Socioeconomic and racial/ethnic disparities in postpartum consultation for mental health concerns among US mothers

Dagher, Rada K.; Pérez‐Stable, Eliseo J.; James, Regina Smith

doi:10.1007/s00737-021-01132-5

Cited by 18 publications

(14 citation statements)

References 40 publications

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“…The theme, preferences for help with PPD , supported Bodnar-Deren's et al's (2017) results that found Black mothers were less likely to accept prescription medication and mental health counseling and more likely to accept spiritual counseling than White women. This theme also confirmed Dagher et al's (2021) finding in a national survey that Hispanic mothers had significantly lower odds of seeking postpartum mental health consultations than White mothers.…”

Section: Discussionsupporting

confidence: 82%

Experiences of Postpartum Depression in Women of Color

Beck¹

2023

McN: The American Journal of Maternal/Child Nursing

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Purpose: To examine the experiences of postpartum depression among U.S.-born women of color via an integrative review. Study Design and Method: Databases searched were PubMed, CINAHL, Scopus, and PsycInfo. Sample inclusion criteria included qualitative research published in English that explored U.S.-born women of color's experiences of postpartum depression. There was no time limitation on when studies were published. Krippendorff's thematic content analysis method was used. Results: In this integrative review, eight qualitative studies investigating Black and Hispanic women's postpartum depression experiences and eight blog postings were synthesized. Five themes were identifi ed that described postpartum depression experiences of Black and Hispanic women: (1) Struggling with an Array of Distressing Symptoms, (2) Cultural Stigma as a Powerful Roadblock, (3) Complicating Barriers to Seeking Much-Needed Professional Help, (4) Support as a Lifeline or "Just Pulling Yourself up by Your Bootstraps," and (5) Preferences for Help with Postpartum Depression. Clinical Implications: Cultural stigma of mental illness plus lack of knowledge of postpartum depression were strong barriers to women of color seeking timely professional mental health care. Nurses can share information about perinatal mental illness with women in cultural communities to help decrease stigma and increase mental health literacy. All health care providers and policy makers need to focus attention on the impact that women of color's economic and social stressors have on their postpartum depression.

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Section: Discussionsupporting

confidence: 82%

Experiences of Postpartum Depression in Women of Color

Beck¹

2023

McN: The American Journal of Maternal/Child Nursing

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“…Unfortunately, significant racial and socioeconomic disparities exist in mental health diagnosis and treatment across reproductive transitions. Nonwhite women are less likely to have postpartum mental health care than white women 28,29 . Women with lower household incomes are also less likely to have postpartum mental health care 29 .…”

Section: Epidemiology Of Reproductive Depressionmentioning

confidence: 99%

Clinical Implications of the Neurosteroid Allopregnanolone in Reproductive Depression

Susser

2023

Harv Rev Psychiatry

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Certain women develop depression with fluctuations in hormone levels whereas other women do not; this hormonally driven depression has been termed reproductive depression. The pathophysiology of reproductive depression differs from that of major depressive disorder, and this distinction has important clinical—including treatment—implications. Recent advances have revealed that the neurosteroid, allopregnanolone, plays a central role in reproductive depression. Appreciation of allopregnanolone’s role in reproductive depression aids in selecting targeted treatments and in predicting symptom worsening during subsequent reproductive stages, and it can be used to reduce risk of relapse. This knowledge is also guiding the development of new pharmacologic treatments for reproductive depression.

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“…While psychotherapies are generally effective across cultural groups and problem areas (15), engagement remains significantly lower among BIPOC (Black, Indigenous, Persons of Color) perinatal women compared to their white counterparts (16). BIPOC women are less likely to access and continue mental health services (17,18) due to racialized barriers that include experiences of discrimination and racial micro-aggression, mistrust of healthcare providers, and reduced quality of services (18)(19)(20).…”

Section: Whatmentioning

confidence: 99%

Scaling Up Patient-Centered Psychological Treatments for Perinatal Depression in the Wake of a Global Pandemic

et al. 2022

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There is a call to action to reduce the public health burden of perinatal depression worldwide. The COVID-19 pandemic has further highlighted significant gaps in perinatal mental health care, especially among women who identify as Black, Indigenous, People of Color (BIPOC). While psychotherapeutic (cognitive, behavioral and interpersonal) interventions are endorsed for perinatal mood disorders, barriers to access and uptake contribute to inequitable access to treatment at the population level. To effectively address these barriers and increase the scalability of psychotherapy among perinatal women, we suggest four pragmatic questions to be answered from a patient-centered lens; namely, “who,” “what,” “how,” and “when.” Promising avenues include task-sharing among mental health non-specialists, an emphasis on culturally sensitive care, web-based delivery of psychotherapy with some caveats, and a lifespan approach to perinatal mental health. Innovative research efforts are seeking to validate these approaches in diverse contexts across North America and the UK, lending optimism toward scalable and long-term solutions for equitable perinatal mental health care.

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Socioeconomic and racial/ethnic disparities in postpartum consultation for mental health concerns among US mothers

Cited by 18 publications

References 40 publications

Experiences of Postpartum Depression in Women of Color

Experiences of Postpartum Depression in Women of Color

Clinical Implications of the Neurosteroid Allopregnanolone in Reproductive Depression

Scaling Up Patient-Centered Psychological Treatments for Perinatal Depression in the Wake of a Global Pandemic

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