印度南部初级卫生保健机构中孕妇及其家庭对精神疾病的知识、态度和求助行为的观点探索——一项横断面研究

An exploration of perspective of knowledge, attitude and help seeking behaviour in pregnant women and their families towards psychiatric ailments in a primary health care setting in South India - A cross sectional study.

作者信息

Nandhana S, Bondade Swapna, Das Keya, Vignesh Ramakrishna, Thyloth Murali, Ali Shahafas

机构信息

Department of Psychiatry, The Oxford Medical College, Hospital and Research Centre, Bangalore, Karnataka, India.

Department of Psychiatry, PESU IMSR, Electronic City, Bangalore, Karnataka, India.

出版信息

Indian J Psychiatry. 2025 Aug;67(8):764-769. doi: 10.4103/indianjpsychiatry_1159_24. Epub 2025 Aug 15.

DOI:10.4103/indianjpsychiatry_1159_24

PMID:40918014

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12410848/

Abstract

BACKGROUND

Mental illness, often linked to ignorance and superstitions, significantly impacts women's mental health, particularly during pregnancy-marked by significant physical, emotional, and psychological changes. Prenatal mental health screening face challenges like stigma and lack of standardized protocols, while family support is essential reducing stress and enhancing well-being.

AIM

To assess knowledge, attitude and help seeking behaviors towards mental ailments among pregnant women and their families visiting primary health centers (PHCs).

METHODS

A cross-sectional study conducted at a PHC during antenatal checkup days over 1 month recruiting pregnant women and their family members aged ≥18 years. A total of 230 participants were recruited. Data were collected using a semi-structured questionnaire and validated scales: Mental Health Knowledge Schedule (MAKS), Community Attitudes towards Mental Illness (CAMI-12 item) and Mental Help Seeking Attitudes Scale (MHSAS). Descriptive statistics, Chi-square test, Student's -test, one-way ANOVA, Pearson correlation, and linear regression were used. A value < 0.05 was considered statistically significant.

RESULTS

Most participants lacked awareness of mental illness during pregnancy and childbirth. Higher education levels among participants correlated with better mental health knowledge. Participants with greater knowledge and positive attitudes demonstrated increased help-seeking behaviors. Positive correlations were observed between mental health knowledge, favorable attitudes, and help-seeking behaviors.

CONCLUSION

Poor knowledge and unfavorable attitude toward mental illness impact help seeking behaviour, among pregnant women and their families, compromising maternal and child health. Intervention to enhance knowledge, and promoting perinatal mental health services are essential to address these gaps.

摘要

背景

精神疾病常与无知和迷信相关，对女性心理健康有重大影响，尤其是在孕期——这一时期伴有显著的身体、情感和心理变化。产前心理健康筛查面临诸如耻辱感和缺乏标准化方案等挑战，而家庭支持对于减轻压力和增进幸福感至关重要。

目的

评估前往初级卫生保健中心（PHC）就诊的孕妇及其家庭对精神疾病的认知、态度和求助行为。

方法

在一家初级卫生保健中心进行了一项横断面研究，研究时间为1个月的产前检查日，招募年龄≥18岁的孕妇及其家庭成员。共招募了230名参与者。使用半结构化问卷和经过验证的量表收集数据：心理健康知识量表（MAKS）、社区对精神疾病的态度（CAMI - 12项）和精神求助态度量表（MHSAS）。采用描述性统计、卡方检验、学生t检验、单因素方差分析、Pearson相关性分析和线性回归分析。P值<0.05被认为具有统计学意义。