Facilitators and Barriers to Disclosure of Postpartum Mood Disorder Symptoms to a Healthcare Provider

Prevatt, Betty-Shannon; Desmarais, Sarah L.

doi:10.1007/s10995-017-2361-5

Cited by 36 publications

(36 citation statements)

References 30 publications

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“…Consistent with findings of other studies, encouragement by family members and HCP were both identified as facilitating factors to women’s decision to engage with PMHS regardless of their referral status [13, 29, 30]. As identified by Prevatt et al [31], some women may choose not to openly disclose their emotional distress, as such HCP should proactively promote engagement with mental health services to all women and their social supports if there are identified risk factors or concerns about mental health/emotional wellbeing in the perinatal period.…”

Section: Discussionsupporting

confidence: 84%

Engagement with perinatal mental health services: a cross-sectional questionnaire survey

Ayres

Chen

Mackle

et al. 2019

BMC Pregnancy Childbirth

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Background Perinatal depression and/or anxiety disorders are undertreated pregnancy complications. This is partly due to low rates of engagement by women. This study aimed to identify barriers and facilitators to women accessing perinatal mental health services in an outer metropolitan hospital in Queensland, Australia. Methods Data was collected from pregnant women through a cross-sectional survey. Women rated the extent certain factors influenced their engagement. Respondents were separated into three groups: women who were not offered a referral to perinatal mental health services, women who were offered a referral but did not engage, and women who engaged. Results A total of 218 women participated. A response rate of 71% was achieved. 38.1% of participants did not believe themselves knowledgeable about mental illness in the perinatal period, and 14.7% did not recall being asked about their mental health during their pregnancy. Of those participants who recalled being asked about their mental health, 37.1% were offered a referral. Of these, just over a third (36.2%) accepted, and out of this group, 40% attended an appointment. Regardless of referral and engagement status, the factors identified as influencing participant engagement were time restraints, lack of childcare support, and encouragement by family and health care professionals. Stigma was not identified as a barrier. Conclusions Perinatal mental health service engagement could be improved by health services: ensuring universal screening and actively engaging women in the process: assisting with childcare; improving appointment immediacy and accessibility; and educating health care professionals about their influence on women’s engagement. Electronic supplementary material The online version of this article (10.1186/s12884-019-2320-9) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 84%

Engagement with perinatal mental health services: a cross-sectional questionnaire survey

Ayres

Chen

Mackle

et al. 2019

BMC Pregnancy Childbirth

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“…Cultural awareness, public education, early intervention and an open dialogue around the postpartum period and its stressors have been flagged by a number of authors (Dennis and Chung-Lee, 2006;Goldbort, 2006;Hong Law et al, 2018;Letourneau et al, 2007;Manuel et al, 2012;Negron et al, 2013;Tobin et al, 2014), to promote disclosure of distress and increasing help seeking (Prevatt and Desmarais, 2018). Creating new avenues for support through the use of technologies such as Skype and applications for smart devices has been suggested by Hong Law et al (2018).…”

Section: Educationmentioning

confidence: 99%

“…Similarly, low social support can equate with a lower quality of life (Webster et al, 2011). While much of the research is focussed on the benefits of social support, some literature outlines issues with the utilisation of the social support available to women, as well as issues accessing those supports (Leahy-Warren et al, 2018; Prevatt and Desmarais, 2018) – a particularly salient issue for particular groups, including women with migrant, refugee or asylum seeking backgrounds (Benza and Liamputtong, 2014; Tobin et al, 2014). This overview draws together the existing literature concerning social support for women in the postpartum period.…”

Section: Introductionmentioning

confidence: 99%

First-time mothers’ perceptions of social support: Recommendations for best practice

Machado

Chur‐Hansen

Due

2020

Health Psychology Open

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Research indicates social support is imperative for postpartum well-being. The types of social support and access to preferred supports are less understood. This article considers first-time mothers’ perceptions of the effectiveness of social supports and perceived barriers to accessing support and provides recommendations for best practice. A search of the literature for terms related to postpartum social support was conducted. Major themes were identified and synthesised. A critique and analysis of the literature is presented with recommendations for best practice. Much of the research around postnatal support fails to distinguish the specific type of support, meaning creating support solutions for the postpartum period may not be effectively targeted. Recommendations for individualised support are made.

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“…Despite available effective treatments [ 6 - 10 ], postpartum mental health problems often go undetected or untreated [ 11 , 12 ]. Low screening and diagnosis rates play a role, but some women with emotional difficulties postpartum are often more reluctant to disclose and seek help [ 13 - 15 ]. Possible reasons for this include being too busy to get around to seeking help and feeling too embarrassed or having no-one they felt comfortable talking to [ 14 ], as well as child care concerns [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Feasibility and Acceptability of a Web-Based Treatment with Telephone Support for Postpartum Women With Anxiety: Randomized Controlled Trial

Ashford¹,

Olander²,

Rowe³

et al. 2018

JMIR Ment Health

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BackgroundPostpartum anxiety can have adverse effects on the mother and child if left untreated. Time constraints and stigma are common barriers to postpartum treatment. Web-based treatments offer potential flexibility and anonymity. What Am I Worried About (WaWa) is a self-guided treatment based on cognitive-behavioral and mindfulness principles for women experiencing postpartum anxiety. WaWa was developed in Australia and consists of 9 modules with optional weekly telephone support. WaWa was adapted to a Web-based version for use in England (Internet-based What Am I Worried About, iWaWa).ObjectiveThis study aimed to investigate the feasibility (engagement and usability) and acceptability (usefulness, satisfaction, and helpfulness) of iWaWa among English postpartum women with anxiety.MethodsPostpartum (<12 months) women with mild-to-severe anxiety were recruited anonymously via social media during an 8-week period. Participants were randomized to the iWaWa treatment (8 weeks) or wait-list control group. Treatment and study feasibility and acceptability were assessed after the treatment, and anxiety symptoms were assessed at baseline, 8 weeks postrandomization, and 12 weeks postrandomization (treatment group only) using Web-based questionnaires. Semistructured telephone interviews were carried out after the treatment period for a more in-depth exploration of treatment acceptability and feasibility.ResultsA total of 89 eligible women were recruited through social media and randomized into the treatment (n=46) or wait-list control group (n=43). Women were predominantly Caucasian, well-educated, married, on maternity leave, first-time mothers and reported moderate levels of anxiety. Dropout rates were high, especially in the treatment group (treatment: 82%, 38/46; wait-list control: 51%, 22/43). A total of 26 women started iWaWa with only 2 women completing all 9 modules. Quantitative and qualitative data suggest iWaWa was experienced as generally useful and helpful. Participants enjoyed iWaWa’s accessibility, anonymity, and weekly reminders, as well as the introduction to the principles of cognitive-behavioral therapy (CBT) and mindfulness. However, iWaWa was also experienced as not user-friendly enough, too long, and not smartphone-friendly. Parts of the content were experienced as not always relevant and appropriate. Participants felt that iWaWa could be improved by having it in a smartphone app format and by making the content more concise and inclusive of different parenting styles.ConclusionsDespite interest in iWaWa, the results suggest that both the study and iWaWa were not feasible in the current format. However, this first trial provides useful evidence about treatment format and content preferences that can inform iWaWa’s future development, as well as research and development of Web-based postpartum anxiety treatments, in general, to optimize adherence.Trial RegistrationClinicalTrials.gov NCT02434406; https://clinicaltrials.gov/ct2/show/NCT02434406 (Archived by WebCite at http://www.webcitation.org/6xTq7...

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Facilitators and Barriers to Disclosure of Postpartum Mood Disorder Symptoms to a Healthcare Provider

Cited by 36 publications

References 30 publications

Engagement with perinatal mental health services: a cross-sectional questionnaire survey

Engagement with perinatal mental health services: a cross-sectional questionnaire survey

First-time mothers’ perceptions of social support: Recommendations for best practice

Feasibility and Acceptability of a Web-Based Treatment with Telephone Support for Postpartum Women With Anxiety: Randomized Controlled Trial

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