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Article
Patient's views on depression care in obstetric settings: how do they compare to the views of perinatal health care professionals
UMass Center for Clinical and Translational Science Supported Publications
  • Nancy Byatt, University of Massachusetts Medical School
  • Kathleen Biebel, University of Massachusetts Medical School
  • Liz Friedman, MotherWoman, Inc.
  • Gifty Debordes-Jackson, University of Massachusetts Medical School
  • Douglas M. Ziedonis, University of Massachusetts Medical School
  • Lori Pbert, University of Massachusetts Medical School
UMMS Affiliation
Department of Psychiatry
Publication Date
11-1-2013
Document Type
Article
Subjects
Adult; Ambulatory Care; *Attitude of Health Personnel; *Attitude to Health; Depression, Postpartum; Depressive Disorder; Female; Focus Groups; Humans; Obstetrics; *Patient Acceptance of Health Care; Pregnancy; Pregnancy Complications; Social Stigma; Young Adult
Abstract

OBJECTIVES: The objectives were to examine patients' perspectives on patient-, provider- and systems-level barriers and facilitators to addressing perinatal depression in outpatient obstetric settings. We also compare the views of patients and perinatal health care professionals.

METHOD: Four 90-min focus groups were conducted with women 3-36 months after delivery (n=27) who experienced symptoms of perinatal depression, anxiety or emotional distress. Focus groups were transcribed, and resulting data were analyzed using a grounded theory approach.

RESULTS: Barriers to addressing perinatal depression included fear of stigma and loss of parental rights, negative experiences with perinatal health care providers and lack of depression management knowledge/skills among professionals. Facilitators included psychoeducation, peer support and training for professionals.

CONCLUSIONS: Patients perceive many multilevel barriers to treatment that are similar to those found in our previous similar study of perinatal health care professionals' perspectives. However, patients and professionals do differ in their perceptions of one another. Interventions would need to close these gaps and include an empathic screening and referral process that facilitates discussion of mental health concerns. Interventions should leverage strategies identified by both patients and professionals, including empowering both via education, resources and access to varied mental health care options.

Keywords
  • UMCCTS funding
DOI of Published Version
10.1016/j.genhosppsych.2013.07.011
Source
Byatt N, Biebel K, Friedman L, Debordes-Jackson G, Ziedonis D, Pbert L. Patient's views on depression care in obstetric settings: how do they compare to the views of perinatal health care professionals? Gen Hosp Psychiatry. 2013 Nov-Dec;35(6):598-604. doi:10.1016/j.genhosppsych.2013.07.011. Link to article on publisher's site
Related Resources
Link to Article in PubMed
PubMed ID
23969144
Citation Information
Nancy Byatt, Kathleen Biebel, Liz Friedman, Gifty Debordes-Jackson, et al.. "Patient's views on depression care in obstetric settings: how do they compare to the views of perinatal health care professionals" Vol. 35 Iss. 6 (2013) ISSN: 0163-8343 (Linking)
Available at: http://works.bepress.com/kathleen_biebel/40/