Barriers to seeking help and treatment suggestions for prenatal depressive symptoms: focus groups with rural low-income women.

Barriers to seeking help and treatment suggestions for prenatal depressive symptoms: focus groups with rural low-income women.
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DOI:
10.1080/01612840701748664
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发表时间:
2008-01-01
影响因子:
2.1
通讯作者:
Blanchard, Amy
Blanchard, Amy
中科院分区:
医学4区
文献类型:
--
作者:
Jesse, D Elizabeth;Dolbier, Christyn L;Blanchard, Amy

文献摘要

被引文献

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对21名居住在东南部农村社区的怀孕或新近怀孕的非裔美国人和高加索低收入女性进行了采访,以得出人们对怀孕期间抑郁症状寻求帮助的感知障碍,克服这些障碍的方法,以及干预建议。与会者确定了有关寻求帮助障碍的主题。它们是:(1)缺乏信任,(2)判断/耻辱,(3)对医疗保健系统的不满,(4)不想得到帮助。关于克服障碍确定的主题是:(1)促进信任和(2)提供支持和帮助。这些和其他调查结果表明,必须将妇女的想法纳入对怀孕期间有抑郁症状或抑郁的妇女采取具有文化敏感性的干预措施,这可以由精神科护士从业者或其他心理健康提供者提供。
Interviews were conducted with 21 pregnant or recently pregnant African American and Caucasian low-income women living in a rural southeastern community to elicit perceived barriers to seeking help for depressive symptoms in pregnancy and ways to overcome these barriers, as well as intervention suggestions. Participants identified themes regarding barriers to seeking help. These were: (1) lack of trust, (2) judgment/stigma, (3) dissatisfaction with the health care system, and (4) not wanting help. Themes identified regarding overcoming barriers were: (1) facilitating trust and (2) offering support and help. These and other findings point to the importance of integrating women's ideas into culturally sensitive interventions for women with depressive symptoms or depression in pregnancy that can be provided by a psychiatric nurse-practitioner or other mental health provider.