Responses to warnings about the impact of eating disorders on fertility: a qualitative study

Holmes, Su

doi:10.1111/1467-9566.12676

Cited by 5 publications

(5 citation statements)

References 44 publications

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“…Similarly, warnings about preconception health can be potentially damaging, reduce feelings of agency and choice, and at worst push women further into destructive practices. For example, women with eating disorders have described how warnings regarding the impact of their condition on fertility led them to further dietary restriction and purging 160 .…”

Section: Interventionsmentioning

confidence: 99%

Perinatal mental health: a review of progress and challenges

2020

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Perinatal mental health has become a significant focus of interest in recent years, with investment in new specialist mental health services in some high‐income countries, and inpatient psychiatric mother and baby units in diverse settings. In this paper, we summarize and critically examine the epidemiology and impact of perinatal mental disorders, including emerging evidence of an increase of their prevalence in young pregnant women. Perinatal mental disorders are among the commonest morbidities of pregnancy, and make an important contribution to maternal mortality, as well as to adverse neonatal, infant and child outcomes. We then review the current evidence base on interventions, including individual level and public health ones, as well as service delivery models. Randomized controlled trials provide evidence on the effectiveness of psychological and psychosocial interventions at the individual level, though it is not yet clear which women with perinatal mental disorders also need additional support for parenting. The evidence base on psychotropic use in pregnancy is almost exclusively observational. There is little research on the full range of perinatal mental disorders, on how to improve access to treatment for women with psychosocial difficulties, and on the effectiveness of different service delivery models. We conclude with research and clinical implications, which, we argue, highlight the need for an extension of generic psychiatric services to include preconception care, and further investment into public health interventions, in addition to perinatal mental health services, potentially for women and men, to reduce maternal and child morbidity and mortality.

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Section: Interventionsmentioning

confidence: 99%

Perinatal mental health: a review of progress and challenges

2020

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“…Second, no studies related to preconception mental health were found. Although this can be a delicate topic because of, for example, stigmatizing attitudes that can worsen mental disorders, preconception care offers an important window of opportunity to generate long‐term health benefits 68‐71 . Third, curative interventions that exclusively target paternal mental health are scarce, and as a consequence, so is rigorous research on this topic 72‐74 .…”

Section: Discussionmentioning

confidence: 99%

“…Although this can be a delicate topic because of, for example, stigmatizing attitudes that can worsen mental disorders, preconception care offers an important window of opportunity to generate long-term health benefits. [68][69][70][71] Third, curative interventions that exclusively target paternal mental health are scarce, and as a consequence, so is rigorous research on this topic. [72][73][74] Fourth, the evidence on pharmaceutical interventions, including possible risks during pregnancy and lactation, is poor.…”

Section: Discussionmentioning

confidence: 99%

Cost‐effectiveness of mental health interventions during and after pregnancy: A systematic review

Verbeke

Bogaerts

Nuyts

et al. 2022

Birth

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Background Mental health problems during and after pregnancy such as depression, anxiety, post‐traumatic stress disorder (PTSD), or addiction are common and can have lifelong implications for both parents and offspring. This review investigates the cost‐effectiveness of interventions tackling these problems, assesses the methodological quality of included studies, and indicates suggestions for further research. Methods Thirteen databases were searched for economic evaluations of interventions related to antenatal, perinatal, and postnatal mental health conditions, published between 2000 and September 2021, in high‐income countries. Results Thirty‐nine studies met all inclusion criteria. Interventions considered were screening programs, pharmacological treatments, and various forms of psychosocial and psychological support. Six studies reported that the intervention was cost‐saving. Eighteen were cost‐effective and seven likely to be cost‐effective. Only six studies included health outcomes for the child; one study considered paternal health. The time horizon for which costs and consequences were considered was for most evaluations limited to 1 year (n = 18) or 2 years (n = 11) postpartum. Conclusions Given the importance of the subject, a relatively low number of studies have investigated the cost‐effectiveness of interventions tackling mental health problems during and after pregnancy. The scant evidence available suggests good overall value for money. Likely, cost‐effectiveness is underestimated as costly long‐term consequences on offspring are systematically excluded. No evidence was found for several frequently occurring conditions. Further research is required to obtain reliable, long‐term effectiveness data and to address the methodological challenges related to measuring all relevant health outcomes for all parties affected.

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“…Here, legitimisation refers to adopting a type of social behaviour. This justifies behaviour within the context by providing personal arguments that explain our social actions and ideas (Holmes, 2018). In addition, the act of legitimising or justifying is related to a goal, which, in most cases, seeks others' support and approval.…”

Section: Generation and Reception Of The "Three Children Discourse"mentioning

confidence: 97%

Discursive Governance Over Pro-Population Politics in Turkey

Pehlivanli-Kadayifci¹,

Eslen‐Ziya²,

Korkut³

2020

Sosyoloji Araştırmaları Dergisi

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Discursive governance of pro-population politics refers to norm-based mechanisms of governance that utilise intentionally selected slogans in political discourse for dissemination of ideas to further the interests of political authorities. Such ideas can be disseminated via modern communication technologies enabling governance to build social representations within the public sphere without policy constraints. It is our proposal that the pro-population state discourse in Turkey after 2008 constitutes an example of discursive governance. Our findings show that discursive mechanisms can lead to a change in married couples' reproductive attitude without significant policy alteration and further the debate in view of discursive governance of population politics.

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Responses to warnings about the impact of eating disorders on fertility: a qualitative study

Cited by 5 publications

References 44 publications

Perinatal mental health: a review of progress and challenges

Perinatal mental health: a review of progress and challenges

Cost‐effectiveness of mental health interventions during and after pregnancy: A systematic review

Discursive Governance Over Pro-Population Politics in Turkey

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