Gardner Philippa L, Bunton Penny, Edge Dawn, Wittkowski Anja
University of Manchester, School of Psychological Sciences, 2nd Floor, Zochonis Building, Brunswick Street, Manchester M13 9PL, United Kingdom.
University of Manchester, School of Psychological Sciences, 2nd Floor, Zochonis Building, Brunswick Street, Manchester M13 9PL, United Kingdom.
Midwifery. 2014 Jun;30(6):756-63. doi: 10.1016/j.midw.2013.08.001. Epub 2013 Aug 12.
to explore the lived experience of postnatal depression (PND) in West African mothers living in the United Kingdom (UK).
using a qualitative design, semi-structured interviews were undertaken. Interpretative Phenomenological Analysis (IPA) was used to explore and analyse the data.
community health services within inner-city suburbs in Manchester, England.
six West African mothers (Nigeria=3; Ghana=3), who were experiencing low mood in the postnatal period.
five overarching themes emerged: (1) conceptualising PND, (2) isolation, (3) loss of identity, (4) issues of trust and (5) relationships as a protective factor. Women exhibited symptoms of PND but did not regard it as an illness. In their view, postnatal depression and distress resulted from social stress. Participants stated that their cultural background made it difficult to disclose feelings of depression thus adversely influencing their help-seeking behaviour.
this is the first study to investigate the experiences of West African mothers with PND who live in the UK, and how they perceive and make sense of their experiences. The themes generated add to the body of existing research on PND in Black and ethnic minority populations and offer insight into the lived experience of West African women residing in England. Such insights are vital in order to deliver effective, culturally sensitive care.
these findings have implications on how services should be designed to increase their accessibility to African women, by using a community psychology approach alongside systemic and group interventions. Challenges to help seeking and language used to describe experiences are considered.
探讨居住在英国的西非母亲产后抑郁症（PND）的生活经历。
采用定性设计，进行半结构化访谈。运用解释现象学分析（IPA）来探索和分析数据。
英国曼彻斯特市中心郊区的社区卫生服务机构。
六位产后情绪低落的西非母亲（尼日利亚3人；加纳3人）。
出现了五个总体主题：（1）对产后抑郁症的认知；（2）孤立；（3）身份丧失；（4）信任问题；（5）人际关系作为保护因素。女性表现出产后抑郁症的症状，但不认为这是一种疾病。在她们看来，产后抑郁和痛苦是由社会压力导致的。参与者表示，她们的文化背景使她们难以透露抑郁情绪，从而对她们的求助行为产生不利影响。
这是第一项调查居住在英国的患有产后抑郁症的西非母亲的经历，以及她们如何看待和理解自己经历的研究。所产生的主题丰富了关于黑人和少数族裔人群产后抑郁症的现有研究，并深入了解了居住在英国的西非女性的生活经历。这些见解对于提供有效、具有文化敏感性的护理至关重要。
这些发现对服务设计具有启示意义，即应通过采用社区心理学方法以及系统和团体干预措施，提高非洲女性获得服务的机会。同时考虑了求助的挑战以及用于描述经历的语言。
