Perceptions and attitudes around perinatal mental health in Bangladesh, India and Pakistan: a systematic review of qualitative data.
Attitudes
Perceptions
Perinatal mental health
South Asia
Journal
BMC pregnancy and childbirth
ISSN: 1471-2393
Titre abrégé: BMC Pregnancy Childbirth
Pays: England
ID NLM: 100967799
Informations de publication
Date de publication:
06 Apr 2022
06 Apr 2022
Historique:
received:
23
06
2021
accepted:
01
04
2022
entrez:
7
4
2022
pubmed:
8
4
2022
medline:
9
4
2022
Statut:
epublish
Résumé
Perinatal mental health (PMH) is a worldwide public health issue crossing cultural boundaries. However, the prevalence of PMH conditions vary considerably. These disparities stem in part from poor understanding and stigma surrounding PMH which hinder pregnant women from seeking mental health care and may exacerbate their conditions. Bangladesh, India and Pakistan are South Asian countries with a higher burden of PMH conditions than in the Global North-West and very different social and cultural norms around gender and mental health. The aim of this systematic review (PROSPERO Ref: CRD42020167903) was to identify, synthesise and appraise the available literature on perceptions and attitudes of perinatal (pregnant and postpartum) women, their families and healthcare providers surrounding PMH in Bangladesh, India and Pakistan. Five electronic databases, MEDLINE, Embase, PsycINFO, Scopus and Web of science, and grey literature were searched using predefined search terms. Qualitative or quantitative articles with a qualitative component reporting perceptions and attitudes surrounding PMH in Bangladesh, India and Pakistan were eligible for inclusion, if published in English between January 2000 and January 2021. The Critical Appraisal Skills Programme Qualitative Research Checklist and Newcastle-Ottawa Scale for cross-sectional studies were used to assess study quality. Findings were synthesised using thematic synthesis, as described by Thomas and Harden 2008. Eight studies were included. Five overarching themes comprising 17 sub-categories were identified. These descriptive themes were: perceived causes of PMH, perceived symptoms of PMH, perceptions of motherhood, accessing PMH care and emotional sharing and coping strategies. Sociocultural expectations underpin many of the themes identified in this review including the importance of familial and societal causes of PMH, emphasis on physical symptoms, sacredness of motherhood, lack of awareness, stigma, shame, limited resources allocated for mental health and lack of emotional sharing. There is a complex range of perceptions and attitudes around PMH which influence women's experiences and access to PMH care. These findings will inform policy and practice through targeted interventions to tackle stigmatising attitudes and increasing education and training for healthcare providers.
Sections du résumé
BACKGROUND
BACKGROUND
Perinatal mental health (PMH) is a worldwide public health issue crossing cultural boundaries. However, the prevalence of PMH conditions vary considerably. These disparities stem in part from poor understanding and stigma surrounding PMH which hinder pregnant women from seeking mental health care and may exacerbate their conditions. Bangladesh, India and Pakistan are South Asian countries with a higher burden of PMH conditions than in the Global North-West and very different social and cultural norms around gender and mental health. The aim of this systematic review (PROSPERO Ref: CRD42020167903) was to identify, synthesise and appraise the available literature on perceptions and attitudes of perinatal (pregnant and postpartum) women, their families and healthcare providers surrounding PMH in Bangladesh, India and Pakistan.
METHODS
METHODS
Five electronic databases, MEDLINE, Embase, PsycINFO, Scopus and Web of science, and grey literature were searched using predefined search terms. Qualitative or quantitative articles with a qualitative component reporting perceptions and attitudes surrounding PMH in Bangladesh, India and Pakistan were eligible for inclusion, if published in English between January 2000 and January 2021. The Critical Appraisal Skills Programme Qualitative Research Checklist and Newcastle-Ottawa Scale for cross-sectional studies were used to assess study quality. Findings were synthesised using thematic synthesis, as described by Thomas and Harden 2008.
RESULTS
RESULTS
Eight studies were included. Five overarching themes comprising 17 sub-categories were identified. These descriptive themes were: perceived causes of PMH, perceived symptoms of PMH, perceptions of motherhood, accessing PMH care and emotional sharing and coping strategies. Sociocultural expectations underpin many of the themes identified in this review including the importance of familial and societal causes of PMH, emphasis on physical symptoms, sacredness of motherhood, lack of awareness, stigma, shame, limited resources allocated for mental health and lack of emotional sharing.
CONCLUSIONS
CONCLUSIONS
There is a complex range of perceptions and attitudes around PMH which influence women's experiences and access to PMH care. These findings will inform policy and practice through targeted interventions to tackle stigmatising attitudes and increasing education and training for healthcare providers.
Identifiants
pubmed: 35387619
doi: 10.1186/s12884-022-04642-x
pii: 10.1186/s12884-022-04642-x
pmc: PMC8988352
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
293Subventions
Organisme : Medical Research Council
ID : MR/K02325X/1
Pays : United Kingdom
Organisme : Economic and Social Research Council
ID : ES/P000762/1
Informations de copyright
© 2022. The Author(s).
Références
BMC Psychiatry. 2019 Sep 10;19(1):279
pubmed: 31500606
BMJ Open. 2020 Jan 21;10(1):e028760
pubmed: 31969358
Syst Rev. 2016 May 04;5:74
pubmed: 27145932
Lancet Psychiatry. 2016 Oct;3(10):973-982
pubmed: 27650773
Soc Psychiatry Psychiatr Epidemiol. 2017 Jun;52(6):737-748
pubmed: 28393283
Res Sch. 2006 Spring;13(1):29
pubmed: 20098638
Psychol Bull. 2002 Jan;128(1):3-72
pubmed: 11843547
PLoS One. 2022 Feb 9;17(2):e0263760
pubmed: 35139136
BMC Public Health. 2013 Feb 19;13:154
pubmed: 23421987
Arch Womens Ment Health. 2009 Oct;12(5):351-8
pubmed: 19468825
Indian J Psychol Med. 2020 Jan 06;42(1):52-60
pubmed: 31997866
Health Promot Int. 2001 Sep;16(3):219-27
pubmed: 11509457
Arch Psychiatr Nurs. 2020 Dec;34(6):492-496
pubmed: 33280671
PLoS One. 2019 Jan 29;14(1):e0210587
pubmed: 30695019
BMJ. 2004 Apr 3;328(7443):823-6
pubmed: 15070642
Med Anthropol. 2018 Apr;37(3):194-205
pubmed: 28409647
Ann Med Health Sci Res. 2014 Jul;4(4):463-5
pubmed: 25221688
J Affect Disord. 2006 Apr;91(2-3):97-111
pubmed: 16466664
J Affect Disord. 2013 Apr 5;146(2):254-61
pubmed: 23063237
BMC Med Res Methodol. 2008 Jul 10;8:45
pubmed: 18616818
J Affect Disord. 2016 Feb;191:62-77
pubmed: 26650969
J Neurosci Rural Pract. 2018 Oct-Dec;9(4):473-477
pubmed: 30271036
Int J Soc Psychiatry. 2016 Mar;62(2):141-7
pubmed: 26443716
Asian J Psychiatr. 2020 Jan;47:101822
pubmed: 31710947
J Ayub Med Coll Abbottabad. 2018 Jul-Sep;30(3):366-371
pubmed: 30465367
BMC Pregnancy Childbirth. 2017 Jul 24;17(1):239
pubmed: 28738855
Am J Obstet Gynecol. 2010 Jan;202(1):5-14
pubmed: 20096252
Int J Qual Stud Health Well-being. 2015 Jan 14;10:26226
pubmed: 25595913
Soc Sci Med. 2003 Nov;57(10):1797-806
pubmed: 14499506
Soc Sci Med. 2009 Oct;69(8):1211-9
pubmed: 19709793
BMJ. 2004 Apr 3;328(7443):816-9
pubmed: 15070640
BMJ Open. 2019 Jan 24;9(1):e024803
pubmed: 30679296