Evidence map›Paper›PMID 39327827›Full record

ArticleWomen's health (London, England)

Seeking mental health support for feelings of perinatal depression and/or anxiety during the COVID-19 pandemic: A qualitative descriptive study of decision-making.

Katrina Shen, Cassandra Kuyvenhoven, Andrea Carruthers, Manisha Pahwa, Dima Hadid, Devon Greyson, Hamideh Bayrampour, Jessica Liauw, Caroline Mniszak, Meredith Vanstone

Abstract read
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Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Katrina ShenDepartment of Family Medicine, McMaster University, Hamilton, ON, Canada.ORCID 0009-0000-4982-5204
Cassandra KuyvenhovenDepartment of Family Medicine, McMaster University, Hamilton, ON, Canada.
Andrea CarruthersDepartment of Family Medicine, McMaster University, Hamilton, ON, Canada.
Manisha PahwaHealth Policy PhD Program, McMaster University, Hamilton, ON, Canada.
Dima HadidHealth Policy PhD Program, McMaster University, Hamilton, ON, Canada.
Devon GreysonSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Hamideh BayrampourMidwifery Program, Department of Family Practice, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0003-3008-712X
Jessica LiauwDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC, Canada.
Caroline MniszakSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Meredith VanstoneDepartment of Family Medicine, McMaster University, Hamilton, ON, Canada.ORCID 0000-0002-7347-6259

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRates of perinatal depression and anxiety increased during the COVID-19 pandemic. It remains unclear how the COVID-19 pandemic influenced risk perception and help-seeking behaviours among pregnant and postpartum individuals.

objectivesTo explore pregnant and postpartum individuals' decision-making process about when and how to seek support for feelings of depression and/or anxiety during the COVID-19 pandemic.

designA qualitative descriptive design was used.

methodsThe current study is a secondary analysis of qualitative data collected for a larger mixed-methods project that recruited participants who gave birth from 1 May 2020, to 1 December 2021, in Ontario and British Columbia, Canada, using maximum variation and purposive sampling. Seventy-three semi-structured interviews were conducted over Zoom or telephone. This analysis focuses on 56 individuals who discussed their self-identified feelings of prenatal or postpartum depression and/or anxiety. Conventional (inductive) content analysis was employed with iterative stages of open coding, focused coding and cross-checking themes.

resultsMost participants recognized their need to seek help for their feelings of depression and/or anxiety through discussions with a mental health professional or someone within their social circle. Nearly all participants accessed informal social support for these feelings, which sometimes entailed social contact in contravention of local COVID-19 public health policies. Many also attempted to access formal mental healthcare, encountering barriers both related and unrelated to the pandemic. Participants described the pandemic as having the dual effect of causing or exacerbating their feelings of depression and/or anxiety while also constraining their ability to access timely professional care.

conclusionParticipants struggled to address their feelings of perinatal depression and anxiety during the COVID-19 pandemic, with many describing a lack of readily available resources and limited access to professional mental healthcare. This study highlights the need for improved provision of instrumental mental health support for pregnant and postpartum populations.

Indexed as

AnxietyCOVID-19Decision MakingDepressionQualitative ResearchAdultBritish ColumbiaDepression, PostpartumFemaleHumansMental HealthMental Health ServicesOntarioPandemicsPatient Acceptance of Health CarePregnancyCOVID-19help-seeking behavioursmental healthperipartum periodpregnancy

Identifiers

PMID39327827
PMCPMC11439165

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LicenceCC BY-NC
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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.