Women's Experience of Postpartum Psychotic Episodes—Analyses of Narratives From the Internet

Engqvist, Inger; Ferszt, Ginette G.; Åhlin, Anders; Nilsson, Kerstin

doi:10.1016/j.apnu.2010.12.003

Cited by 38 publications

(71 citation statements)

References 34 publications

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“…Questions were based on the study aims and themes from similar studies (Robertson & Lyons 2003, Engqvist & Nilsson 2011. The schedule was designed to allow participants to explore…”

Section: Data Collectionmentioning

confidence: 99%

“…Furthermore, some mothers report PP as a factor in relationship breakdown (Robertson & Lyons 2003). In addition to supporting their partner, fathers may need to take on additional childcare responsibilities during this time (Engqvist & Nilsson 2011, Doucet et al 2012. Partners of women with perinatal mental health problems can feel frustrated, angry, helpless, fearful, overwhelmed, isolated and confused (Engqvist & Nilsson 2011).…”

Section: Introductionmentioning

confidence: 99%

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Men's experiences of having a partner who requires Mother and Baby Unit admission for first episode postpartum psychosis

Boddy

Gordon

MacCallum

et al. 2016

Journal of Advanced Nursing

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Aims The aim of this study was to explore the experiences of men during their partner's admission to a Mother and Baby Unit for first episode postpartum psychosis. Background Postpartum psychosis can be life‐changing for women, however little is known about the impact on their partners or their partners' needs. Design An Interpretative Phenomenological Analysis approach was used to analyse interview transcripts. Methods Semi‐structured interviews were conducted with seven participants. Interviews were conducted in 2014–2015. Findings Two main themes were identified: ‘What the f*** is going on?’ and ‘Time to figure out how your family works’. Partners experienced shock and confusion during postpartum psychosis onset. Most felt hospital admission was beneficial, although there were barriers to accessing help and involvement in their partner's care. A process of understanding changes to roles, relationships and family identity was described. Loss was a common experience, with a potentially lasting impact. Conclusions Men reported a range of challenging and positive experiences associated with their partner's postpartum psychosis. Improvements are needed in awareness of postpartum psychosis, access to appropriate services and support of partners.

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“…Questions were based on the study aims and themes from similar studies (Robertson & Lyons 2003, Engqvist & Nilsson 2011. The schedule was designed to allow participants to explore…”

Section: Data Collectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Men's experiences of having a partner who requires Mother and Baby Unit admission for first episode postpartum psychosis

Boddy

Gordon

MacCallum

et al. 2016

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…In recent years, there has also been a major move towards a psychological understanding of perinatal distress of all types other than PP. The evidence from the women themselves both in this study, and others (Engqvist et al, 2011;Robertson & Lyons, 2003) seems to point towards a more complex explanation of PP. The biomedical explanations of PP are not being discounted here; however, it is acknowledged that they do not provide a complete explanation of PP.…”

Section: Discussionmentioning

confidence: 65%

Puerperal psychosis – a qualitative study of women’s experiences

Glover

Jomeen

Urquhart

et al. 2014

Journal of Reproductive and Infant Psychology

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Objective: This study explored women's experience of puerperal psychosis (PP) and their perceptions of its cause, in order to contribute to an increased understanding of PP and promote consideration of new management perspectives. Background: Out of every 1000 live births, approximately one to two women will develop PP. The numbers are relatively small, yet the consequences can be devastating. Key theoretical explanations for the aetiology of PP are genetic, biochemical and endocrine. A small and relatively tenuous evidence base considers PP from a psychological perspective, despite acknowledgement of the need for broader understanding. A stress-vulnerability model has offered a contemporary explanation of psychotic symptoms in other contexts and non-clinical populations and may offer useful insight in relation to a psychobiological model of PP. Methods: In a qualitative study, seven women who had been diagnosed with PP previously were interviewed and the data subjected to an inductive thematic analysis. Trustworthiness and rigour of the study was assured by careful monitoring of the research process and data checking. Results: Four themes were identified -The path to PP; Unspeakable thoughts and unacceptable self; 'Snap out of it'; and Perceived causes. While women attributed their PP to the physiological changes associated with childbirth, their accounts of PP began before and during pregnancy. Women highlighted stressful pregnancies characterised by significant challenges and emotions, difficult births and unsupportive family relationships postnatally. The experience of PP was extremely distressing. Conclusion: Findings add to the debate about a more multifaceted explanation of PP and potentially offer a psychobiological model of understanding.

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“…In the United States, a study was conducted involving 28 women suffering from mental disorders developed during the first four weeks after birth. As a result of the narratives, the following categories emerged: disappointment with the birth, inability to care for the child, feelings such as guilt, fear, disorganized thoughts, feeling of malaise, anxiety, restlessness, insomnia, self-destructive behavior, lack of concentration, distrust and detachment from the child and the Mazzo world (19,20) . Concerning the situation of these mothers, several needs are affected -sleep and rest, physical security, gregariousness, emotional security, self-esteem, self-confidence, love and acceptance, and physical security.…”

Section: Discussionmentioning

confidence: 99%

Empirical indicators of the affected human needs of puerperal women: a methodological study

Mazzo

Brito

2015

Online Brazilian Journal of Nursing

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Women's Experience of Postpartum Psychotic Episodes—Analyses of Narratives From the Internet

Cited by 38 publications

References 34 publications

Men's experiences of having a partner who requires Mother and Baby Unit admission for first episode postpartum psychosis

Men's experiences of having a partner who requires Mother and Baby Unit admission for first episode postpartum psychosis

Puerperal psychosis – a qualitative study of women’s experiences

Empirical indicators of the affected human needs of puerperal women: a methodological study

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