Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester Academic Health Science Centre, Zochonis Building, Brunswick Street, Manchester, M13 9PL, UK.
Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.
BMC Psychiatry. 2019 Dec 19;19(1):411. doi: 10.1186/s12888-019-2378-y.
Postpartum psychosis is a rare, yet severe disorder, in which early identification and immediate intervention are crucial. Despite recommendations for psychological input, little is known about the types of psychological intervention reported to be helpful. The aim of this study was to explore the experiences, needs and preferences for psychological intervention from the perspective of women with postpartum psychosis and from the perspective of family members.
Thirteen women and eight family members, including partners were interviewed. The data from these semi-structured interviews were audio-recorded, transcribed and inductively analysed using thematic analysis.
Twelve subthemes were identified and then organised around three main themes: 1) Seeking safety and containment, 2) Recognising and responding to the psychological impact and 3) Planning for the future. These themes highlight the temporal element of recovery from postpartum psychosis, because women's psychological needs and preferences changed over time. Emphasis was initially placed on ensuring safety, followed by a need to connect, process and adjust to their experiences. Additional needs were reported by women and family when planning for the future, including managing the fear of relapse and help to reach a decision about future pregnancies.
The results illustrate a range of areas in which psychological intervention could be delivered to facilitate and enhance recovery. Further research is needed to develop meaningful and effective psychological interventions and to investigate the most appropriate timing for this to be offered.
产后精神病是一种罕见但严重的疾病，早期识别和及时干预至关重要。尽管有心理干预的建议，但对于被认为有帮助的心理干预类型知之甚少。本研究旨在从产后精神病妇女和家庭成员的角度探讨心理干预的体验、需求和偏好。
对 13 名妇女和 8 名家庭成员（包括伴侣）进行了访谈。这些半结构化访谈的数据进行了录音、转录，并使用主题分析进行了归纳分析。
确定了 12 个子主题，然后围绕三个主题进行了组织：1）寻求安全和遏制，2）认识和应对心理影响，3）规划未来。这些主题突出了产后精神病康复的时间因素，因为妇女的心理需求和偏好随时间而变化。最初的重点是确保安全，然后需要联系、处理和适应自己的经历。女性和家庭在规划未来时报告了其他需求，包括管理复发的恐惧以及帮助做出关于未来怀孕的决定。
研究结果说明了可以提供一系列心理干预领域，以促进和增强康复。需要进一步研究以制定有意义和有效的心理干预措施，并探讨提供这些措施的最佳时机。
