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dc.contributor.authorByatt, Nancy
dc.contributor.authorBiebel, Kathleen
dc.contributor.authorFriedman, Liz
dc.contributor.authorDebordes-Jackson, Gifty
dc.contributor.authorZiedonis, Douglas M.
dc.contributor.authorPbert, Lori
dc.date2022-08-11T08:11:02.000
dc.date.accessioned2022-08-23T17:29:43Z
dc.date.available2022-08-23T17:29:43Z
dc.date.issued2013-11-01
dc.date.submitted2014-07-24
dc.identifier.citationByatt N, Biebel K, Friedman L, Debordes-Jackson G, Ziedonis D, Pbert L. Patient's views on depression care in obstetric settings: how do they compare to the views of perinatal health care professionals? Gen Hosp Psychiatry. 2013 Nov-Dec;35(6):598-604. doi:10.1016/j.genhosppsych.2013.07.011. <a href="http://dx.doi.org/10.1016/j.genhosppsych.2013.07.011" target="_blank">Link to article on publisher's site</a>
dc.identifier.issn0163-8343 (Linking)
dc.identifier.doi10.1016/j.genhosppsych.2013.07.011
dc.identifier.pmid23969144
dc.identifier.urihttp://hdl.handle.net/20.500.14038/50383
dc.description.abstractOBJECTIVES: The objectives were to examine patients' perspectives on patient-, provider- and systems-level barriers and facilitators to addressing perinatal depression in outpatient obstetric settings. We also compare the views of patients and perinatal health care professionals. METHOD: Four 90-min focus groups were conducted with women 3-36 months after delivery (n=27) who experienced symptoms of perinatal depression, anxiety or emotional distress. Focus groups were transcribed, and resulting data were analyzed using a grounded theory approach. RESULTS: Barriers to addressing perinatal depression included fear of stigma and loss of parental rights, negative experiences with perinatal health care providers and lack of depression management knowledge/skills among professionals. Facilitators included psychoeducation, peer support and training for professionals. CONCLUSIONS: Patients perceive many multilevel barriers to treatment that are similar to those found in our previous similar study of perinatal health care professionals' perspectives. However, patients and professionals do differ in their perceptions of one another. Interventions would need to close these gaps and include an empathic screening and referral process that facilitates discussion of mental health concerns. Interventions should leverage strategies identified by both patients and professionals, including empowering both via education, resources and access to varied mental health care options.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=23969144&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4107904/pdf/nihms600937.pdf
dc.subjectAdult
dc.subjectAmbulatory Care
dc.subject*Attitude of Health Personnel
dc.subject*Attitude to Health
dc.subjectDepression, Postpartum
dc.subjectDepressive Disorder
dc.subjectFemale
dc.subjectFocus Groups
dc.subjectHumans
dc.subjectObstetrics
dc.subject*Patient Acceptance of Health Care
dc.subjectPregnancy
dc.subjectPregnancy Complications
dc.subjectSocial Stigma
dc.subjectYoung Adult
dc.subjectUMCCTS funding
dc.subjectMaternal and Child Health
dc.subjectMental and Social Health
dc.subjectMental Disorders
dc.subjectObstetrics and Gynecology
dc.subjectPsychiatry
dc.subjectTranslational Medical Research
dc.subjectWomen's Health
dc.titlePatient's views on depression care in obstetric settings: how do they compare to the views of perinatal health care professionals
dc.typeJournal Article
dc.source.journaltitleGeneral hospital psychiatry
dc.source.volume35
dc.source.issue6
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/umccts_pubs/21
dc.identifier.contextkey5825818
html.description.abstract<p>OBJECTIVES: The objectives were to examine patients' perspectives on patient-, provider- and systems-level barriers and facilitators to addressing perinatal depression in outpatient obstetric settings. We also compare the views of patients and perinatal health care professionals.</p> <p>METHOD: Four 90-min focus groups were conducted with women 3-36 months after delivery (n=27) who experienced symptoms of perinatal depression, anxiety or emotional distress. Focus groups were transcribed, and resulting data were analyzed using a grounded theory approach.</p> <p>RESULTS: Barriers to addressing perinatal depression included fear of stigma and loss of parental rights, negative experiences with perinatal health care providers and lack of depression management knowledge/skills among professionals. Facilitators included psychoeducation, peer support and training for professionals.</p> <p>CONCLUSIONS: Patients perceive many multilevel barriers to treatment that are similar to those found in our previous similar study of perinatal health care professionals' perspectives. However, patients and professionals do differ in their perceptions of one another. Interventions would need to close these gaps and include an empathic screening and referral process that facilitates discussion of mental health concerns. Interventions should leverage strategies identified by both patients and professionals, including empowering both via education, resources and access to varied mental health care options.</p>
dc.identifier.submissionpathumccts_pubs/21
dc.contributor.departmentDepartment of Psychiatry
dc.source.pages598-604


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