Experiences of immigrant new mothers with symptoms of depression

Archives of Women's Mental Health - Tập 11 Số 4 - Trang 295-303 - 2008
Ahmed, Amal1, Stewart, Donna E.1, Teng, Lilly1, Wahoush, Olive2, Gagnon, Anita J.3
1University Health Network Women’s Health Program, Toronto, Canada
2McMaster University, Hamilton, Canada
3McGill University Montreal, Canada

Tóm tắt

Refugee, asylum seeking, non-refugee, and immigrant new mothers with depressive symptoms, were interviewed in a qualitative study to better understand their (a) experiences and attributions of depressive symptoms, (b) their experiences with health care providers and support services, (c) factors that facilitated or hindered help seeking, (d) factors that aided recovery or (e) were associated with women continuing to experience symptoms of depression. Ten immigrant new mothers who scored 10 or over on the Edinburgh Postpartum Depression Scale shortly after giving birth, participated 12 to 18 months later in postpartum semi-structured interviews which were taped, transcribed and analyzed using a constant comparative approach. Many women attributed their depressive symptoms to social isolation, physical changes, feeling overwhelmed and financial worries. They had poor knowledge of community services. Barriers to care included stigma, embarrassment, language, fear of being labeled an unfit mother, or the attitude of some staff. Facilitators to recovery included social support from friends, partners and family, community support groups, “getting out of the house”, or personal psychological adjustment. Personal and systematic barriers exist in new immigrant mothers obtaining care for symptoms of depression. Suggestions for improvements are offered.

Tài liệu tham khảo

Citizenship and Immigration Canada (2001) Planning now for Canada’s future: introducing a multi-year planning process and the immigration plan for 2001 and 2002. Accessed at: http://www.cic.gc.ca/english/pub/anrep01.html Citizenship and Immigration Canada (2002) Facts and Figures 2002: Immigration overview. Accessed at: http://www.cic.gc.ca/english/pub/facts2002/immigration/immigration_7.html citation_journal_title=Br J Psychiatry; citation_title=Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale; citation_author=JL Cox, JM Holden, R Sagovsky; citation_volume=150; citation_publication_date=1987; citation_pages=782-786; citation_doi=10.1192/bjp.150.6.782; citation_id=CR3 citation_journal_title=J Affect Disord; citation_title=Can we identify mothers at risk for postpartum depression in the immediate postpartum period using the Edinburgh Postnatal Depression Scale?; citation_author=CL Dennis; citation_volume=78; citation_publication_date=2004; citation_pages=163-169; citation_doi=10.1016/S0165-0327(02)00299-9; citation_id=CR4 citation_journal_title=Birth; citation_title=Postpartum depression help-seeking barriers and maternal treatment preferences: a qualitative review; citation_author=CL Dennis, L Chung-Lee; citation_volume=33; citation_publication_date=2006; citation_pages=323-331; citation_doi=10.1111/j.1523-536X.2006.00130.x; citation_id=CR5 citation_journal_title=Acta Psychiatr Scand; citation_title=Identifying women at risk for postpartum depression in the immediate postpartum period; citation_author=CL Dennis, PA Janssen, J Singer; citation_volume=110; citation_publication_date=2004; citation_pages=338-346; citation_doi=10.1111/j.1600-0447.2004.00337.x; citation_id=CR6 citation_title=Discovery of grounded theory: strategies for qualitative research; citation_publication_date=1967; citation_id=CR7; citation_author=B Glaser; citation_author=A Strauss; citation_publisher=Aldine citation_journal_title=Can Psychol; citation_title=Feeling low and feeling really bad about feeling low: women’s experience of motherhood and postpartum depression; citation_author=NS Mauthner; citation_volume=40; citation_publication_date=1999; citation_pages=143-161; citation_id=CR8 citation_journal_title=J Nurse Midwifery; citation_title=Postpartum depression: the lived experience of Middle Eastern migrant women in Australia; citation_author=VL Nahas, S Hillege, N Amasheh; citation_volume=44; citation_publication_date=1999; citation_pages=65-74; citation_doi=10.1016/S0091-2182(98)00083-4; citation_id=CR9 citation_journal_title=Can J Psych; citation_title=Loss, happiness and postpartum depression: the ultimate paradox; citation_author=P Nicolson; citation_volume=40; citation_publication_date=1999; citation_pages=162-178; citation_id=CR10 citation_journal_title=Rev Psychiatry; citation_title=Rates and risk of postpartum depression—a meta analysis; citation_author=MW O’Hara, AM Swain; citation_volume=8; citation_publication_date=1996; citation_pages=37-54; citation_doi=10.3109/09540269609037816; citation_id=CR11 citation_journal_title=Lancet; citation_title=Treatment of postnatal depression in low-income mothers in primary-care clinics in Santiago, Chile: a randomised controlled trial; citation_author=G Rojas, R Fritsch, J Solis, E Jadresic, C Castillo, M González, V Guajardo, G Lewis, TJ Peters, R Araya; citation_volume=370; citation_publication_date=2007; citation_pages=1629-1637; citation_doi=10.1016/S0140-6736(07)61685-7; citation_id=CR12 citation_journal_title=Birth; citation_title=Immigrant women’s views about care during labor and birth: an Australian study of Vietnamese, Turkish, and Filipino women; citation_author=R Small, J Yelland, J Lumley, S Brown, P Liamputtong; citation_volume=29; citation_publication_date=2002; citation_pages=266-277; citation_doi=10.1046/j.1523-536X.2002.00201.x; citation_id=CR13 citation_journal_title=Ethn Health; citation_title=Cross-cultural experiences of maternal depression: associations and contributing factors for Vietnamese, Turkish and Filipino immigrant women in Victoria, Australia; citation_author=R Small, J Lumley, J Yelland; citation_volume=8; citation_publication_date=2003; citation_pages=189-206; citation_doi=10.1080/1355785032000136416; citation_id=CR14 citation_journal_title=Can J Psych; citation_title=Postpartum depression symptoms in newcomers; citation_author=DE Stewart, A Gagnon, JF Saucier, O Wahoush, G Dougherty; citation_volume=53; citation_publication_date=2008; citation_pages=121-124; citation_id=CR15 US Department of Homeland Security (2006). Accessed at: http://uscis.gov/graphics/shared/statistics/index.htm citation_journal_title=Can J Psych; citation_title=‘Understanding immigrants’ reluctance to use mental health services: a qualitative study from Montreal; citation_author=R Whitley, LJ Kirmayer, D Groleau; citation_volume=51; citation_publication_date=2006; citation_pages=205-209; citation_id=CR17