Honesty and comfort levels in mothers when screened for perinatal depression and anxiety
Honesty and comfort levels in mothers when screened for perinatal depression and anxiety
复制标题
DOI：
10.1016/j.wombi.2019.04.001
复制
发表时间：
2020-03-01
期刊：
影响因子：
3.8
通讯作者：
Loxton, Deborah
中科院分区：
文献类型：
--
作者：
Forder, Peta M.;Rich, Jane;Loxton, Deborah
目的：评估妇女在围产期情绪健康问题上的诚实程度和舒适程度；探讨诚实和舒适是否与围产期抑郁或围产期焦虑相关；并研究女性不总是诚实回应的原因。方法：采用混合方法分析来自1597名妇女的定性和定量数据，这些数据来自横断面围产期心理健康子研究（澳大利亚妇女健康纵向研究的一部分）。结果：当她们的保健医生询问她们围产期的情绪健康时，20.7%的妇女表示她们并不总是诚实地回答。不诚实的原因反映了四个主要主题：症状的正常化/应对；消极认知（自我和他人）；对不利影响的恐惧；害怕参与医疗服务（信任和保密）。38.9%的妇女在被保健医生问及情绪健康时感到不舒服，她们报告围产期抑郁的可能性是其他妇女的四倍（优势比= 4.09；95%可信区间= 2.55,6.57），报告围产期焦虑的可能性是其他妇女的近两倍（优势比= 1.90；95%可信区间= 1.24,2.94）。结论：在围产期最可能需要心理健康护理的妇女也是最不可能对自己的心理健康诚实的妇女。临床医生采取非评判、开放和令人放心的方法，可能有助于减少因缺乏诚实反应而产生的耻辱感和恐惧，并改善对精神健康问题的早期诊断和治疗。(C) 2019澳大利亚助产士学院。Elsevier Ltd.出版。版权所有。
Purpose: To evaluate the degree of honesty and level of comfort reported by women when questioned about their emotional wellbeing during the perinatal period; to investigate if honesty and comfort are associated with perinatal depression or perinatal anxiety; and to examine the reasons why women may not always respond honestly.Methods: Qualitative and quantitative data from 1597 women from the cross-sectional perinatal mental health substudy (part of the Australian Longitudinal Study on Women's Health) were analysed using a mixed methods approach.Results: When questioned by their health practitioner about their emotional wellbeing in the perinatal period, 20.7% of women indicated they had not always responded honestly. Reasons for not being honest reflected four main themes: normalizing of symptoms/coping; negative perceptions (self-and others); fear of adverse repercussions; and fear of involvement of health services (trust and confidentiality). The 38.9% of women who did not feel comfortable when questioned by their health practitioner about their emotional wellbeing were four times more likely to report perinatal depression (odds ratio = 4.09; 95% confidence interval = 2.55, 6.57) and nearly twice as likely to report perinatal anxiety (odds ratio = 1.90; 95% confidence interval = 1.24, 2.94) than other women.Conclusions: Women who are most likely to need mental health care during the perinatal period are also those least likely to be honest about their mental health. A non-judgemental, open and reassuring approach by clinicians may help to reduce the stigma and fears contributing to lack of honest responses, and improve early diagnosis and treatment of mental health problems. (C) 2019 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.