BARRIERS TO THE ASSESSMENT AND TREATMENT OF POSTNATAL DEPRESSION AMONG WOMEN. REVIEW
Introduction. Postpartum depression (here in after PDD) is an important public health problem. According to WHO reports, this nosology has about 10-15% of the prevalence worldwide. Any woman in the postpartum period is susceptible to PDD. This nosology does not look at culture, country and nationality. Purpose of the work: to identify barriers to assessment and treatment of postpartum depression among women based on international experience. Search strategy: literature search was carried out manually using the keywords postpartum depression, postnatal depression, puerperal depression, predictors AND risk factors, help-seeking barriers, maternal treatment preference in the PubMed, Web of science, CyberLeninka databases, "E-library", using the specialized search engine "Google Scholar". The depth of research is 10 years. Only those literatures that considered barriers to the assessment and treatment of postpartum depression were reviewed. Results: Based on the results of the review, three main categories of barriers were identified: individual, organizational and socio-cultural. Individual barriers to women in childbirth constitute the main percentage of all barriers. There are 3 main components of individual barriers: lack of information, stigma and fear for the child's life. Conclusions: The acceptability of treatment approaches for postpartum depression and maternal preference should be the main indicators for the treatment of PDD. Every woman needs to be provided with high quality and culturally sensitive information about the symptoms of PDD to highlight the differences between perceived normal changes in pregnancy and symptoms of PDD. Similar information should also be provided to family members of the woman, and in particular to medical workers and students in medical institutions. Such resources should be available in multiple languages and culturally appropriate.
Madina B. Abenova1, http://orcid.org/0000-0002-4219-5737 Ayan O. Myssaev², http://orcid.org/0000-0001-7332-485 1 NJSC «Semey Medical University», Semey, Republic of Kazakhstan; 2 Head of the medical education department, DSHR MH RK, Nur-Sultan, Republic of Kazakhstan
1. A. Di Florio, K. Putnam M.A. and others. The impact of education, country, race and ethnicity on the selfreport of postpartum depression using the Edinburgh Postnatal Depression Scale // Physiol. Behav. 2017. Т. 176. № 10. С. 139–148. 2. Abdollahi F. and others. Postnatal depression and its associated factors in women from different cultures // Iran. J. Psychiatry Behav. Sci. 2011. Т. 5. № 2. С. 5–11. 3. Adjorlolo S., Aziato L. Barriers to addressing mental health issues in childbearing women in Ghana // Nurs. Open. 2020. Т. 7. № 6. С. 1779–1786. 4. Ahmed A., Bowen A., Feng C.X. Maternal depression in Syrian refugee women recently moved to Canada: A preliminary study // BMC Pregnancy Childbirth. 2017. Т. 17. № 1. С. 1–11. 5. Babatunde T., Moreno-Leguizamon C.J. Daily and Cultural Issues of Postnatal Depression in African Women Immigrants in South East London: Tips for Health Professionals // Nurs. Res. Pract. 2012. Т. 2012. С. 1–14. 6. Boyd R.C. and others. Screening and referral for postpartum depression among low-income women: A qualitative perspective from community health workers // Depress. Res. Treat. 2011. Т. 2011. 7. El-Hachem C. and others. Early identification of women at risk of postpartum depression using the Edinburgh Postnatal Depression Scale (EPDS) in a sample of Lebanese women // BMC Psychiatry. 2014. Т. 14. № 1. С. 1–9. 8. Evagorou O., Arvaniti A., Samakouri M. Cross-Cultural Approach of Postpartum Depression: Manifestation, Practices Applied, Risk Factors and Therapeutic Interventions // Psychiatr. Q. 2016. Т. 87. № 1. С. 129–154. 9. Hansotte E., Payne S.I., Babich S.M. Positive postpartum depression screening practices and subsequent mental health treatment for low-income women in Western countries: A systematic literature review // Public Health Rev. 2017. Т. 38. № 1. 10. Martínez P., Vöhringer P.A., Rojas G. Barriers to access to treatment for mothers with postpartum depression in primary health care centers: A predictive model // Rev. Lat. Am. Enfermagem. 2016. Т. 24. 11. Nakku J.E.M. and others. Perinatal mental health care in a rural African district, Uganda: A qualitative study of barriers, facilitators and needs // BMC Health Serv. Res. 2016. Т. 16. № 1. С. 1–12. 12. Ogbo F.A. and others. Perinatal distress and depression in culturally and linguistically diverse (CALD) australian women: The role of psychosocial and obstetric factors // Int. J. Environ. Res. Public Health. 2019. Т. 16. № 16. 13. Pearlstein T. and others. NIH Public Access. Postpartum depression (Pearlstein) // AM J Obs. Gynecol. 2009. Т. 200. № 4. С. 357–364. 14. Practice C. on O. ACOG Committee Opinion. Screening for Perinatal Depression // Obstet. Gynecol. 2018. Т. 132. № 5. С. E208–E212. 15. Schmied V. and others. Migrant women’s experiences, meanings and ways of dealing with postnatal depression: A meta-ethnographic study // PLoS One. 2017. Т. 12. № 3. С. 1–27. 16. Shannalee R. Martinez, Maresha S. Gay and L.Z. Treatment of depression, anxiety, and trauma-related disorders during the perinatal period: A systematic review // Physiol. Behav. 2016. Т. 176. № 1. С. 139–148. 17. Simone N. Vigod, Lesley A. Tarasoff, Barbara Bryja, Cindy-Lee Dennis, Mark H. Yudin L.E.R. Relation between place of residence and postpartum depression // Cmaj. 2013. Т. 185. № 13. С. 1115. 18. Smith M.S. and others. Barriers to accessing mental health services for women with perinatal mental illness: Systematic review and meta-synthesis of qualitative studies in the UK // BMJ Open. 2019. Т. 9. № 1. 19. Stewart D.E. and others. Postpartum Depression: Literature review of risk factors and interventions // WHO Publ. 2003. № October. С. 289. 20. Turegeldieva A.S., Amitov S.A. The social aspect of the diagnosis and clinical picture of postnatal depression in women // J. Psychol. Sociol. 2020. Т. 73. № 2. С. 101–107. 21. UNICEF. Uchebnye moduli. Partnerstvo mezhdu sem'yami i patronazhnymi rabotnikami dlya povysheniya blagopoluchiya detei rannego vozrasta [Training modules. Partnerships between families and caregivers to improve the well-being of young children] // 2017. стр? [in Russian]? 22. Yonemoto N. and others. Schedules for home visits in the early postpartum period // Cochrane Database Syst. Rev. 2017. Т. 2017. № 8. 23. Zhanasbayeva Z. Prevalence and Associated Factors of Postpartum Depression in Astana, Kazakhstan // Nazarbayev Univ. Sch. Med. 2018. 24. Kornetov N.A. Okhrana psikhicheskogo zdorov'ya rannego materinstva [Mental health care in early motherhood] // журнал? 2015. номер страницы? [in Russian] 25. Mazo G.E., Vasserman L.I., Shamanina M.V. Vybor shkal dlya otsenki poslerodovoi depressii [Choice of scales for assessing postpartum depression] // название журнала 2012. №? стр? [in Russian] 26. Abdieva N.K., Kosherbaeva L.K. Rasprostranennost' poslerodovogo depressivnogo sostoyaniya sredi zhenshchin goroda Almaty [Prevalence of postpartum depression among women in Almaty] // Vestnik KazNMU [KazNMU Bulletin]. 2020. Т.1. С. 580–584. [in Russian] 27. Отчет ВОЗ о ПРД https://www.who.int/teams/mental-health-and-substance-use/maternal-mental-health (accessed: 12.12.2020) [in Russian]? 28. Cpravochnik po mezhdunarodnoi klassifikatsii boleznei [Handbook on the International Classification of Diseases] https://mkb10.kz/ (accessed: 12.12.2020) [in Russian]?
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Abenova M.B., Myssaev A.O. Barriers to the assessment and treatment of postnatal depression among women. Review // Nauka i Zdravookhranenie [Science & Healthcare]. 2021, (Vol.23) 2, pp. 24-30. doi:10.34689/SH.2021.23.2.003

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