Thorsteinsson Einar B, Loi Natasha M, Farr Kathryn
Psychology, University of New England, Armidale, NSW, Australia.
PeerJ. 2018 Nov 8;6:e5893. doi: 10.7717/peerj.5893. eCollection 2018.
Postpartum depression (PPD) is a prevalent mental illness affecting women, and less commonly, men in the weeks and months after giving birth. Despite the high incidence of PPD in Australia, rates for help-seeking remain low, with stigma and discrimination frequently cited as the most common deterrents to seeking help from a professional source. The present study sought to investigate PPD stigma in a sample of parents and to examine the effects of an intervention on stigma and help-seeking behaviour. A total of 212 parents aged 18-71 years ( = 36.88, 194 females) completed measures of personal and perceived PPD stigma and attitudes towards seeking mental health services and were randomly assigned to one of four groups: an intervention group (video documentary or factsheet related to PPD) or a control group (video documentary or factsheet not related to PPD). Results showed that there were no effects for type of intervention on either personal or perceived PPD stigma scores. No effect was found for help-seeking propensity. Males had higher personal PPD stigma than females and older age was associated with lower personal PPD stigma. Familiarity with PPD was associated with perceived PPD stigma in others but not personal PPD stigma. More work needs to be conducted to develop interventions to reduce PPD stigma in the community.
产后抑郁症（PPD）是一种影响女性的常见精神疾病，在产后数周和数月内，男性患此病的情况较少见。尽管澳大利亚产后抑郁症的发病率很高，但寻求帮助的比例仍然很低，耻辱感和歧视常常被认为是寻求专业帮助的最常见阻碍。本研究旨在调查一组父母样本中的产后抑郁症耻辱感，并研究一项干预措施对耻辱感和寻求帮助行为的影响。共有212名年龄在18至71岁之间的父母（平均年龄 = 36.88岁，其中194名女性）完成了个人及感知到的产后抑郁症耻辱感测量以及对寻求心理健康服务的态度测量，并被随机分配到四个组中的一组：干预组（与产后抑郁症相关的视频纪录片或情况说明书）或对照组（与产后抑郁症无关的视频纪录片或情况说明书）。结果显示，干预类型对个人或感知到的产后抑郁症耻辱感得分均无影响。在寻求帮助的倾向方面未发现影响。男性的个人产后抑郁症耻辱感高于女性，年龄较大与较低的个人产后抑郁症耻辱感相关。对产后抑郁症的熟悉程度与对他人产后抑郁症耻辱感的感知有关，但与个人产后抑郁症耻辱感无关。需要开展更多工作来开发干预措施，以减少社区中的产后抑郁症耻辱感。
