The Behavior of Seeking Professional Psychological Help Among Pregnant Women: A Qualitative Study in China DOI Creative Commons
Hongbin Xu, Yingqi Li, Xuemei Ma

et al.

Research Square (Research Square), Journal Year: 2023, Volume and Issue: unknown

Published: Dec. 21, 2023

Abstract This study aimed to understand the mental health status of pregnant women, clarify their needs for psychological help, and identify obstacles in seeking help. Semi-structured interviews were conducted with 20 focusing on sources stress, expectations difficulties We distilled five themes: (1) Psychological conditions during pregnancy, which includes stress emotional fluctuations anticipations postpartum challenges; (2) Barriers underscored by societal misconceptions, limited professional access, varied familial support; (3) Sources highlighting physical changes, work pressures, expectations; (4) Expectations assistance, emphasizing need understanding awareness; (5) Impact issues daily life, such as decreased efficiency affected social activities. Our conclusion points a stark reality: Pregnant women China confront significant face multiple barriers accessing There is an urgent enhanced improved access services this demographic.

Language: Английский

Assessing Parent–Infant Bonding in a Community Perinatal Mental Health Service DOI Creative Commons
Grace Baptie, Karen Yirmiya, Camilla Rosan

et al.

Clinical Psychology & Psychotherapy, Journal Year: 2025, Volume and Issue: 32(2)

Published: March 1, 2025

Perinatal mental health (PMH) services support the needs of women and birthing people in pregnancy postnatal, alongside developing relationship between parent infant. Mental symptoms PMH are routinely screened for, yet there inconsistencies whether parent-infant bond is assessed how. The aim this study to assess predictive validity screening for bonding difficulties (Postpartum Bonding Questionnaire (PBQ)) psychopathology (CORE-10) predict patient outcomes at discharge from a service. Secondary analysis clinical data service Birmingham, United Kingdom, encompassed 948 records. A structural equation model was constructed on containing PBQ CORE-10 scores recorded initial assessment Analysis revealed significant decrease showed were predicted by both scores, whereas solely scores. Demographic factors including age, parity ethnicity did not present any direct association with or either timepoint. This provides evidence pathway early later symptoms, which exists independently intake alone. These findings embedding self-report assessments bond, addition measures psychopathology, better

Language: Английский

Citations

0
Family members’ experiences of supporting black and South Asian women with perinatal mental illness: a qualitative study in the UK DOI Creative Commons
Sarah Bicknell, Nikolina Jovanović, Jelena Janković

et al.

BMC Psychology, Journal Year: 2025, Volume and Issue: 13(1)

Published: April 10, 2025

Language: Английский

Citations

0
A global perspective: Access to mental health care for perinatal populations DOI Creative Commons
Claire A. Wilson, Margaret H. Bublitz, Prabha S. Chandra

et al.

Seminars in Perinatology, Journal Year: 2024, Volume and Issue: 48(6), P. 151942 - 151942

Published: July 14, 2024

Perinatal mental health care differs around the world. We provide a global perspective on current status of service provision, barriers and facilitators to access, strategies improve access in high-income low- middle-income countries across five continents (Asia, Africa, Europe, North America South America). Many considered do not have universal healthcare coverage. This poses challenge perinatal access. However, there are other social structural including stigma sources marginalization discrimination. Yet opportunities discussed herein learn more about what services work for populations* circumstances, by adopting lens examine innovative solutions utilized geographical settings.

Language: Английский

Citations

3
Culturally Sensitive Perinatal Mental Health Care: Experiences of Women From Minority Ethnic Groups DOI Creative Commons
A. Gardner, Sheri Oduola, Bonnie Teague

et al.

Health Expectations, Journal Year: 2024, Volume and Issue: 27(4)

Published: Aug. 1, 2024

Abstract Background Current research has identified how ethnic minority women experience poorer health outcomes during the perinatal period. In United Kingdom, specialist mental services provide treatment for throughout Service users have previously highlighted that are hard to access and lack cultural sensitivity, whereas healthcare professionals described limited opportunities resources developing competency. Objectives We explored experiences of with National Health (NHS) teams what culturally sensitive care means this group. Design Individual semi‐structured interviews were conducted, an interpretative phenomenological analysis framework was used analyse interview transcripts. Setting Participants recruited from NHS online via social media. Results Six interviewed. Four group experiential themes central participants emerged: (1) strengthening community networks peer support; (2) valuing curiosity; (3) making sense culture, ethnicity, race racism impact health; (4) tailoring interventions their families. Discussion Conclusions The findings capture offer insights into practising care. Perinatal can support by being curious about culture; helping them make interact; applying practical adaptations interventions. Patient or Public Contribution A Lived Experience Advisory Group (LEAG) groups contributed design conduct study. LEAG had lived conditions accessing teams. chose co‐produce specific aspects they felt fit skills available time five sessions. These included topic guide, a structure debriefing advising on media recruitment strategy.

Language: Английский

Citations

2
Barriers to professional psychological help among pregnant women in China: a qualitative study DOI Creative Commons
Lei Qiu, Hongbin Xu, Yingqi Li

et al.

BMC Psychiatry, Journal Year: 2024, Volume and Issue: 24(1)

Published: Sept. 11, 2024

Language: Английский

Citations

2
Healthcare professionals’ views on the accessibility and acceptability of perinatal mental health services for South Asian and Black women: a qualitative study DOI Creative Commons
Kiren Bains, Sarah Bicknell, Nikolina Jovanović

et al.

BMC Medicine, Journal Year: 2023, Volume and Issue: 21(1)

Published: Oct. 2, 2023

Abstract Background Perinatal mental illness affects one third of new and expectant mothers. Individuals from ethnic minority groups experience higher rates health problems suicide rates. Despite this, women minorities—Black South Asian in particular—are less likely to receive support services the perinatal period. Healthcare professionals (HCPs) who have contact with during this period a unique perspective, their views may provide insights understand remedy inequality. This study aimed identify healthcare professionals’ on current accessibility acceptability services, ways improving by addressing barriers for these women. Methods Semi-structured interviews were conducted twenty-four work patients Purposive sampling was used select HCPs range different professions (including staff, midwifery, primary care, social care). The data analysed using Framework Analysis. Results Three main themes identified data: (1) lack awareness understanding service structure both patients; (2) patients’ relationships family, friends can hinder facilitate access services; (3) encourage raising awareness, flexibility, developing shared understandings questioning assumptions improve services. Conclusion Key into explaining remedying inequalities observed between proposed professionals. Recommendations included sharing information; taking steps ensure each woman considered as an individual her relationship culture, ethnicity childrearing practices; possible unconscious biases through engaging personal reflexive practices. Reasons are currently not being implemented deserve further research, potential novel roles such peer workers bridging space ideals practice needs investigation.

Language: Английский

Citations

5
Barriers to accessing perinatal mental health services and suggestions for improvement: qualitative study of women of Black and south Asian backgrounds DOI Creative Commons
Nikolina Jovanović,

Katy C. Packer,

Maev Conneely

et al.

BJPsych Bulletin, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 8

Published: Oct. 11, 2024

Background Maternity outcomes for women from certain ethnic groups are notably poor, partly owing to their not receiving treatment services. Aims To explore barriers access among Black and south Asian with perinatal mental health problems who did services suggestions improvements, map findings on the care pathway. Method Semi-structured interviews were conducted in 2020 2021 UK. Data analysed using framework method. Results Twenty-three interviewed, various identified, including limited awareness of services, fear child removal, stigma unresponsiveness Whereas most related access, remote appointments mask-wearing during COVID-19 affected whole Recommendations include service promotion, screening enhanced cultural understanding. Conclusions Women this study, an underrepresented population published literature, face societal, cultural, organisational individual that affect different aspects

Language: Английский

Citations

1
Pathways to specialist community perinatal mental health services: a two-site longitudinal retrospective service evaluation DOI Creative Commons
Nikolina Jovanović, Žan Lep, Jelena Janković

et al.

Health and Social Care Delivery Research, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 17

Published: Oct. 1, 2024

Background During pregnancy and the postpartum period, women’s mental health can deteriorate quickly. Timely easy access to services is critically important; however, little known about pathways women take services. Previous research has shown that from ethnic minority groups in United Kingdom experience more issues compared White British women. Aim To describe taken specialist community perinatal explore how they vary across groups. Methods This a two-site, longitudinal retrospective service evaluation conducted Birmingham London during 6 months (1 July–31 December 2019). Electronic records of 228 were accessed data extracted on help-seeking behaviour, referral process type pathway (i.e. simple or complex). Data collected using adapted World Health Organization encounter form analysed uni- multivariable analyses. Results The median time start illness contact with was 20 weeks. majority patients through primary care (69%) their simple, saw one before (63%). used as proxy for accessible In Birmingham, London, referrals came secondary care, experiencing current deterioration health, followed complex pathway. Despite differences between regarding duration patient journey, there no evidence difference when models controlled confounders such clinical presentation, general characteristics location. service’s location strongest predictor journey. Limitations heterogeneity among categorised groups; available electronic not validated patient’s own accounts care; unanalysed declined referrals; study COVID-19 pandemic may be different post-COVID-19 period. Conclusion provides important insights into find way It shows great degree variability get these services, taken. variation does come needs presentations but rather service-level factors. Future work studied operate significant types pathways. should national international levels. Additionally, future reasons outcomes risks associated them. Funding article presents independent funded by National Institute Care Research (NIHR) Social Delivery programme award number 17/105/14.

Language: Английский

Citations

1
Barriers to Accessing Perinatal Mental Health Services in Ethnic Minority Women in the UK DOI Creative Commons

Ebunoluwa Makinde,

Antoinette Davey,

Gina Collins

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: March 8, 2024

Abstract Background Mental health problems are common among women during the perinatal period (here defined as pregnancy and 2 years after birth), affecting up to 20% of women. Although there effective treatments for mental problems, ethnic minority who at higher risk developing less likely access treatment their problems. This study explored perceptions barriers accessing amongst a sample with current or past experiences did not receive help from specialist team. Methods is qualitative primary research. Twenty-eight living in England reported they struggled emotional challenges but assistance team were recruited community groups adverts. Women participated online interviews, which transcribed. NVIVO was used support thematic analysis. Results Barriers services found individual cultural levels point accessibility. influenced women’s decision seek time would be sought. The identified grouped under three main themes: Cultural beliefs expectations (including those based on previous discriminatory healthcare), Help-seeking patterns accessibility (included this theme reluctance professionals signposting service an attempt cover medical negligence error). Conclusion health, motherhood associated services. While generally prevalent, may face additional due attitudes towards prior services, influences seeking assistance.

Language: Английский

Citations

0
‘Whose pain is real pain and whose pain is not’: an interpretative phenomenological analysis of the role of social support in help-seeking for perinatal mental illnesses in women from minoritised ethnicities DOI Creative Commons
Avneet Sandhu, Maria Raisa Jessica Aquino, Mei Tang

et al.

Ethnicity and Health, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 19

Published: Dec. 30, 2024

Rationale and Objectives Perinatal mental illnesses (PMIs), such as depression anxiety, affect 25% of mothers in England occur during pregnancy or within the first year postpartum. PMIs have serious consequences for mothers, children, families, additionally impacting minoritised ethnic women who experience higher health risks diminished quality life, stemming from systemic inequalities, socio-economic disadvantages, limited access to care. Social support influences women's help-seeking intentions behaviours PMIs, yet its role remains unclear. The present study aimed investigate experiences understand social behaviour formal informal support.

Language: Английский

Citations

0