Evidence map›Paper›PMID 37957589›Full record

ArticleBMC psychiatry2023

Women's awareness of perinatal mental health conditions and the acceptability of being asked about mental health in two regions in India: a qualitative study.

Gracia Fellmeth, Pankaj Kanwar, Diksha Sharma, Komal Chawla, Neha DasGupta, Shreyash Chhajed, Chandrakant, Emily C Jose, Anita Thakur, Vikesh Gupta and 10 more

Abstract read
In one paragraph

Article in BMC psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Gracia FellmethNational Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK. gracia.fellmeth@ndph.ox.ac.uk.
Pankaj KanwarDepartment of Psychiatry, Dr Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh, India.
Diksha SharmaDepartment of Obstetrics and Gynaecology, Dr Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh, India.
Komal ChawlaBritish University of Bahrain, Saar, Bahrain.
Neha DasGuptaDepartment of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bengaluru, India.
Shreyash ChhajedDepartment of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bengaluru, India.
ChandrakantDepartment of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bengaluru, India.
Emily C JoseDepartment of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bengaluru, India.
Anita ThakurDepartment of Psychiatry, Dr Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh, India.
Vikesh GuptaDepartment of Psychiatry, Dr Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh, India.
Omesh Kumar BhartiState Institute of Health and Family Welfare, Department of Health and Family Welfare, Government of Himachal Pradesh, Shimla, India.
Sukhjit SinghDepartment of Psychiatry, Dr Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh, India.
Geetha DesaiDepartment of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru, India.
Harish ThippeswamyDepartment of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru, India.
Jennifer J KurinczukNational Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Prabha ChandraDepartment of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru, India.
Manisha NairNational Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Ashok VermaDepartment of Obstetrics and Gynaecology, Dr Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh, India.
M Thomas KishoreDepartment of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bengaluru, India.
Fiona AlderdiceNational Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.

Funding

Medical Research Council MR/P022030/1Medical Research Council MR/W029294/1
6 · The paper itself

Abstract

backgroundMental health conditions are common during pregnancy and the first year after childbirth. Early detection allows timely support and treatment to be offered, but identifying perinatal mental health conditions may be challenging due to stigma and under-recognition of symptoms. Asking about symptoms of mental health conditions during routine antenatal and postnatal appointments can help to identify women at risk. This study explores women's awareness of perinatal mental health conditions, their views on the acceptability of being asked about mental health and any preference for specific assessment tools in two regions in India.

methodsFocus group discussions (FGDs) were conducted with pregnant, post-partum and non-perinatal women in Kangra, Himachal Pradesh (northern India) and Bengaluru, Karnataka (southern India). Settings included a hospital antenatal clinic and obstetric ward, Anganwadi Centres and Primary Health Centres. FGDs were facilitated, audio-recorded and transcribed. Narratives were coded for emerging themes and analysed using thematic analysis.

resultsSeven FGDs including 36 participants were conducted. Emerging themes were: manifestations of and contributors to mental health conditions; challenges in talking about mental health; and the acceptability of being asked about mental health. Difficult familial relationships, prioritising the needs of others and pressure to have a male infant were cited as key stressors. Being asked about mental health was generally reported to be acceptable, though some women felt uncomfortable with questions about suicidality. No preference for any specific assessment tool was reported.

conclusionsWomen face many stressors during the perinatal period including difficult familial relationships and societal pressure to bear a male infant. Being asked about mental health was generally considered to be acceptable, but questions relating to suicidality may be challenging in a community setting, requiring sensitivity by the interviewer. Future studies should assess the acceptability of mental health assessments in 'real world' antenatal and postnatal clinics and explore ways of overcoming the associated challenges in resource-constrained settings.

Indexed as

Mental DisordersMental HealthFemaleHumansIndiaMaleParturitionPregnancyQualitative ResearchAcceptabilityAwarenessIndiaLow- and middle-income country (LMIC)Mental healthPerinatalPost-partumPregnancyQualitative

Identifiers

PMID37957589
PMCPMC10644637

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.