a Mailman School of Public Health , Department of Population and Family Health, Columbia University , New York , New York , USA.
b James P. Grant School of Public Health , BRAC University , Dhaka , Bangladesh.
Med Anthropol. 2018 Apr;37(3):194-205. doi: 10.1080/01459740.2017.1318875. Epub 2017 May 16.
Depression is the leading cause of disability worldwide, yet in many cultures, it remains unaddressed and unacknowledged. Postpartum depression is particularly delicate because of its association with gender and expectations of motherhood. This ethnographic study in Dhaka, Bangladesh sought to understand local perceptions of postpartum depression and cultural influences around mental health care seeking. The results describe the role of culture and stigma in the conceptualization of mental health within both the community and medical spheres. Mental health continues to be unacknowledged and neglected in Bangladeshi communities. We recommend community-based psychosocial programming for new mothers living in slums.
抑郁症是全球范围内导致残疾的主要原因,但在许多文化中,它仍然未得到解决和承认。产后抑郁症尤其微妙,因为它与性别和对母性的期望有关。这项在孟加拉国达卡进行的民族志研究旨在了解当地对产后抑郁症的看法以及围绕精神卫生保健寻求的文化影响。研究结果描述了文化和耻辱感在社区和医疗领域对心理健康概念化的影响。心理健康在孟加拉社区仍然未得到承认和忽视。我们建议为生活在贫民窟的新妈妈提供基于社区的心理社会方案。