McCarthy Michelle, McMahon Catherine
Psychology Department, Macquarie University, North Ryde, New South Wales, Australia.
Health Care Women Int. 2008 Jul;29(6):618-37. doi: 10.1080/07399330802089172.
Our objective in this qualitative study was to investigate the acceptance and experience of treatment for postnatal depression (PND). Fifteen women who had received treatment and support from the community mental health service for PND were interviewed. Interviews were transcribed verbatim and then analyzed using the modified analytic induction method. The majority of women interviewed had reached "crisis point" before they sought and received treatment. The stigma attached to an inability to cope and being a "bad mother" emerged as the main barrier to seeking help earlier. In addition, women were unable to differentiate between "normal" levels of postpartum distress and depressive symptoms that might require intervention. Talking about their distress and experiences, both with health professionals and other mothers, was regarded as of primary importance in the recovery process.
我们开展这项定性研究的目的是调查产后抑郁症(PND)治疗的接受情况和体验。对15名接受过社区心理健康服务机构PND治疗与支持的女性进行了访谈。访谈内容逐字转录,然后采用改良分析归纳法进行分析。接受访谈的大多数女性在寻求并接受治疗之前已达到“危机点”。无法应对以及被视为“坏母亲”所带来的污名化成为更早寻求帮助的主要障碍。此外,女性无法区分产后困扰的“正常”程度与可能需要干预的抑郁症状。在康复过程中,与健康专业人员和其他母亲谈论她们的困扰及经历被视为至关重要。