Barriers and facilitators of mental health screening in pregnancy
Open accessAbstract
Background Access to mental health services during pregnancy is most commonly mobilized through formal mental health screening. However, few studies to date have identified barriers and facilitators that affect pregnant women's responses to mental health screening. The objective was to identify barriers and facilitators that influence pregnant women's responses to the screening process and factors associated with their identification. Methods This multi-site, cross-sectional survey recruited pregnant women >16 years of age who spoke/read English in Alberta, Canada. Main outcomes were barriers and facilitators of mental health screening. Descriptive statistics were generated to identify the most common barriers and facilitators and multivariable logistic regression models were conducted to determine factors associated with barriers and facilitators. Results Study participation rate was 92% (460/500). Women's most common barriers were: significant others normalizing their emotional difficulties; desiring to handle mental health problems on their own; preferring to discuss feelings with significant others; and not knowing what emotions were 'normal'. Women who identified these barriers were more likely not to have been treated previously for mental illness, were primiparous, and could not be completely honest with their provider. Main facilitators were provider characteristics (sensitive, interested), reassurance that mental healthcare is a part of routine prenatal care, hearing…
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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 [17]
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- Authors
- Kingston, D., Austin, M.-P., Heaman, M., McDonald, S., Lasiuk, G., Sword, W., Giallo, R., Hegadoren, K., Vermeyden, L., van Zanten, S. V., Kingston, J., Jarema, K., & Biringer, A.
- Affiliations
- University of Alberta (CA)
- UNSW Sydney (AU)
- University of Manitoba (CA)
- University of Calgary (CA)
- University of Ottawa (CA)
- Murdoch Children's Research Institute (AU)
- MacEwan University (CA)
- University of Toronto (CA)
- Corresponding author
- Kingston, Dawn
- ORCID
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2015-11
- Volume
- 186
- Pages
- 350-357
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2100349840
- Cited by
- 128
- References
- 4
- Citations by year
- 2026: 8 · 2025: 8 · 2024: 14 · 2023: 28 · 2022: 8 · 2021: 14 · 2020: 12 · 2019: 12 · 2018: 6 · 2017: 11 · 2016: 5 · 2015: 2
- FWCI
- 8.58
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- Women and Children’s Health Research Institute (WCHRI)
- 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 › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- mental health screening, pregnancy, barriers and facilitators, prenatal care, maternal mental health, stigma, help-seeking, provider characteristics, primiparity
- MeSH terms
- Adult, Alberta, Mental Disorders, Cross-Sectional Studies, Female, Humans, Health Knowledge, Attitudes, Practice, Mass Screening, Mental Health Services, Pregnancy, Pregnancy Complications, Prenatal Care, Young Adult
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