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Cited by 881Maternal Mental Health During Pregnancy and PostpartumMaternal and Perinatal Health InterventionsMaternal and Neonatal Healthcare

The DOI matches its Crossref record; 60 of the 60 references it cites were found in a registry or an index.

Postpartum Depression Help-Seeking Barriers and Maternal Treatment Preferences: A Qualitative Systematic Review

Dennis, Cindy‐Lee, Chung‐Lee, Leinic·2006·Birth
DOI 10.1111/j.1523-536x.2006.00130.x
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Abstract

BACKGROUND: Despite the well-documented risk factors and health consequences of postpartum depression, it often remains undetected and untreated. No study has comprehensively examined postpartum depression help-seeking barriers, and very few studies have specifically examined the acceptability of postpartum depression treatment approaches. The objective of this study was to examine systematically the literature to identify postpartum depression help-seeking barriers and maternal treatment preferences. METHODS: Medline, CINAHL, and EMBASE databases were searched using specific key words, and published peer-reviewed articles from 1966 to 2005 were scanned for inclusion criteria. RESULTS: Of the 40 articles included in this qualitative systematic review, most studies focused on women's experiences of postpartum depression where help seeking emerged as a theme. A common help-seeking barrier was women's inability to disclose their feelings, which was often reinforced by family members and health professionals' reluctance to respond to the mothers' emotional and practical needs. The lack of knowledge about postpartum depression or the acceptance of myths was a significant help-seeking barrier and rendered mothers unable to recognize the symptoms of depression. Significant health service barriers were identified. Women preferred to have "talking therapies" with someone who was nonjudgmental rather than receive pharmacological interventions. CONCLUSIONS: These results suggest that women did not proactively seek help, and the barriers involved both maternal and health professional factors. Common themes related to specific treatment preferences emerged from women of diverse cultural backgrounds. The clinical implications outlined in this review will assist health professionals in addressing these barriers and in developing preventive and treatment interventions that are in accord with maternal preferences.

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  1. Shakespeare J, 2004, Marcé Society International Biennial Scientific Meeting

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Metadata

Authors
Dennis, C., & Chung‐Lee, L.
Affiliations
Toronto Public Health (CA)
Corresponding author
Dennis, Cindy‐Lee
ORCID
Dennis, Cindy‐Lee
Venue
Birth
Publisher
Wiley
Published
2006-11-27
Volume
33
Issue
4
Pages
323-331
ISSN
  • 0730-7659 (ISSN-L)
  • 1523-536X
DOI
10.1111/j.1523-536x.2006.00130.x
OpenAlex
W2011868122
Cited by
881
References
60
Citations by year
2026: 29 · 2025: 46 · 2024: 64 · 2023: 60 · 2022: 57 · 2021: 62 · 2020: 42 · 2019: 66 · 2018: 53 · 2017: 59 · 2016: 55 · 2015: 63 · 2014: 32 · 2013: 35 · 2012: 44
FWCI
2.83
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Birth (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Keywords
postpartum depression, help-seeking barriers, health service barriers, psychotherapy, pharmacotherapy, women's experiences, cultural diversity
MeSH terms
Adult, Female, Humans, Health Knowledge, Attitudes, Practice, Maternal Health Services, Patient Acceptance of Health Care, Pregnancy, Self Disclosure, Severity of Illness Index, Depression, Postpartum

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