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英国母亲产后抑郁经历的阐释现象学分析。

'': an interpretative phenomenological analysis of British mothers' experiences of postnatal depression.

机构信息

Department of Behavioural Sciences, National University of Sciences and Technology, Islamabad, Pakistan.

UK and Independent Psychological Services Ltd, Formally of Teesside University, Middlesbrough, UK.

出版信息

J Reprod Infant Psychol. 2022 Jul;40(3):299-310. doi: 10.1080/02646838.2020.1830540. Epub 2020 Oct 6.

Abstract

OBJECTIVE

To gain an in-depth understanding of the lived experience of women with postnatal depression (PND).

BACKGROUND

Although there is a small body of existing research which explores subjective experience of this phenomenon, relatively little research has been carried out and is prior to the publication of the NICE guidelines for PND in 2007.

METHOD

Semi-structured interviews were carried out with six mothers (aged 23-40 years), who had taken part in a PND support group. Verbatim transcripts were analysed using Interpretative Phenomenological Analysis (IPA).

RESULTS

One broad superordinate theme of 'the conflicted mother' emerged from the data, with four corresponding sub-themes (own mother as absent and judgemental; internalised mother; pregnancy on the road to motherhood as an unpleasant stranger; the ideal mother).

CONCLUSION

It is argued that a broad umbrella construct of 'the conflicted mother' exists in PND experience. This study highlights the importance of the mother's own maternal relationship in living with depression. The authors discuss limitations of the study, make service recommendations to improve current clinical practice for women with PND, and provide future research directions.

摘要

目的

深入了解产后抑郁症(PND)女性的生活体验。

背景

尽管有少量现有研究探讨了这种现象的主观体验,但相对而言,研究较少,且均早于 2007 年 NICE 产后抑郁症指南的发布。

方法

对六名参加 PND 支持小组的母亲(年龄 23-40 岁)进行了半结构化访谈。使用解释现象学分析(IPA)对逐字记录进行了分析。

结果

数据中出现了一个广泛的超主题“矛盾的母亲”,有四个相应的子主题(缺席和评判的亲生母亲;内化的母亲;怀孕是通往母性的不愉快的陌生人;理想的母亲)。

结论

本文认为,PND 体验中存在一个广泛的“矛盾的母亲”伞式结构。这项研究强调了母亲自身母性关系在与抑郁共存中的重要性。作者讨论了研究的局限性,提出了改善目前 PND 女性临床实践的服务建议,并提供了未来的研究方向。

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