Postnatal depression across countries and cultures: a qualitative study

British Journal of Psychiatry - Tập 184 Số S46 - Trang s10-s16 - 2004
Margaret R. Oates1, John Cox2, Stella Neema3, Paul Asten4, Nine M.-C. Glangeaud-Freudenthal5, Bárbara Figueiredo6, Laura Gorman7, Sue Hacking8, Emma Hirst9, Martin Kammerer10, Claudia M. Klier11, Gertrude Seneviratne4, Mary Jo Smith12, Anne‐Laure Sutter‐Dallay13, Vania Valoriani14, Birgitta Wickberg15, Keiko Yoshida16
1Division of Psychiatry, University of Nottingham
2Academic Suite, Keele University, UK
3Makerere Institute of Social Research, Kampala, Uganda
4Section of Perinatal Psychiatry, Institute of Psychiatry, London, UK
5Research Unit 149, INSERM, Villejuf, France
6Department of Psychology, University of Minho, Braga, Portugal
7Department of Psychology, University of Iowa USA
8Department of Psychiatry, Keele University, UK
9School of Psychiatry and Behavioural Sciences, University of Manchester, UK
10University of Zurich, Switzerland
11Department of Psychiatry, University of Vienna, Austria
12Trinity College, Dublin, Ireland
13University Department of Psychiatry, Centre Hospitalier Charles Perrens, Bordeaux, France
14Department of Neurologic and Psychiatric Sciences, University of Florence, Italy
15Department of Psychology, University of Göteborg, Sweden
16Department of Neuropsychiatry Kyushu University Fukuoka Japan

Tóm tắt

BackgroundPostnatal depression seems to be a universal condition with similar rates in different countries. However, anthropologists question the cross-cultural equivalence of depression, particularly at a life stage so influenced by cultural factors.AimsTo develop a qualitative method to explore whether postnatal depression is universally recognised, attributed and described and to enquire into people's perceptions of remedies and services for morbid states of unhappiness within the context of local services.MethodThe study took place in 15 centres in 11 countries and drew on three groups of informants: focus groups with new mothers, interview swith fathers and grandmothers, and interviews with health professionals. Textual analysis of these three groups was conducted separately in each centre and emergent themes compared across centres.ResultsAll centres described morbid unhappiness after childbirth comparable to postnatal depression but not all saw this as an illness remediable by health interventions.ConclusionsAlthough the findings of this study support the universality of a morbid state of unhappiness following childbirth, they also support concerns about the cross-cultural equivalence of postnatal depression as an illness requiring the intervention of health professionals; this has implications for future research.

Từ khóa


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Thông tin
Thông tin xuất bản

British Journal of Psychiatry

Tập 184 Số S46

s10-s16

Thông tin tác giả