'Just snap out of it' - the experience of loneliness in women with perinatal depression: a Meta-synthesis of qualitative studies.
'Just snap out of it' - the experience of loneliness in women with perinatal depression: a Meta-synthesis of qualitative studies.
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DOI：
10.1186/s12888-023-04532-2
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发表时间：
2023-02-28
期刊：
影响因子：
4.4
通讯作者：
中科院分区：
文献类型：
--
作者：
怀孕和新生儿的到来是一个巨大转变和动荡的时期。妇女在这一时期往往会感到社会孤立和孤独，并可能患上抑郁症，特别是在产后时期。定性研究报告说，孤独也是围产期抑郁症的一个特征。然而，到目前为止，还没有尝试综合研究探索孤独和围产期抑郁症之间的联系。本研究的目的是探讨现有的定性证据来回答两个研究问题：什么是孤独的经验，为妇女围产期抑郁症？什么有助于和什么使孤独更糟的妇女与围产期抑郁症？一个定性的综合集成检索相关的研究问题的主要定性研究。系统检索了4个电子数据库（奥维德MEDLINE®; PsycINFO; Embase; Web of Science）。根据预先定义的纳入标准筛选论文，并分配质量评分。专题分析用于确定文献中的主要总括性主题。纳入了27项相关定性研究。围产期抑郁症和孤独感之间的相互作用的主题包括自我隔离和隐藏症状，由于围产期抑郁症的耻辱和恐惧的判断为“坏母亲”;出生后突然感觉到情感脱节;和预期和实际支持之间的不匹配提供的合作伙伴，家庭和社区。由于耻辱感增加和社会支持减少，来自弱势社区的妇女还承受着孤独的双重负担。来自医护人员的确认和理解，来自其他有围产期抑郁症经历的母亲的同伴支持，以及实际和情感上的家庭支持都是可以改善孤独感的重要因素。孤独似乎发挥了核心作用的经验，围产期抑郁症的基础上出现在妇女的帐户的频率。研究结果提供了一个基础，进一步的理论发展的孤独感在围产期抑郁症的作用和证据，未来的心理和社会干预设计过程可以扎根。解决耻辱和提供文化上适当的专业和同伴支持是干预措施的潜在目标，可以帮助患有围产期抑郁症的妇女，特别是在弱势社区，感到不那么孤独。Prospero注册：https://www.crd.york.ac.uk/prospero/display_record.php?记录ID = 251，936。在线版本包含补充材料，可通过10.1186/s12888-023-04532-2获得。
Pregnancy and the arrival of a new baby is a time of great transition and upheaval. Women often experience social isolation and loneliness at this time and may develop depression, particularly in the postnatal period. Qualitative studies have reported that loneliness is also a feature of perinatal depression. However, until now there has been no attempt to synthesise research exploring the links between loneliness and perinatal depression. This study’s aim was to explore existing qualitative evidence to answer two research questions: What are the experiences of loneliness for women with perinatal depression? What helps and what makes loneliness worse for women with perinatal depression? A qualitative meta-synthesis retrieved primary qualitative studies relevant to the research questions. Four electronic databases were systematically searched (Ovid MEDLINE®; PsycINFO; Embase; Web of Science). Papers were screened according to pre-defined inclusion criteria and assigned a quality score. Thematic analysis was used to identify major overarching themes in the literature. Twenty-seven relevant qualitative studies were included. Themes relating to the interaction between perinatal depression and loneliness included self-isolation and hiding symptoms due to stigma of perinatal depression and fear of judgement as a ‘bad mother’; a sudden sense of emotional disconnection after birth; and a mismatch between expected and actual support provided by partner, family and community. There was also a double burden of loneliness for women from disadvantaged communities, due to increased stigma and decreased social support. Validation and understanding from healthcare professionals, peer support from other mothers with experience of perinatal depression, and practical and emotional family support were all important factors that could ameliorate loneliness. Loneliness appears to play a central role in the experience of perinatal depression based on the frequency with which it emerged in women’s accounts. The findings provide a foundation for the development of further theories about the role of loneliness in perinatal depression and evidence in which future psychological and social intervention design processes can be rooted. Addressing stigma and offering culturally appropriate professional and peer support are potential targets for interventions that could help women with perinatal depression, particularly in disadvantaged communities, feel less lonely. Prospero registration: https://www.crd.york.ac.uk/prospero/display_record.php? RecordID = 251,936. The online version contains supplementary material available at 10.1186/s12888-023-04532-2.
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影响因子：
3.7
作者：
Basu A;Kim HH;Basaldua R;Choi KW;Charron L;Kelsall N;Hernandez-Diaz S;Wyszynski DF;Koenen KC
通讯作者：
Koenen KC
DOI：
10.1016/s2214-109x(21)00079-6
发表时间：
2021-06
期刊：
The Lancet. Global health
影响因子：
--
作者：
Chmielewska B;Barratt I;Townsend R;Kalafat E;van der Meulen J;Gurol-Urganci I;O'Brien P;Morris E;Draycott T;Thangaratinam S;Le Doare K;Ladhani S;von Dadelszen P;Magee L;Khalil A
通讯作者：
Khalil A
影响因子：
1.4
作者：
Erwin, Elizabeth J.;Brotherson, Mary Jane;Summers, Jean Ann
通讯作者：
Summers, Jean Ann
影响因子：
7.6
作者：
COLLINS, NL;DUNKELSCHETTER, C;SCRIMSHAW, SCM
通讯作者：
SCRIMSHAW, SCM
DOI：
10.1177/070674370304800209
发表时间：
2003-03-01
影响因子：
4
作者：
Dennis, Cindy-Lee
通讯作者：
Dennis, Cindy-Lee