Factors influencing spousal support for women with perinatal depression in seeking formal assistance: a qualitative study

ObjectiveSeeking formal help can significantly improve the outcomes of perinatal depression (PND). However, currently, women with PND are not consistently seeking formal help. Research indicated that spouses played a crucial role in helping women recognize PND and encouraging them to seek formal hel...

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Main Authors: Qinhan Zou, Yingzi Yang, Xianliang Liu, Tingting Wang, Ruizhe Chen, Xia Duan
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-11-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1493300/full
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author Qinhan Zou
Qinhan Zou
Yingzi Yang
Xianliang Liu
Tingting Wang
Ruizhe Chen
Xia Duan
author_facet Qinhan Zou
Qinhan Zou
Yingzi Yang
Xianliang Liu
Tingting Wang
Ruizhe Chen
Xia Duan
author_sort Qinhan Zou
collection DOAJ
description ObjectiveSeeking formal help can significantly improve the outcomes of perinatal depression (PND). However, currently, women with PND are not consistently seeking formal help. Research indicated that spouses played a crucial role in helping women recognize PND and encouraging them to seek formal help. This study aimed to explore the factors that prevent spouses from supporting women with PND in seeking formal help, based on the Knowledge-Attitude-Practice (KAP) theory.MethodsThis is a qualitative study, utilizing semi-structured interviews to explore the factors that influence spouses to support women with PND to seek formal help. The interviews were conducted at a tertiary hospital in Shanghai, China from September 2023 to October 2023. Purposive sampling was used, and the sample size was determined by data saturation. Data analysis was conducted using Colaizzi’s seven-step method.ResultsTwelve spouses had a mean age of 34.92 years (SD 5.81); n = 7 (58.33%) were new fathers. The influencing factors identified in this study can be explained by KAP theory, ultimately three major themes and six sub-themes emerged: (1) individual knowledge factors: lack of proper recognition of PND, (2) individual attitude factors: negative attitude toward PND screening and treatment and (3) service provider factors: imbalance between supply and demand for perinatal mental health services.ConclusionSpouses who lacked supportive behavior were influenced by individual factors, including knowledge factors and attitude factors, as well as service provider factors. These identified factors can guide future research and the development of interventions to improve perinatal mental health services and encourage family support in seeking formal help.
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spelling doaj-art-82f165e8afab412b853faa79c94d2a852024-11-15T05:10:15ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-11-011210.3389/fpubh.2024.14933001493300Factors influencing spousal support for women with perinatal depression in seeking formal assistance: a qualitative studyQinhan Zou0Qinhan Zou1Yingzi Yang2Xianliang Liu3Tingting Wang4Ruizhe Chen5Xia Duan6School of Medicine, Tongji University, Shanghai, ChinaDepartment of Anesthesiology, Shanghai Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Health Care, Shanghai Health and Medical Center, Jiangsu, ChinaSchool of Nursing and Health Sciences, Hong Kong Metropolitan University, Homantin, Hong Kong SAR, ChinaSchool of Medicine, Tongji University, Shanghai, ChinaOperation Room, The First Affiliated Hospital of WenZhou Medical University, Wen Zhou, ChinaNursing Department, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, ChinaObjectiveSeeking formal help can significantly improve the outcomes of perinatal depression (PND). However, currently, women with PND are not consistently seeking formal help. Research indicated that spouses played a crucial role in helping women recognize PND and encouraging them to seek formal help. This study aimed to explore the factors that prevent spouses from supporting women with PND in seeking formal help, based on the Knowledge-Attitude-Practice (KAP) theory.MethodsThis is a qualitative study, utilizing semi-structured interviews to explore the factors that influence spouses to support women with PND to seek formal help. The interviews were conducted at a tertiary hospital in Shanghai, China from September 2023 to October 2023. Purposive sampling was used, and the sample size was determined by data saturation. Data analysis was conducted using Colaizzi’s seven-step method.ResultsTwelve spouses had a mean age of 34.92 years (SD 5.81); n = 7 (58.33%) were new fathers. The influencing factors identified in this study can be explained by KAP theory, ultimately three major themes and six sub-themes emerged: (1) individual knowledge factors: lack of proper recognition of PND, (2) individual attitude factors: negative attitude toward PND screening and treatment and (3) service provider factors: imbalance between supply and demand for perinatal mental health services.ConclusionSpouses who lacked supportive behavior were influenced by individual factors, including knowledge factors and attitude factors, as well as service provider factors. These identified factors can guide future research and the development of interventions to improve perinatal mental health services and encourage family support in seeking formal help.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1493300/fullperinatal depressionspousesformal helpinfluencing factorsqualitative
spellingShingle Qinhan Zou
Qinhan Zou
Yingzi Yang
Xianliang Liu
Tingting Wang
Ruizhe Chen
Xia Duan
Factors influencing spousal support for women with perinatal depression in seeking formal assistance: a qualitative study
Frontiers in Public Health
perinatal depression
spouses
formal help
influencing factors
qualitative
title Factors influencing spousal support for women with perinatal depression in seeking formal assistance: a qualitative study
title_full Factors influencing spousal support for women with perinatal depression in seeking formal assistance: a qualitative study
title_fullStr Factors influencing spousal support for women with perinatal depression in seeking formal assistance: a qualitative study
title_full_unstemmed Factors influencing spousal support for women with perinatal depression in seeking formal assistance: a qualitative study
title_short Factors influencing spousal support for women with perinatal depression in seeking formal assistance: a qualitative study
title_sort factors influencing spousal support for women with perinatal depression in seeking formal assistance a qualitative study
topic perinatal depression
spouses
formal help
influencing factors
qualitative
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1493300/full
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