Honesty and comfort levels in mothers when screened for perinatal depression and anxiety |
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| Institution: | 1. Research Centre for Generational Health and Ageing, School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia;2. Centre for Rural and Remote Mental Health, School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia;3. School of Nursing and Midwifery, University of Newcastle, Newcastle, NSW, Australia;4. Perinatal and Women’s Mental Health Unit, St John of God Health Care and University of New South Wales, Sydney, NSW, Australia;1. Social Determinants of Health Research Center, Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran;2. Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran;1. School of Medicine and Public Health, University of Newcastle, NSW, Australia;2. Priority Research Centre GrowUpWell™, Hunter Medical Research Institute and University of Newcastle, NSW, Australia;3. Hunter New England Local Health District, Nurses and Midwives Research Centre, University of Newcastle, Newcastle, NSW Australia;1. Jewish General Hospital, Lady Davis Institute for Medical Research & McGill University, Department of Psychiatry, Canada;2. Centre for Nursing Research, Jewish General Hospital & Ingram School of Nursing, McGill University, Canada;3. Department of Philosophy, McGill University & Division of Social and Transcultural Psychiatry, Jewish General Hospital, Canada;4. Jewish General Hospital & McGill University, Department of Psychiatry & Family Medicine, Canada;1. Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alberta, Canada;2. Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada;3. Ray D. Wolfe Department of Family Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada;4. Population, Public, and Aboriginal Health, Alberta Health Services, Edmonton, Alberta, Canada;5. College of Nursing, Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada;6. Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada;7. Department of Obstetrics and Gynecology, Radiology, McMaster University, Hamilton, Ontario, Canada;8. Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada;9. Division of Gastroenterology, University of Alberta, Edmonton, Alberta, Canada;10. St. John of God Chair Perinatal and Women’s Mental Health, School Psychiatry, University of New South Wales, Sydney, New South Wales, Australia |
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| Abstract: | PurposeTo evaluate the degree of honesty and level of comfort reported by women when questioned about their emotional wellbeing during the perinatal period; to investigate if honesty and comfort are associated with perinatal depression or perinatal anxiety; and to examine the reasons why women may not always respond honestly.MethodsQualitative and quantitative data from 1597 women from the cross-sectional perinatal mental health substudy (part of the Australian Longitudinal Study on Women’s Health) were analysed using a mixed methods approach.ResultsWhen questioned by their health practitioner about their emotional wellbeing in the perinatal period, 20.7% of women indicated they had not always responded honestly. Reasons for not being honest reflected four main themes: normalizing of symptoms/coping; negative perceptions (self-and others); fear of adverse repercussions; and fear of involvement of health services (trust and confidentiality). The 38.9% of women who did not feel comfortable when questioned by their health practitioner about their emotional wellbeing were four times more likely to report perinatal depression (odds ratio = 4.09; 95% confidence interval = 2.55, 6.57) and nearly twice as likely to report perinatal anxiety (odds ratio = 1.90; 95% confidence interval = 1.24, 2.94) than other women.ConclusionsWomen who are most likely to need mental health care during the perinatal period are also those least likely to be honest about their mental health. A non-judgemental, open and reassuring approach by clinicians may help to reduce the stigma and fears contributing to lack of honest responses, and improve early diagnosis and treatment of mental health problems. |
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| Keywords: | Perinatal depression Perinatal anxiety Screening Honesty Barrier |
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