Franks Wendy L M, Crozier Kenda E, Penhale Bridget L M
University of East Anglia, School of Health Sciences, Norwich, UK.
University of East Anglia, School of Health Sciences, Norwich, UK.
Women Birth. 2017 Aug;30(4):e179-e187. doi: 10.1016/j.wombi.2016.11.007. Epub 2017 Jan 2.
BACKGROUND/OBJECTIVES: British public health and academic policy and guidance promotes service user involvement in health care and research, however collaborative research remains underrepresented in literature relating to pregnant women's mental health. The aim of this participatory research was to explore mothers' and professionals' perspectives on the factors that influence pregnant women's mental health.
This qualitative research was undertaken in England with the involvement of three community members who had firsthand experience of mental health problems during pregnancy. All members of the team were involved in study design, recruitment, data generation and different stages of thematic analysis. Data were transcribed for individual and group discussions with 17 women who self-identified as experiencing mental health problems during pregnancy and 15 professionals who work with this group. Means of establishing trustworthiness included triangulation, researcher reflexivity, peer debriefing and comprehensive data analysis.
Significant areas of commonality were identified between mothers' and professionals' perspectives on factors that undermine women's mental health during pregnancy and what is needed to support women's mental health. Analysis of data is provided with particular reference to contexts of relational, systemic and ecological conditions in women's lives.
Women's mental health is predominantly undermined or supported by relational, experiential and material factors. The local context of socio-economic deprivation is a significant influence on women's mental health and service requirements.
背景/目标：英国公共卫生和学术政策及指南提倡服务使用者参与医疗保健和研究，然而，在有关孕妇心理健康的文献中，合作研究的占比仍然较低。这项参与性研究的目的是探讨母亲和专业人员对影响孕妇心理健康的因素的看法。
这项定性研究在英国开展，有三名在孕期有心理健康问题亲身经历的社区成员参与。研究团队的所有成员都参与了研究设计、招募、数据收集以及主题分析的不同阶段。对与17名自称在孕期有心理健康问题的女性以及15名与该群体打交道的专业人员进行的个人和小组讨论进行了转录。建立可信度的方法包括三角验证、研究者反思、同行汇报和全面的数据分析。
在母亲和专业人员对孕期损害女性心理健康的因素以及支持女性心理健康所需条件的看法上，发现了显著的共同领域。结合女性生活中的关系、系统和生态条件背景对数据进行了分析。
女性的心理健康主要受到关系、体验和物质因素的损害或支持。社会经济贫困的当地背景对女性的心理健康和服务需求有重大影响。
