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Review

Contemplating Help-Seeking in Perinatal Psychological Distress—A Meta-Ethnography

1
Child Psychiatry, Tampere University Hospital, 33521 Tampere, Finland
2
Faculty of Social Sciences, Nursing Science, Tampere University, 33520 Tampere, Finland
3
Faculty of Medicine, Nursing Science, University of Oulu, 90014 Oulu, Finland
4
Faculty of Pharmacy, University of Helsinki, 00014 Helsinki, Finland
5
Faculty of Health Sciences, University of Stavanger, 4036 Stavanger, Norway
*
Author to whom correspondence should be addressed.
Academic Editors: M.Carmen Míguez Varela, Stuart Biddle and Sabrina Cipolletta
Int. J. Environ. Res. Public Health 2021, 18(10), 5226; https://doi.org/10.3390/ijerph18105226
Received: 24 March 2021 / Revised: 23 April 2021 / Accepted: 8 May 2021 / Published: 14 May 2021
(This article belongs to the Special Issue Maternal Perinatal Mental Health)
Perinatal psychological distress (PPD) may cause delays in help-seeking in the perinatal period, which is crucial for families with small children. Help-seeking theories focus on rational processes of behavior wherein ‘help-seeking’ is viewed as a decision-making process, in which action is preceded by recognizing a problem. We identified the phase prior to actual help-seeking actions as a life situation and a phenomenon through which to gain a deeper understanding from women’s own perspectives. The aim of this study was to integrate and synthesize knowledge of women’s experiences of contemplating seeking help for PPD. We chose interpretative meta-ethnography by Noblit and Hare (1988) and implemented eMERGe guidelines in reporting. The search was performed systematically, and the 14 included studies were evaluated with Critical Appraisal Skills Programme checklist (CASP). We identified seven themes and a metaphor in a lines-of-argument synthesis, showing that contemplating help-seeking is a multidimensional phenomenon. We did not observe a straightforward and linear process (as previous research suggests) but instead a complex process of contemplating help-seeking. A clinical implication is that service providers should work with outreach and develop their tools to connect with mothers with PPD. Another suggestion is to improve training in mental health literacy prior to or during pregnancy. View Full-Text
Keywords: help-seeking behavior; meta-ethnography; meta-synthesis; perinatal mental health; perinatal depression/anxiety; prevention; treatment help-seeking behavior; meta-ethnography; meta-synthesis; perinatal mental health; perinatal depression/anxiety; prevention; treatment
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MDPI and ACS Style

Sorsa, M.A.; Kylmä, J.; Bondas, T.E. Contemplating Help-Seeking in Perinatal Psychological Distress—A Meta-Ethnography. Int. J. Environ. Res. Public Health 2021, 18, 5226. https://doi.org/10.3390/ijerph18105226

AMA Style

Sorsa MA, Kylmä J, Bondas TE. Contemplating Help-Seeking in Perinatal Psychological Distress—A Meta-Ethnography. International Journal of Environmental Research and Public Health. 2021; 18(10):5226. https://doi.org/10.3390/ijerph18105226

Chicago/Turabian Style

Sorsa, Minna A., Jari Kylmä, and Terese E. Bondas. 2021. "Contemplating Help-Seeking in Perinatal Psychological Distress—A Meta-Ethnography" International Journal of Environmental Research and Public Health 18, no. 10: 5226. https://doi.org/10.3390/ijerph18105226

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