103][94][82][78][54][50][40][38][33]. These included psychiatric nurses, midwives, administrators of mental health care facilities, caregivers or family members of people with SMI, government decision makers, mental healthcare providers, and people living in communities that include people with SMI.…”

Section: Participantsmentioning

confidence: 99%

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Sexual and Reproductive Health Needs of Women with Severe Mental Illness in Low- and Middle-Income Countries: A Scoping Review

Sisodia,

Hammond,

Leonardi-Bee

et al. 2024

Preprint

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BackgroundThis scoping review aimed to understand the extent and type of evidence in relation to sexual and reproductive health needs of women with severe mental illness (SMI) in low-and middle-income countries (LMIC) and to summarise those needs.MethodsInclusion criteria were 1) focus on sexual and reproductive health needs 2) women or girls with SMI, professionals, caregivers of women with SMI and community members 3) study set in a LMIC 4) peer reviewed literature (no restriction on study date or design). Studies were identified from comprehensive searches of Medline, EMBASE, CINAHL and PsycINFO (to July 2023).ResultsThe review included 100 papers. Most studies were cross-sectional and set in hospital outpatient departments. We identified studies in only 19 of 140 LMIC countries and only 15 studies were set-in low-income countries. Included studies often had multiple focus areas which were grouped into themes of HIV (prevalence, risk behaviour and knowledge), other sexually transmitted infections (STIs), sexual function, contraception use and family planning, sexual violence, fertility, pregnancy and postpartum.Included studies indicated women with SMI have worse outcomes and worse sexual and reproductive health compared to both women without SMI and men with SMI. Women with SMI were shown to have higher rates of HIV and low levels of contraception knowledge and use, with little advice offered by professionals.ConclusionsThis review highlights the need for a greater diversity of study methodology, robustness of ethical and consensual reporting when researching vulnerable populations and for further research on interventions and models of care aimed at addressing stigma, discrimination and improving the sexual and reproductive health of women with SMI. Future research should better represent the breadth of LMIC, investigate cultural adaptability of interventions and consider sexual health needs across the life course.

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Section: Participantsmentioning

confidence: 99%

“…Eight qualitative studies relating to sexuality were identified [40][67][78][90][92][103][105][107]. Stigmatisation was consistently reported by women with SMI and that this was at times perpetuated by healthcare providers.…”

Section: Study Focusmentioning

confidence: 99%