Stigma and attitudes towards antenatal depression and antidepressant use during pregnancy in healthcare students
Abstract
Depression in pregnancy or antenatal depression (AD) occurs in approximately one in five women, with potentially deleterious effects to the mother and fetus. People are encouraged to get treatment for depression; however, pregnant women can experience stigma when they reach out for help with depression. Research indicates that healthcare professionals hold stigma against patients who experience mental health conditions, including depression. The public, as well as healthcare professionals may have negative attitudes towards antidepressant use during pregnancy, despite evidence that many antidepressants are relatively safe for use in pregnancy. The objective of this project was to determine what knowledge and opinions healthcare students may hold towards antenatal depression and its treatment, and whether further knowledge and experience lessened the stigma. Medical, pharmacy, and nursing students (n = 309) were given a scenario regarding a woman with AD based on Corrigan's Attribution Questionnaire and asked seven questions based on the scenario that assessed their level of stigma and questions related to treatment. Each student group demonstrated some stigma towards the woman and all groups lacked knowledge regarding treatment of AD. Overall, the nursing students were the most stigmatizing of the three groups. The study demonstrates that healthcare students hold stigma towards people with mental health problems, including pregnant depressed women. It points to a need to increase education about antenatal depression and its treatment.
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Perceived barriers to treatment include difficulties in arranging childcare, transportation, and lack of time.
“Other perceived barriers to treatment are difficulties in arranging childcare, transportation, and lack of time (27, 30, 39).”
From Acceptance, experiences, and needs of hospitalized pregnant women toward an electronic mindfulness-based intervention: A pilot mixed-methods study (2022) · cites this paper as [39]
Stigma is considered a major barrier to disclosure and seeking help.
“Stigma is also considered a major barrier to disclosure and seeking help (27, 39, 40).”
From Acceptance, experiences, and needs of hospitalized pregnant women toward an electronic mindfulness-based intervention: A pilot mixed-methods study (2022) · cites this paper as [39]
A major barrier to disclosure of perinatal depression symptoms appears to be internal and external stigmatization from health care providers and stigma from treatment.
“A major barrier to disclosure of perinatal depression symptoms also appears to be the internal and external stigmatization from health care providers and stigma from treatment.”
From Acceptance, experiences, and needs of hospitalized pregnant women toward an electronic mindfulness-based intervention: A pilot mixed-methods study (2022) · cites this paper as [39]
Gawley et al. showed that health care students stigmatize people with mental health problems, including pregnant women with depression, pointing to the need for improved education about prenatal depression and its treatment.
“Gawley et al. also showed that health care students stigmatize people with mental health problems, including pregnant women with depression, pointing to the need for improved education about prenatal depression and its treatment (39).”
From Acceptance, experiences, and needs of hospitalized pregnant women toward an electronic mindfulness-based intervention: A pilot mixed-methods study (2022) · cites this paper as [39]
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 [19]
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- Authors
- Gawley, L., Einarson, A., & Bowen, A.
- Affiliations
- University of Saskatchewan (CA)
- Great Ormond Street Hospital (GB)
- Corresponding author
- Gawley, Laura
- ORCID
- Bowen, Angela
- Venue
- Advances in Health Sciences Education
- Published
- 2011-03-23
- Volume
- 16
- Issue
- 5
- Pages
- 669-679
- ISSN
- 1382-4996 (ISSN-L)
- 1573-1677
- OpenAlex
- W2061272855
- Cited by
- 38
- References
- 40
- Citations by year
- 2026: 3 · 2024: 5 · 2023: 4 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 4 · 2016: 3 · 2015: 5 · 2014: 2 · 2013: 1 · 2012: 2
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Advances in Health Sciences Education (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
- Keywords
- antenatal depression, stigma, antidepressant use in pregnancy, health professions students, medical students, pharmacy students, nursing students, mental health attitudes, mental health education, maternal mental health
- MeSH terms
- Antidepressive Agents, Attitude of Health Personnel, Canada, Depression, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Pregnancy, Prejudice, Prenatal Care, Surveys and Questionnaires, Stereotyping, Students, Health Occupations, Universities, Young Adult
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