Help seeking in the perinatal period: a review of barriers and facilitators
Abstract
Perinatal depression affects approximately 10 to 20 percent of women during pregnancy or the first 12 months postpartum. Increased attention has been given to the prevalence of and screening for perinatal depression, yet little research addresses help seeking for this issue. The overall barriers and facilitators of help seeking among these women have yet to be addressed in a systematic way. A systematic literature review was conducted to identify studies that focused on help seeking among women with perinatal depression. Nineteen articles met the inclusion criteria discussed below and were included in this review. Barriers to help seeking for women with perinatal depression include social (e.g. stigma), structural (e.g. provider unavailable) and instrumental factors (e.g. cost). Facilitators of help seeking for women with perinatal depression were limited in scope. Recommendations for policy and the role of social workers are discussed.
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Help-seeking barriers include lack of time, childcare responsibilities, perceived stigma, feelings of guilt or shame, fear of losing parental rights or taking medication, limited knowledge about perinatal mental disorders, and insufficient information about available help services.
“Further help-seeking barriers include lack of time, childcare responsibilities, perceived stigma, feelings of guilt or shame, fear of losing parental rights or taking medication, limited knowledge about perinatal mental disorders, and insufficient information about available help services (Jones, 2019).”
From PandaMom – Feasibility and acceptability of an internet- and mobile-based intervention to enhance peripartum mental well-being and to prevent postpartum depression (2024) · cites this paper as Jones, 2019
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- Authors
- Jones, A.
- Affiliations
- University of Tennessee at Knoxville (US)
- Corresponding author
- Jones, Aubrey
- ORCID
- Jones, Aubrey
- Venue
- Social Work in Public Health
- Publisher
- Informa UK Limited
- Published
- 2019-06-26
- Volume
- 34
- Issue
- 7
- Pages
- 596-605
- ISSN
- 1937-190X (ISSN-L)
- 1937-1918
- OpenAlex
- W2955077083
- Cited by
- 103
- References
- 37
- Citations by year
- 2026: 9 · 2025: 18 · 2024: 26 · 2023: 19 · 2022: 20 · 2021: 6 · 2020: 5
- FWCI
- 7.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Work in Public Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- perinatal depression, help-seeking, help-seeking barriers, help-seeking facilitators, stigma, cost barriers, provider availability, social workers, maternal mental health, pregnancy, postpartum period
- MeSH terms
- Female, Humans, Mental Health, Patient Acceptance of Health Care, Pregnancy, Perinatal Care, Depression, Postpartum
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