Agyekum Buruwaa Adomako
University of Ghana, Ghana.
Health Psychol Open. 2023 Sep 16;10(2):20551029231202316. doi: 10.1177/20551029231202316. eCollection 2023 Jul-Dec.
Prenatal mental health problems can have adverse effects on the health and wellbeing of the mother as well as her baby. However, the factors associated with its etiology, expression, and coping mechanisms in Ghana remain understudied. This qualitative study explored the perceptions and experiences of prenatal mental health problems among 21 pregnant women in Accra through semi-structured interviews. Interpretative Phenomenological Analysis led to three dominant themes; "conceptions of prenatal mental disorders" (sub-themes: awareness and constructions of prenatal mental health problems), "experiences of mental health problems" (sub-themes: symptoms of prenatal mental health problems and causal attributions of prenatal mental health problems) and "coping mechanisms of the pregnancy experience" (subthemes: faith, social support and work). The lack of knowledge of mental health disorders in this study and the expression of contextually relevant and culturally defined constructions and experiences of prenatal mental health problems, highlight the need for the development of culturally suitable interventions within the Ghanaian context.
产前心理健康问题会对母亲及其婴儿的健康和幸福产生不利影响。然而，在加纳，与其病因、表现及应对机制相关的因素仍未得到充分研究。这项定性研究通过半结构化访谈，探讨了阿克拉21名孕妇对产前心理健康问题的看法和经历。解释现象学分析得出了三个主要主题：“产前精神障碍的概念”（子主题：产前心理健康问题的认知与构建）、“心理健康问题的经历”（子主题：产前心理健康问题的症状及产前心理健康问题的因果归因）以及“孕期经历的应对机制”（子主题：信仰、社会支持和工作）。本研究中对心理健康障碍的认知不足，以及与产前心理健康问题相关的情境化且具有文化定义的构建和经历的表达，凸显了在加纳背景下开展文化适宜干预措施的必要性。
