Raymond Jane E
School of Health and Social Sciences, Middlesex University, London, UK.
Midwifery. 2009 Feb;25(1):39-49. doi: 10.1016/j.midw.2007.01.005. Epub 2007 Mar 29.
to explore the feelings of depression during pregnancy of a local sample of women living in an area of socio-economic deprivation, and to identify the support mechanisms that they report as personally or potentially helpful for antenatal depression.
a retrospective study using a qualitative approach, informed by constructivism, to explore the participants' individual experiences of depression during pregnancy. Data were collected via tape-recorded semi-structured interviews.
a socio-economically deprived area in North London, UK, identified as a Sure Start Local Programme providing local services specifically designed for socially disadvantaged families with children aged 0-4 years.
a self-selected sample of nine women aged 23-40 years, from a variety of ethnic backgrounds, who retrospectively admitted to feeling low or depressed during pregnancy. All the participants had had a baby more than 6 weeks previously and less than 1 year before the start of the study.
despite different cultural and ethnic backgrounds, the participants shared similar feelings of emotional isolation that seemed to contribute largely to their experience of antenatal depression. Partner support (or lack of it) seemed to be crucial to the women's psychological well-being during pregnancy. For some of these women, the research interview was the first opportunity to talk about their needs and feelings during pregnancy. Potentially helpful mechanisms for support were identified by the participants and were judged to be relatively simple to introduce, involving connecting with other women via peer support and having 'somewhere to go' to meet others during pregnancy.
some women do not disclose their feelings of depression during pregnancy, with potentially damaging effects on both the family and the baby. Feelings of loss and emotional isolation may occur, which could be partly alleviated by providing models of midwifery care that offer continuity of carer. Isolated and vulnerable women require increased midwifery resources, and partners may also have particular needs for support and adjustment, which currently remain unmet and need further research. Many 'low tech' interventions aimed at supporting women with antenatal depression could be developed, including peer support, which may offer realistic models of social capital and community empowerment in the new Children's Centres in England and Wales.
探讨生活在社会经济贫困地区的当地女性样本在孕期的抑郁情绪，并确定她们报告的对产前抑郁有帮助的个人或潜在支持机制。
一项采用定性方法的回顾性研究，以建构主义为指导，探索参与者孕期抑郁的个人经历。通过录音的半结构化访谈收集数据。
英国伦敦北部一个社会经济贫困地区，被确定为“确保开端”地方项目，为有0至4岁儿童的社会弱势家庭提供专门设计的当地服务。
一个自我选择的样本，包括9名年龄在23至40岁之间、来自不同种族背景的女性，她们回顾性地承认在孕期感到情绪低落或抑郁。所有参与者在研究开始前6周以上、1年以内生育了孩子。
尽管文化和种族背景不同，但参与者都有类似的情感孤立感，这在很大程度上导致了她们的产前抑郁经历。伴侣的支持（或缺乏支持）似乎对女性孕期的心理健康至关重要。对其中一些女性来说，研究访谈是她们第一次有机会谈论孕期的需求和感受。参与者确定了潜在的有用支持机制，并认为这些机制相对容易引入，包括通过同伴支持与其他女性建立联系，以及在孕期有“去处”与他人见面。
一些女性在孕期不透露自己的抑郁情绪，这可能对家庭和婴儿都产生潜在的有害影响。可能会出现失落感和情感孤立感，通过提供能提供连续护理人员的助产护理模式可以部分缓解这种情况。孤立和脆弱的女性需要更多的助产资源，伴侣也可能有特殊的支持和调整需求，目前这些需求尚未得到满足，需要进一步研究。可以开发许多旨在支持患有产前抑郁的女性的“低技术”干预措施，包括同伴支持，这可能在英格兰和威尔士的新儿童中心提供社会资本和社区赋权的现实模式。
