Jesse D Elizabeth, Dolbier Christyn L, Blanchard Amy
School of Nursing, East Carolina University, Greenville, North Carolina 27858, USA.
Issues Ment Health Nurs. 2008;29(1):3-19. doi: 10.1080/01612840701748664.
Interviews were conducted with 21 pregnant or recently pregnant African American and Caucasian low-income women living in a rural southeastern community to elicit perceived barriers to seeking help for depressive symptoms in pregnancy and ways to overcome these barriers, as well as intervention suggestions. Participants identified themes regarding barriers to seeking help. These were: (1) lack of trust, (2) judgment/stigma, (3) dissatisfaction with the health care system, and (4) not wanting help. Themes identified regarding overcoming barriers were: (1) facilitating trust and (2) offering support and help. These and other findings point to the importance of integrating women's ideas into culturally sensitive interventions for women with depressive symptoms or depression in pregnancy that can be provided by a psychiatric nurse-practitioner or other mental health provider.
研究人员对居住在东南部农村社区的21名怀孕或刚怀孕的非裔美国人和白人低收入女性进行了访谈，以了解她们在孕期寻求抑郁症状帮助时所感知到的障碍、克服这些障碍的方法以及干预建议。参与者确定了有关寻求帮助障碍的主题。这些主题包括：（1）缺乏信任，（2）评判/污名，（3）对医疗保健系统不满意，以及（4）不想要帮助。确定的有关克服障碍的主题包括：（1）促进信任，（2）提供支持和帮助。这些以及其他研究结果表明，将女性的想法纳入针对孕期有抑郁症状或抑郁症女性的文化敏感干预措施非常重要，这些干预措施可由精神科执业护士或其他心理健康服务提供者提供。
