Evidence map›Paper›PMID 38956660›Full record

ArticleReproductive health2024

Family planning decision-making in relation to psychiatric disorders in women: a qualitative focus group study.

Shahenda A I H Ahmad, Jorina Holtrop, Monique J M van den Eijnden, Nini H Jonkman, Maria G van Pampus, Odile A van den Heuvel, Birit F P Broekman, Noralie N Schonewille

Abstract read
In one paragraph

Article in Reproductive health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 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

8 authors.

Shahenda A I H AhmadDepartment of Psychiatry and Medical Psychology, OLVG, Oosterpark 9, Amsterdam, 1091 AC, The Netherlands.
Jorina HoltropDepartment of Psychiatry and Medical Psychology, OLVG, Oosterpark 9, Amsterdam, 1091 AC, The Netherlands.
Monique J M van den EijndenTeam Knowledge, Innovation and Research, MIND, Stationsplein 125, Amersfoort, 3818 LE, The Netherlands.
Nini H JonkmanDepartment of Research and Epidemiology, OLVG, Oosterpark 9, Amsterdam, 1091 AC, The Netherlands.
Maria G van PampusDepartment of Gynecology and Obstetrics, OLVG, Oosterpark 9, Amsterdam, 1091 AC, The Netherlands.
Odile A van den HeuvelDepartment of Psychiatry, Amsterdam UMC, Vrije Universiteit Amsterdam, Boelelaan 1117, Amsterdam, 1081 HV, The Netherlands.
Birit F P BroekmanDepartment of Psychiatry and Medical Psychology, OLVG, Oosterpark 9, Amsterdam, 1091 AC, The Netherlands.
Noralie N SchonewilleDepartment of Psychiatry and Medical Psychology, OLVG, Oosterpark 9, Amsterdam, 1091 AC, The Netherlands. n.n.schonewille@olvg.nl.

Funding

ZonMw 554002007
6 · The paper itself

Abstract

backgroundRecent studies revealed an elevated likelihood of unintended pregnancies among women with psychiatric disorders compared to their counterparts without such vulnerability. Despite the importance of understanding family planning decision-making in this group, qualitative inquiries are lacking. This study explored family planning decisions among women with psychiatric disorders.

methodsUtilizing a qualitative approach, three focus group discussions were conducted with purposive sampling: women with a history of unintended pregnancies (N = 3), women without children (N = 5), and women with a history of intended pregnancies (N = 9), all of whom had self-reported psychiatric disorders. Using thematic framework analysis, we investigated the themes "Shadow of the past," reflecting past experiences, and "Shadow of the future," reflecting future imaginaries, building upon the existing "Narrative Framework."

resultsThe Narrative Framework formed the foundation for understanding family planning among women with psychiatric disorders. The retrospective dimension of focus group discussions provided opportunities for reflective narratives on sensitive topics, revealing emotions of regret, grief and relief. Childhood trauma, adverse events, and inadequate parenting enriched the "Shadow of the past". The "Shadow of the present" was identified as a novel theme, addressing awareness of psychiatric disorders and emotions toward psychiatric stability. Social influences, stigma, and concerns about transmitting psychiatric disorders shaped future imaginaries in the shadow of the future.

conclusionsThis study enlightens how family planning decision-making in women with psychiatric disorders might be complex, as marked by the enduring impact of past experiences and societal influences in this sample. These nuanced insights underscore the necessity for tailored support for women with psychiatric disorders.

Indexed as

Decision MakingFamily Planning ServicesFocus GroupsMental DisordersQualitative ResearchAdultFemaleHumansPregnancyPregnancy, UnplannedYoung AdultDecision-makingFamily planningPsychiatric disordersQualitative researchUnintended pregnancies

Identifiers

PMID38956660
PMCPMC11221133

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LicenceCC BY
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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.