“One end has nothing to do with the other:” Patient attitudes regarding help seeking intention for depression in gynecologic and obstetric settings
Abstract
Many women rely on their obstetrician/gynecologist (OB/GYN) as their primary contact with the health care delivery system. There have been few studies exploring patient views on getting help for depression from these providers. The purpose of this study is to assess help seeking intention for depression and identify beliefs which moderate this intention. Telephone interviews of women following a routine gynecologic visit or in the immediate postpartum period (regarding prenatal care) were used to assess intention to seek help from their providers in a case of depression. For women who lacked this intention, related beliefs were elicited with the open ended question "why not?" Among the 225 women in the study more than half receiving gynecologic care (59%) and nearly a third of women who received prenatal care (29%; p < 0.001) stated they would not seek help from their OB/GYN for depression. Report that a prenatal provider had mentioned depression was associated with help seeking intention for depression but was not independent of confounding variables. Beliefs among women who lacked help seeking intention clustered into two attitude themes: 1) an OB/GYN is the wrong doctor for depression care and 2) OB/GYN is not a good setting for depression care. Many women have attitudes which reduce their intention to seek help for depression from their OB/GYN. Interventions aiming to increase delivery of depression care in these settings should consider these beliefs in their design.
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Pregnant and postpartum women face unique barriers to obtaining nonmedication treatment such as psychotherapy, including lack of childcare, lack of time, limitations in mobility or transportation, stigma associated with depression during pregnancy, and financial concerns.
“they also face unique barriers to obtaining such treatment, including lack of childcare, lack of time, limitations in mobility or transportation, stigma associated with depression during pregnancy, and financial concerns.17–21”
From Pregnancy and the Acceptability of Computer-Based Versus Traditional Mental Health Treatments (2017) · cites this paper as [21]
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References 36 · Cited by 36
- Authors
- Bennett, I. M., Palmer, S., Marcus, S., Nicholson, J. M., Hantsoo, L., Bellamy, S., Rinaldi, J., & Coyne, J. C.
- Affiliations
- University of Pennsylvania Health System (US)
- University of Pennsylvania (US)
- Corresponding author
- Bennett, Ian M.
- Venue
- Archives of Women's Mental Health
- Published
- 2009-09-03
- Volume
- 12
- Issue
- 5
- Pages
- 301-308
- ISSN
- 1434-1816 (ISSN-L)
- 1435-1102
- OpenAlex
- W2086508082
- Cited by
- 36
- References
- 36
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 1 · 2021: 5 · 2019: 3 · 2018: 2 · 2017: 4 · 2016: 1 · 2015: 6 · 2014: 3 · 2013: 2 · 2012: 5
- FWCI
- 3.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Archives of Women s Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r03mh074750-02, 5r01mh061992-04)
- National Institute of Mental Health (1R03MH074750-01, R01MH081916, 5R01-MH061992)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K23HD048915)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- depression, help-seeking intentions, patient attitudes, obstetricians and gynecologists, postpartum depression, prenatal care, women's mental health, help-seeking barriers
- MeSH terms
- Adolescent, Adult, Aged, Attitude to Health, Depressive Disorder, Female, Gynecology, Humans, Interviews as Topic, Middle Aged, Models, Psychological, Motivation, Obstetrics, Patient Acceptance of Health Care, Patient Care Team, Physician-Patient Relations, Pregnancy, Prenatal Care, Referral and Consultation, Health Behavior, Intention, Young Adult
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