Bennett Heather A, Boon Heather S, Romans Sarah E, Grootendorst Paul
Leslie Dan Faculty of Pharmacy, University of Toronto, 144 College Street, Toronto, ON, M5S 3M2, Canada.
BMC Womens Health. 2007 Sep 11;7:13. doi: 10.1186/1472-6874-7-13.
The purpose of this constructivist grounded theory study was to develop a theoretical model that explains women's processes of managing diagnosed depression when pregnant.
We explored the experiences of 19 women in Ontario who were diagnosed with depression during their pregnancy.
The model that emerged from the analysis was becoming the best mom that I can. Becoming the best mom that I can explains the complex process of the women's journey as they travel from the depths of despair, where the depression is perceived to threaten their pregnancy and their ability to care for the coming baby, to arrive at knowing the self and being in a better place. In order to reground the self and regain control of their lives, the women had to recognize the problem, overcome shame and embarrassment, identify an understanding healthcare provider, and consider the consequences of the depression and its management. When confronting and confining the threat of depression, the women employed strategies of overcoming barriers, gaining knowledge, and taking control. As a result of counseling, medication, or a combination of both, women felt that they had arrived at a better place.
For many women, the idea that depression could occur during pregnancy was antithetical to their vision of the pregnant self. The challenge for a pregnant woman who is diagnosed with depression, is that effective care for her may jeopardize her baby's future health. This provides a dilemma for about-to-be parents and their healthcare providers. Improved awareness of depression during pregnancy on the part of healthcare professionals is needed to improve the women's understanding of this disorder and their ability to recognize and seek help with depression should it occur during the prenatal period. Further qualitative research is needed to determine the specific aspects that need to be addressed in such classes.
本建构主义扎根理论研究的目的是建立一个理论模型，用以解释女性孕期应对确诊抑郁症的过程。
我们探究了安大略省19名孕期被诊断为抑郁症的女性的经历。
分析得出的模型是“成为我能成为的最佳母亲”。“成为我能成为的最佳母亲”解释了女性从绝望的深渊一路走来的复杂过程，在绝望中，抑郁症被认为会威胁到她们的孕期以及照顾即将出生婴儿的能力，直至认识自我并处于更好的状态。为了重新找回自我并重新掌控自己的生活，这些女性必须认识到问题所在，克服羞耻和尴尬，找到一位善解人意的医疗服务提供者，并考虑抑郁症及其治疗的后果。在面对和限制抑郁症的威胁时，这些女性采用了克服障碍、获取知识和掌控局面的策略。通过咨询、药物治疗或两者结合，女性们觉得自己到达了一个更好的状态。
对许多女性来说，孕期可能患抑郁症的想法与她们对孕期自我的认知相悖。对于被诊断为抑郁症的孕妇来说，挑战在于对她的有效治疗可能会危及胎儿未来的健康。这给准父母及其医疗服务提供者带来了两难境地。医疗专业人员需要提高对孕期抑郁症的认识，以增进女性对这种疾病的了解，以及她们在孕期出现抑郁症时识别并寻求帮助的能力。需要进一步开展定性研究，以确定此类课程中需要涉及的具体方面。
