AMBIENTUM BIOETHICA BIOLOGIA CHEMIA DIGITALIA DRAMATICA EDUCATIO ARTIS GYMNAST. ENGINEERING EPHEMERIDES EUROPAEA GEOGRAPHIA GEOLOGIA HISTORIA HISTORIA ARTIUM INFORMATICA IURISPRUDENTIA MATHEMATICA MUSICA NEGOTIA OECONOMICA PHILOLOGIA PHILOSOPHIA PHYSICA POLITICA PSYCHOLOGIA-PAEDAGOGIA SOCIOLOGIA THEOLOGIA CATHOLICA THEOLOGIA CATHOLICA LATIN THEOLOGIA GR.-CATH. VARAD THEOLOGIA ORTHODOXA THEOLOGIA REF. TRANSYLVAN
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Authors: ANDREEA BARBU, OANA BENGA.
DOI: 10.24193/subbpsyped.2017.1.01
Published Online: 2017-06-30
Published Print: 2017-06-30
pp. 5-26
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ABSTRACT: Maternal postnatal depression (PND) is a prevalent condition after birth, with significant effects on both mother and child mental health. The aim of the present research was to explore the experience of postnatal depression in a sample of Romanian mothers. Within an interpretative-phenomenological approach, we interviewed and analyzed the data from three mothers, regarding their perception and experience of postnatal depression. All participants were screened for PND in the first place. Within the interviews, three major themes were delineated: 1) postnatal depression: experience, significance, contextualization; 2) ambivalence; 3) social support. Three specific themes also emerged: 1) worries and dysfunctional cognitions; 2) family conflict; 3) dissatisfaction with self. All three mothers recognized the concept of postnatal depression and knew its meaning. The meanings assigned by the mothers to postnatal depression, respectively to their psychological states were: disorder, tendency to harm the baby, sadness, apathy, dissatisfaction with self. Mothers’ perception of their PND experience was ambivalent, changing from minimization or denial to acknowledgment. Social support was perceived as present, while emotional support was also acknowledged as understanding (of mothers’ experiences). Our results depicted postnatal depression as a phenomenon experienced both in rural and urban contexts, with common and specific features among participants.
Key words: postnatal depression, mothers, experience, qualitative research.
REFERENCES
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th Ed.). Washington, DC: Author.
Baban, A. (2002). Metodologia cercetarii calitative [Qualitative research methodology]. Cluj-Napoca, Romania: Editura Presa Universtitara Clujeana.
Beck, A.T., Steer, R.A., Brown, G.K. (1996). / David, D., Dobrean, A. (2012). Inventarul de depresie Beck – ediţia a doua (BDI-II) [Beck Depression Inventory (2nd ed.)], Romanian Testing Services, Cluj-Napoca.
Beck, C.T. (1999). Postpartum depression: Stopping the thief that steals motherhood. AWHONN Lifelines, 3(4), 41-44. doi:10.1111/j.1552-6356.1999.tb01115.x
Beck, C.T. (2002). Postpartum depression: A Metasynthesis. Qualitative Health Research, 12(4), 453-472. doi:10.1177/104973202129120016
Bilszta, J., Ericksen, J., Buist, A., & Milgrom, J. (2010). Women’s experience of postnatal depression – beliefs and attitudes as barriers to care. Australian Journal of Advanced Nursing, 27(3), 44 – 54.
Buultjens, M., & Liamputtong, P. (2007). When giving life starts to take the life out of you: Women’s experiences of depression after childbirth. Midwifery, 23(1), 77-91.doi:10.1016/j.midw.2006.04.002
Chapman, E., & Smith, J. A. (2002). Interpretative Phenomenological Analysis and the New Genetics. Journal of Health Psychology, 7(2), 125-130. doi:10.1177/1359105302007002397
Cox, J.L., Holden, J.M., & Sagovsky, R. (1987). Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150(6), 782-786. doi:10.1192/bjp.150.6.782
Cooper, P.J., & Murray, L. (1995). Course and recurrence of postnatal depression. Evidence for the specificity of the diagnostic concept. The British Journal of Psychiatry, 166(2), 191-195. doi:10.1192/bjp.166.2.191
Cutrona, C.E. (1990). Stress and social support–in search of optimal matching. Journal of Social and Clinical Psychology, 9(1), 3-14. doi:10.1521/jscp.1990.9.1.3
Dennis, C - L., & Chung-Lee, L. (2006). Postpartum Depression Help-Seeking Barriers and Maternal Treatment Preferences: A Qualitative Systematic Review. Birth, 33(4), 323331. doi:10.1111/j.1523-536x.2006.00130.x
Dix, T., & Meunier, L.N. (2009). Depressive symptoms and parenting competence: An analysis of 13 regulatory processes. Developmental Review, 29(1), 45-68. doi:10.1016/j.dr.2008.11.002
Field, T. (2010). Postpartum depression effects on early interaction, parenting, and safetypractices: A review. Infant Behavior & Development, 33 (1), 1–6. doi:10.1016/j.infbeh.2009.10.005
Gaynes, B.N., Gavin, N., Meltzer-Brody, S., Lohr, K.N., Swinson, T., Gartlehner, G., Brody, S., & Miller, W.C. (2005). Perinatal Depression: Prevalence, Screening Accuracy, and Screening Outcomes. Evidence Report/Technology Assessment No. 119. (Prepared by the RTI- University of North Carolina Evidence-based Practice Center, under Contract No. 290-02-0016.) AHRQ Publication No. 05-E006-2. Rockville, MD: Agency for Healthcare Research and Quality.
Grace, S.L., Evindar, A., & Stewart, D.E. (2003). The effect of postpartum depression on child cognitive development and behavior: A review and critical analysis of the literature. Archives of Women’s Mental Health, 6(4), 263-274. doi: 10.1007/ s00737-003-0024-6
Grace, S.L., &Sansom, S. (2003). The effect of postpartum depression on the mother-infant relationship and child growth and development. In Stewart, D.E., Robertson, E., Dennis, C.-L., Grace, S.L., & Wallington, T. (2003). Postpartum depression: Literature review of risk factors and interventions (pp. 197-251).
Hall, P. (2006). Mothers’ experience of postnatal depression: an interpretative phenomeno-logical analysis. Community Practitioner. 79 (8), 256 – 260.
Ji, S., Long, Q., Newport, D.J., Na, H., Knight, B., Zach, E.B. Stowe, Z.N. (2011). Validity of depression rating scales during pregnancy and the postpartum period: impact of trimester and parity. Journal of Psychiatric Research, 45(2), 213-219. doi:10.1016/j.jpsychires.2010.05.017
Kumar, R. (1994). Postnatal mental illness: a transcultural perspective. Social Psychiatry and Psychiatric Epidemiology, 29(6), 250-264. doi: 10.1007/BF00802048
Leahy-Warren, P., McCarthy, G., & Corcoran, P. (2011). First-time mothers: social support, maternal parental self-efficacy and postnatal depression. Journal of Clinical Nursing, 21(3-4), 388-397. doi:10.1111/j.1365-2702.2011.03701.x
Lee, D.T.S., Yip, A.S.K., Leung, T.Y.S., & Chung, T.K.H. (2004). Ethno epidemiology of postnatal depression. Prospective multivariate study of sociocultural risk factors in a Chinese population in Hong Kong. The British Journal of Psychiatry. 184 (1), 34-40. doi:10.1192/bjp.184.1.34
Lopez, K.A., & Willis, D.G. (2004). Descriptive Versus Interpretive Phenomenology: Their Contributions to Nursing Knowledge. Qualitative Health Research, 14(5), 726-735. doi:10.1177/1049732304263638
Lovejoy, M.C., Craczyk, P.A., O’Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: a meta-analytic review. Clinical Psychology Review, 20(5): 561-592. doi:10.1016/S0272-7358(98)00100-7
Matijasevich, A., Munhoz, T.N., Tavares, B.F., Barbosa, A.P., Silva, D.M., Abitante, M.S. Santos, I.S. (2014). Validation of the Edinburgh Postnatal Depression Scale (EPDS) for screening of major depressive episode among adults from the general population. BMC Psychiatry, 14(1), 1-9. doi:10.1186/s12888-014-0284-x
Mauthner, N.S. (1998). ‘It’s a Woman’s Cry for Help’: A Relational Perspective on Postnatal Depression. Feminism & Psychology, 8(3), 325-355. doi:10.1177/0959353598083006
Nobel, R.E. (2005). Depression in women. Metabolism – Clinical and Experimental 54 (5), 49-52. doi: 10.1016/j.metabol.2005.01.014
Oates, M.R., Cox, J.L., Neema, S., Asten, P., Glangeaud – Freudenthal, N., Figueiredo, B. Yoshida, K., & the TCS-PND Group. (2004). Postnatal depression across countries and cultures: a qualitative study. The British Journal of Psychiatry. 184 (46), 10-16. doi:10.1192/bjp.184.46.s10
O’Hara, M.W., & McCabe, J.E. (2013). Postpartum Depression: current status and future directions. Annual Review of Clinical Psychology, 9(1), 379-407. doi:10.1146/ annurev-clinpsy-050212-185612
Patton, Q., & Cochran, M. (2002). A guide to using qualitative research methodology. Medicines Sans Frontier URL: http://evaluation.msf.at/fileadmin/evaluation/files/documents/resources_MSF/MSFuaitativeMethods.pdf
Robertson, E., Celasun, N., and Stewart, D.E. (2003). Risk factors for postpartum depression. In Stewart, D.E., Robertson, E., Dennis, C.-L., Grace, S.L., & Wallington, T. (2003). Postpartum depression: Literature review of risk factors and interventions (pp. 9-70).
Robertson, E., Grace, S., Wallington, T., & Stewart, D.E. (2004). Antenatal risk factors for postpartum depression: a synthesis of recent literature. General Hospital Psychiatry, 26(4), 289-295. doi:10.1016/j.genhosppsych.2004.02.006
Sit, D., Rothschild, A.J., Wisner, K.L. (2006). A Review of Postpartum Psychosis. Journal of Womens Health. 15 (4), 352 – 368. doi:10.1089/jwh.2006.15.352
Smith, J.A., & Osborn, M. (2003). Interpretative phenomenological analysis. In Smith, J.A. (Ed.), Qualitative psychology: a practical guide to research methods (pp. 53-80). London: Sage.
Smith, J.A. (2004). Reflecting on the development of interpretative phenomenological analysis and its contribution to qualitative research in psychology. Qualitative Research in Psychology. 1 (1), 39-45. doi:10.1191/1478088704qp004oa
Stewart, D.E., Robertson, E., Dennis, C-L., Grace, S.L., & Wallington, T. (2003). Postpartum depression: Literature review of risk factors and interventions. Toronto Public Health.
Ugarriza, D.N. (2002). Postpartum Depressed Women’s Explanation of Depression. Journal of Nursing Scholarship, 34:3, 227–233. doi:10.1111/j.1547-5069.2002.00227.x
Wisner, K.L., Parry, B.L., Piontek, C.M. (2002). Clinical Practice. Postpartum Depression. The New England Journal of Medicine, 347(3), 194-199. doi:10.1056/NEJMcp011542
Zheng, Y.P., & Lin, K.M. (1994). A nationwide study of stressful life events in Mainland China. Psychosomatic Medicine, 56(4), 296-305. doi:10.1097/00006842-199407000-00004
