Zou Qinhan, Yang Yingzi, Liu Xianliang, Wang Tingting, Chen Ruizhe, Duan Xia
School of Medicine, Tongji University, Shanghai, China.
Department of Anesthesiology, Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Front Public Health. 2024 Nov 15;12:1493300. doi: 10.3389/fpubh.2024.1493300. eCollection 2024.
Seeking formal help can significantly improve the outcomes of perinatal depression (PND). However, currently, women with PND are not consistently seeking formal help. Research indicated that spouses played a crucial role in helping women recognize PND and encouraging them to seek formal help. This study aimed to explore the factors that prevent spouses from supporting women with PND in seeking formal help, based on the Knowledge-Attitude-Practice (KAP) theory.
This is a qualitative study, utilizing semi-structured interviews to explore the factors that influence spouses to support women with PND to seek formal help. The interviews were conducted at a tertiary hospital in Shanghai, China from September 2023 to October 2023. Purposive sampling was used, and the sample size was determined by data saturation. Data analysis was conducted using Colaizzi's seven-step method.
Twelve spouses had a mean age of 34.92 years (SD 5.81); = 7 (58.33%) were new fathers. The influencing factors identified in this study can be explained by KAP theory, ultimately three major themes and six sub-themes emerged: (1) individual knowledge factors: lack of proper recognition of PND, (2) individual attitude factors: negative attitude toward PND screening and treatment and (3) service provider factors: imbalance between supply and demand for perinatal mental health services.
Spouses who lacked supportive behavior were influenced by individual factors, including knowledge factors and attitude factors, as well as service provider factors. These identified factors can guide future research and the development of interventions to improve perinatal mental health services and encourage family support in seeking formal help.
寻求正式帮助可显著改善围产期抑郁症（PND）的治疗效果。然而，目前患有PND的女性并非始终会寻求正式帮助。研究表明，配偶在帮助女性认识PND并鼓励她们寻求正式帮助方面发挥着关键作用。本研究旨在基于知识-态度-行为（KAP）理论，探讨阻碍配偶支持患有PND的女性寻求正式帮助的因素。
这是一项定性研究，采用半结构化访谈来探究影响配偶支持患有PND的女性寻求正式帮助的因素。访谈于2023年9月至2023年10月在中国上海的一家三级医院进行。采用目的抽样法，样本量由数据饱和确定。数据分析采用科莱齐的七步法。
12名配偶的平均年龄为34.92岁（标准差5.81）；7名（58.33%）是初为人父者。本研究确定的影响因素可用KAP理论解释，最终出现了三个主要主题和六个子主题：（1）个人知识因素：对PND缺乏正确认识，（2）个人态度因素：对PND筛查和治疗持消极态度，以及（3）服务提供者因素：围产期心理健康服务供需失衡。
缺乏支持行为的配偶受到个人因素的影响，包括知识因素和态度因素，以及服务提供者因素。这些确定的因素可为未来的研究及干预措施的制定提供指导，以改善围产期心理健康服务，并鼓励家庭在寻求正式帮助方面提供支持。
