Women’s Views and Experiences of Antidepressants as a Treatment for Postnatal Depression: A Qualitative Study
Abstract
BACKGROUND: Antidepressants are frequently prescribed by GPs for postnatal depression (PND). Patients, however, may be reluctant to take medication and have concerns that result in poor treatment adherence. Few studies have explored women's views and experiences of antidepressants as a treatment for PND. GPs need to understand women's views and experiences if they are to address their concerns and improve treatment adherence. OBJECTIVE: To explore women's views and experiences of antidepressants as a treatment for PND. METHODS: In-depth interviews with 27 women in three UK cities who had been diagnosed with PND and taken part in a randomized controlled trial. During the trial, participants could receive antidepressants and/or non-directive counselling. Data were analysed thematically. RESULTS: Most participants stated that they had held negative views towards antidepressants at the time of randomization. Some participants reported that, over the course of their illness, through time and contact with others, including health professionals, their views towards antidepressants had changed and that they had gone on to take medication. Most interviewees who had taken antidepressants reported benefits, although some remained concerned about taking medication. CONCLUSION: Women's views of antidepressants can change in response to their treatment options and experiences, the views of friends and relatives and their contact with health professionals. GPs should assess women's concerns about antidepressants prior to prescribing them for PND and should provide regular follow-up for women on medication. This should lead to greater treatment adherence and thus earlier resolution of symptoms.
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Coding by consensus is most consistently used as a measure of reliability in qualitative data analysis in the mental health services area.
““Coding by consensus” in this way by regularly meeting to discuss procedures for assigning codes to segments of data and resolving differences in coding procedures is most consistently used as a measure of reliability in qualitative data analysis in the mental health services area [52,53,54].”
From A Qualitative Study of Participant Feedback on an Acceptance and Commitment Therapy Group-Based Intervention for Parents of Youth with Anxiety Disorders. (2026) · cites this paper as [54]
Many women do not receive treatment for postpartum depression for various reasons, including a lack of trust in the mental health system, fear and stigma associated with taking medications, guilt, and concerns about the effects of medications on breastfeeding.
“Yet, many women do not receive treatment for various reasons, including a lack of trust in the mental health system, fear and stigma associated with taking medications, guilt, and concerns about the effects of medications on breastfeeding [13, 14].”
From Challenges in diagnosing and treating postpartum depression in the primary care Setting- a qualitative study (2025) · cites this paper as [14]
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The Relationship of Shame in the Treatment of Antepartum Depression
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- Authors
- Turner, K. M., Sharp, D., Folkes, L., & Chew-Graham, C.
- Affiliations
- University of Bristol (GB)
- University of Manchester (GB)
- Venue
- Family Practice
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-12-01
- Volume
- 25
- Issue
- 6
- Pages
- 450-455
- ISSN
- 0263-2136 (ISSN-L)
- 1460-2229
- OpenAlex
- W2111131859
- Cited by
- 83
- References
- 24
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 1 · 2023: 3 · 2022: 4 · 2021: 5 · 2020: 3 · 2019: 1 · 2018: 3 · 2017: 10 · 2016: 6 · 2015: 8 · 2014: 11 · 2013: 8 · 2012: 3
- FWCI
- 3.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Family Practice (publishedVersion)
- PubMed (publishedVersion)
- Bristol Research (University of Bristol) (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Explore Bristol Research (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- postpartum depression, antidepressants, medication adherence, medication concerns, patient experience, general practitioners, non-directive counseling
- MeSH terms
- Adult, Antidepressive Agents, Continuity of Patient Care, Counseling, Female, Health Services Accessibility, Humans, Interviews as Topic, Middle Aged, Patient Compliance, Randomized Controlled Trials as Topic, Women's Health, Patient Satisfaction, Depression, Postpartum, Young Adult
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