Monaghan Sophia, Akale Meseret Ayalew, Demeke Bete, Darmstadt Gary L
Stanford University, Stanford, CA, United States.
Project Mercy, Yetebon, Ethiopia.
Front Psychol. 2021 Apr 9;12:626797. doi: 10.3389/fpsyg.2021.626797. eCollection 2021.
Mental disorders are vastly underdiagnosed in low-income countries that disproportionately affect women. We aimed to evaluate the prevalence of common mental disorders in newly postpartum women, and stigma associated with mental health reporting in an Ethiopian community using a validated World Health Organization survey. The Self Reporting Questionnaire (SRQ) for psychological distress was administered in Amharic by nurses to 118 women aged 18-37 years who had given birth in the prior 3 months in the Glenn C. Olsen Memorial Primary Hospital in Yetebon. Mental health stigma among the four nursing staff was assessed using Link and Phelan's Components of Stigma. Among 118 women surveyed, 18% had a probable common mental disorder using the SRQ 4/5 cutoff and 2% admitted to suicidal thoughts. Presence of stigma in the healthcare staff was verified, including labeling, stereotyping, separating, and status loss and discrimination. Postpartum mental health disorders as well as stigma against such diagnoses are common in the Yetebon community. There is an urgent need for increased availability of properly trained and supervised healthcare staff in the identification and referral of postpartum women with common mental disorders.
在低收入国家，精神障碍的诊断严重不足，而这些国家对女性的影响尤为严重。我们旨在通过一项经过验证的世界卫生组织调查，评估埃塞俄比亚一个社区中产后新妈妈常见精神障碍的患病率以及与心理健康报告相关的耻辱感。护士用阿姆哈拉语向118名年龄在18至37岁之间、前三个月在耶特本的格伦·C·奥尔森纪念初级医院分娩的妇女发放了心理困扰自填问卷（SRQ）。使用林克和费兰的耻辱感构成要素对四名护理人员的心理健康耻辱感进行了评估。在接受调查的118名妇女中，按照SRQ 4/5的临界值，18%的人可能患有常见精神障碍，2%的人承认有自杀念头。已证实医护人员存在耻辱感，包括贴标签、刻板印象、隔离、地位丧失和歧视。产后精神健康障碍以及对此类诊断的耻辱感在耶特本社区很常见。迫切需要增加经过适当培训和监督的医护人员，以便识别和转诊患有常见精神障碍的产后妇女。
