Seeking help for perinatal depression and anxiety: a systematic review of systematic reviews from an interdependent perspective.

Rena Bina, Ana Uka, Raquel Costa, Rivka Tuval-Mashiach
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Abstract

Background: Seeking help for perinatal mood and anxiety disorders is crucial for women's mental health and babies' development, yet many women do not seek help for their condition and remain undiagnosed and untreated. This systematic review of systematic reviews aimed at summarizing and synthesizing findings from all systematic reviews on seeking help for PMAD in the context of interdependence theory, highlighting the interdependent relationship between women and healthcare providers and how it may impact women's seeking-help process.

Methods: Four electronic databases were searched, and 18 studies published up to 2023 met inclusion criteria for review.

Results: The capability, opportunity and motivation model of behavior was used as a framework for organizing and presenting the results. Results demonstrate that seeking help for PMAD is a function of the interdependent relationship between perinatal women's and healthcare providers' psychological and physical capabilities, social and physical opportunities, and their reflective and automatic motivation.

Conclusions: Unmet needs in perinatal mental healthcare is an important public health problem. This systematic review of systematic reviews highlights key factors for policymakers, researchers, and practitioners to consider to optimize healthcare systems and interventions in a way that enhances perinatal women's treatment whenever necessary.

围产期抑郁和焦虑的求助:从相互依存的角度对系统综述进行的系统综述。
背景:围产期情绪和焦虑障碍的求助对妇女的心理健康和婴儿的发育至关重要,然而许多妇女并没有寻求帮助,她们的病情仍未得到诊断和治疗。本系统综述旨在从相互依存理论的角度总结和归纳所有关于产后抑郁和焦虑症求助的系统综述结果,强调妇女与医疗服务提供者之间的相互依存关系,以及这种关系如何影响妇女的求助过程:方法:检索了四个电子数据库,截至2023年发表的18项研究符合纳入审查的标准:结果:采用行为的能力、机会和动机模型作为组织和呈现结果的框架。结果表明,围产期妇女和医疗服务提供者的心理和生理能力、社会和生理机会、反思和自动动机之间的相互依存关系决定了围产期妇女寻求帮助的行为:围产期心理保健需求得不到满足是一个重要的公共卫生问题。本系统综述强调了政策制定者、研究人员和从业人员需要考虑的关键因素,以优化医疗保健系统和干预措施,从而在必要时提高围产期妇女的治疗水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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