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
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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“At the perinatal healthcare professionals' level, barriers include a lack of time for further psychological assessment and adequately communicating the diagnostic suspicion during check-ups, in addition to a lack of training in mental health.”
From App-based intervention for reducing depressive symptoms in postpartum women: Protocol for a feasibility randomized controlled trial (2023) · cites this paper as Dennis and Chung-Lee, 2006
In the citing paper
“At the patients' level, they include misunderstandings or negative beliefs about PPD and psychological treatments, stigma, and fear of being judged as an unfit parent, concerns about the risk of antidepressant use, lack of time or energy, lack of social support, childcare issues, lack of confidence on healthcare professionals and economic barriers.”
From App-based intervention for reducing depressive symptoms in postpartum women: Protocol for a feasibility randomized controlled trial (2023) · cites this paper as Dennis and Chung-Lee, 2006
In the citing paper
“This tension can contribute to feelings of guilt, shame, and grief [11].”
From Motherhood and Me (Mom-Me): The Development of an Acceptance-Based Group for Women with Postpartum Mood and Anxiety Symptoms (2022) · cites this paper as [11]
In the citing paper
“Mothers already report excessive guilt [11], so this format was used to prevent these feelings and emphasize provider acceptance of the real-world challenges that new mothers experience.”
From Motherhood and Me (Mom-Me): The Development of an Acceptance-Based Group for Women with Postpartum Mood and Anxiety Symptoms (2022) · cites this paper as [11]
In the citing paper
“Mothers after childbirth need to recognize the symptoms of PPD and know when to seek advice and assistance[33, 34].”
From Challenges in diagnosing and treating postpartum depression in the primary care Setting- a qualitative study (2025) · cites this paper as [34]
Citations
Cites
Rates and risk of postpartum depression – a meta-analysis
O'hara, M. W., & Swain, A. M. (1996) · International Review of Psychiatry · doi:10.3109/09540269609037816 · Cited by 3,116
Predictors of Postpartum Depression
Beck, C. T. (2001) · Nursing Research · doi:10.1097/00006199-200109000-00004 · Cited by 1,960
Murray, L., Fiori-Cowley, A., Hooper, R., & Cooper, P. (1996) · Child Development · doi:10.1111/j.1467-8624.1996.tb01871.x · Cited by 1,302
Goodman, J. H. (2004) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2003.02857.x · Cited by 660
Cooper, P. J., & Murray, L. (1995) · British Journal of Psychiatry · doi:10.1192/bjp.166.2.191 · Cited by 452
The measurement of patient satisfaction.
Carr-Hill, R. (1992) · Journal of Public Health Medicine · doi:10.1093/oxfordjournals.pubmed.a042739 · Cited by 362
Dennis, C. (2005) · British medical journal · doi:10.1136/bmj.331.7507.15 · Cited by 360
Self-citationPhysical health problems after childbirth and maternal depression at six to seven months postpartum
Brown, S., & Lumley, J. (2000) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2000.tb11607.x · Cited by 275
Teetering on the Edge: A Substantive Theory Of Postpartum Depression
Beck, C. T. (1993) · Nursing Research · doi:10.1097/00006199-199301000-00008 · Cited by 272
The Effect of Peer Support on Postpartum Depression: A Pilot Randomized Controlled Trial
Dennis, C.-L. (2003) · The Canadian Journal of Psychiatry · doi:10.1177/070674370304800209 · Cited by 249
Self-citationDennis, C., & Ross, L. E. (2006) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2006.04059.x · Cited by 236
Self-citationPostnatal depression across countries and cultures: a qualitative study
Oates, M. R., Cox, J., Neema, S., Asten, P., Glangeaud-Freudenthal, N. M.-C., Figueiredo, B., Gorman, L., Hacking, S., Hirst, E., Kammerer, M. H., et al. (2004) · The British Journal of Psychiatry · doi:10.1192/bjp.184.46.s10 · Cited by 225
Teetering on the edge: a substantive theory of postpartum depression.
Beck, C. T. (1993) · PubMed · Cited by 217
Listening to mothers: qualitative studies on motherhood and depression from Goa, India
Rodrigues, M. M., Patel, V., Jaswal, S., & de Souza, N. (2003) · Social Science & Medicine · doi:10.1016/s0277-9536(03)00062-5 · Cited by 213
Whitton, A., Warner, R., & Appleby, L. (1996) · Europe PMC (PubMed Central) · Cited by 191
Brugha, T. S., Wheatley, S. L., Taub, N. A., Culverwell, A., Friedman, T., Kirwan, P. H., JONES, D. R., & Shapiro, D. A. (2000) · Psychological Medicine · doi:10.1017/s0033291799002937 · Cited by 190
Postpartum depression: women's help‐seeking behaviour and perceptions of cause
McIntosh, J. (1993) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1993.18020178.x · Cited by 162
Chan, S. W., Levy, V., Chung, T. K. H., & Lee, D. (2002) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2002.02326.x · Cited by 153
Treatment of Postpartum Depression, Part 1
Dennis, C., & Stewart, D. E. (2004) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v65n0914 · Cited by 138
Self-citationMauthner, N. S. (1999) · Canadian Psychology/Psychologie canadienne · doi:10.1037/h0086833 · Cited by 136
Postpartum Depression Among African-American Women
Amankwaa, L. C. (2003) · Issues in Mental Health Nursing · doi:10.1080/01612840305283 · Cited by 131
POSTPARTUM DEPRESSION: The Lived Experiences Of Middle Eastern Migrant Women In Australia
Nahas, V., Hillege, S., & Amasheh, N. (1999) · Journal of Nurse-Midwifery · doi:10.1016/s0091-2182(98)00083-4 · Cited by 122
Shakespeare, J., Blake, F., & Garcia, J. (2003) · Europe PMC (PubMed Central) · Cited by 122
Nahas, V., & Amasheh, N. (1999) · Journal of Transcultural Nursing · doi:10.1177/104365969901000113 · Cited by 113
Missing voices: What women say and do about depression after childbirth
Small, R. E., Brown, S., Lumley, J. M., & Astbury, J. (1994) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646839408408872 · Cited by 106
``Struggling with life'': Narratives from women with signs of postpartum depression
Edhborg, M., Friberg, M., Lundh, W., & Widström, A. (2005) · Scandinavian Journal of Public Health · doi:10.1080/14034940510005725 · Cited by 106
Acute psychiatric disturbance in pregnancy and the puerperium
Stocky, A., & Lynch, J. (2000) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1053/beog.1999.0064 · Cited by 104
Postpartum Depressed Women's Explanation of Depression
Ugarriza, D. N. (2002) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.2002.00227.x · Cited by 103
The experience of seeking help for postnatal depression.
Holopainen, D. (2002) · Australian Journal of Advanced Nursing · doi:10.37464/2002.193.2301 · Cited by 91
Templeton, L. J., Velleman, R. D. B., Persaud, A., & Milner, P. (2003) · Ethnicity and Health · doi:10.1080/1355785032000136425 · Cited by 90
Women's views of antidepressants in the treatment of postnatal depression
Boath, E., Bradley, E., & Henshaw, C. A. (2004) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.1080/01674820400017889 · Cited by 86
Preventing Postpartum Depression Part II: A Critical Review of Nonbiological Interventions
Dennis, C. (2004) · Canadian journal of psychiatry. Revue canadienne de psychiatrie · doi:10.1177/070674370404900804 · Cited by 81
Self-citationPerinatal depression among black Caribbean women
Edge, D., Baker, D., & Rogers, A. E. (2004) · Health & Social Care in the Community · doi:10.1111/j.1365-2524.2004.00513.x · Cited by 81
Influence of depressive symptomatology on maternal health service utilization and general health
Dennis, C. (2004) · Archives of Women s Mental Health · doi:10.1007/s00737-004-0053-9 · Cited by 80
Self-citationChabrol, H., Teissèdre, F., Armitage, J., Danel, M., & Walburg, V. (2004) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646830310001643094 · Cited by 79
Treatment of Postpartum Depression, Part 2: A Critical Review of Nonbiological Interventions
Dennis, C.-L. E. (2004) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v65n0915 · Cited by 77
Self-citationCurrie, J. L., & Develin, E. (2002) · Health Care For Women International · doi:10.1080/07399330290112380 · Cited by 72
Family dynamics of postnatally depressed mothers – discrepancy between expectations and reality
Tammentie, T., Paavilainen, E., Åstedt-Kurki, P. M., & Tarkka, M. (2003) · Journal of Clinical Nursing · doi:10.1046/j.1365-2702.2003.00824.x · Cited by 72
Ballestrem, C. L. V., Strauß, M., & Kächele, H. U. (2005) · Archives of Women s Mental Health · doi:10.1007/s00737-005-0068-x · Cited by 70
Postnatal depression: Use of health services and satisfaction with health‐care providers
Webster, J., Pritchard, M. A., Linnane, J. W., Roberts, J. A., Hinson, J., & Starrenburg, S. E. (2001) · J Qual Clin Practice · doi:10.1046/j.1440-1762.2001.00432.x · Cited by 64
Group therapy and its barriers for women suffering from postpartum depression
Ugarriza, D. N. (2004) · Archives of Psychiatric Nursing · doi:10.1053/j.apnu.2004.01.002 · Cited by 63
Infant temperament and postpartum depression: A review
Mayberry, L. J., & Affonso, D. D. (1993) · Health Care For Women International · doi:10.1080/07399339309516041 · Cited by 61
Postnatal depression: a qualitative study of the experiences of a group of Hong Kong Chinese women
Chan, S. W., & Levy, V. (2003) · Journal of Clinical Nursing · doi:10.1046/j.1365-2702.2003.00882.x · Cited by 56
Matthey, S., Barnett, B. E. W., & Elliott, A. (1997) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048679709073845 · Cited by 52
Parvin, A., Jones, C. E., & Hull, S. (2004) · Family Practice · doi:10.1093/fampra/cmh307 · Cited by 50
Preventing Postpartum Depression Part I: A Review of Biological Interventions
Dennis, C. (2004) · Canadian journal of psychiatry. Revue canadienne de psychiatrie · doi:10.1177/070674370404900708 · Cited by 41
Self-citationPostnatal depression: how can midwives help?
Mauthner, N. S. (1997) · Midwifery · doi:10.1016/s0266-6138(97)80002-2 · Cited by 40
Maternal thinking and the treatment of postnatal depression
Whitton, A., Appleby, L., & Warner, R. (1996) · International Review of Psychiatry · doi:10.3109/09540269609037819 · Cited by 40
Depression after childbirth: the views of medical students and women compared.
Small, R., Johnston, V., & Orr, A. (1997) · Birth · doi:10.1111/j.1523-536x.1997.tb00350.x · Cited by 32
Robinson, S., & Young, J. (1982) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048678209161191 · Cited by 30
Postnatal Depression: A Korean Perspective
Kim, J., & Buist, A. (2005) · Australasian Psychiatry · doi:10.1080/j.1440-1665.2004.02153.x · Cited by 30
HASEGAWA, T. O. S. N. M. (1998) · Journal of Mental Health · doi:10.1080/09638239818238 · Cited by 29
Exploring and enhancing engagement to the psychosocial intervention ?Preparing for Parenthood?
Wheatley, S. L., Brugha, T. S., & Shapiro, D. A. (2003) · Archives of Women s Mental Health · doi:10.1007/s00737-003-0025-5 · Cited by 28
Perceptions of nurses' caring by mothers experiencing postpartum depression.
Beck, C. T. (1995) · Journal of Obstetric, Gynecologic and Neonatal Nursing · doi:10.1111/j.1552-6909.1995.tb02566.x · Cited by 27
Thome, M. (2003) · Scandinavian Journal of Caring Sciences · doi:10.1046/j.1471-6712.2003.00110.x · Cited by 23
Users' views of two alternative approaches to the treatment of postnatal depression
Boath, E., Bradley, E., & Anthony, P. (2004) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646830310001643085 · Cited by 21
What do women think about treatments for postnatal depression?
Henshaw, C. A. (2004) · Clinical Effectiveness in Nursing · doi:10.1016/j.cein.2005.03.003 · Cited by 13
Marris, E. (2007) · Nature · doi:10.1038/447141a · Cited by 11
Postnatal depression: Context and experience—Editorial
Nicolson, P., & Woollett, A. (1998) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646839808404561 · Cited by 7
Implementing a Comprehensive Postpartum Depression Support Program
Wroblewski, M., & Tallon, D. (2004) · AWHONN Lifelines · doi:10.1177/1091592304267570 · Cited by 6
Research works printed but not linked: 1
- Shakespeare J, 2004, Marcé Society International Biennial Scientific Meeting
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Davenport, M. H., Meyer, S., Meah, V. L., Strynadka, M. C., & Khurana, R. (2020) · Frontiers in Global Women s Health · doi:10.3389/fgwh.2020.00001 · Cited by 605
Psychosocial and psychological interventions for treating postpartum depression
Dennis, C.-L., & Hodnett, E. D. (2007) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006116.pub2 · Cited by 565
Self-citationWomen’s Attitudes, Preferences, and Perceived Barriers to Treatment for Perinatal Depression
Goodman, J. H. (2009) · Birth · doi:10.1111/j.1523-536x.2008.00296.x · Cited by 526
Dennis, C.-L., & McQueen, K. (2009) · Pediatrics · doi:10.1542/peds.2008-1629 · Cited by 533
Self-citation
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
- 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
- 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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