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Kermanian M, Khodayarian M, Tafti AD, Salmani N. Exploring the psychological problems of mothers having the experience of death of children with untreatable genetic disorders: A qualitative study. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2024; 13:281. [PMID: 39310011 PMCID: PMC11414880 DOI: 10.4103/jehp.jehp_1375_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/18/2021] [Accepted: 11/23/2023] [Indexed: 09/25/2024]
Abstract
BACKGROUND A newborn with an untreatable genetic disorder could disrupt a family and affect parents' mental health, psycho-social interaction, and parent-child relationships. This study was conducted to explore the psychological problems of mothers having the children with untreatable genetic disorders. MATERIALS AND METHODS This qualitative study was performed using the conventional content analysis method on 15 mothers having the children with untreatable genetic disorders selected by purposeful sampling. In-depth and semi-structured interviews were used to collect data. The recorded interviews were transcribed verbatim immediately and imported into MAXQDA10 software. Lundman and Granheim's content analysis method and Guba and Lincoln's proposed criteria for assessing rigor of the results were used. RESULTS Overall, 1067 primary codes were extracted from the interviews and after the integration of similarities grouped into 19 sub-categories and three major categories including psychological reactions before diagnosis, after determined diagnosis, and after the child's death. CONCLUSIONS The results showed that having the child with untreatable genetic disorder is considered as a notable psychological trauma and causes painful psychological reactions in parents. In this regard, the following approaches are recommended to health professionals: continuous monitoring of mental health of these families, developing a family education program, emotional and psychological support, and genetic counseling.
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Affiliation(s)
- Marzyeh Kermanian
- Department of Health Education and Health Promotion, Social Determinants of Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Mahsa Khodayarian
- Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Abbasali Dehghan Tafti
- Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Naiire Salmani
- Department of Nursing, Meybod School of Nursing, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
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Baran J, Leszczak J, Baran R, Biesiadecka A, Weres A, Czenczek-Lewandowska E, Kalandyk-Osinko K. Prenatal and Postnatal Anxiety and Depression in Mothers during the COVID-19 Pandemic. J Clin Med 2021; 10:3193. [PMID: 34300358 PMCID: PMC8304229 DOI: 10.3390/jcm10143193] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Revised: 07/14/2021] [Accepted: 07/16/2021] [Indexed: 11/16/2022] Open
Abstract
The aim of this study was to assess the changes in the occurrence of prenatal and postnatal anxiety and depression symptoms, and to assess what factors significantly affect the appearance of symptoms of depression and anxiety in young mothers. The study group consisted of 130 women after childbirth. Due to the ongoing restrictions caused by the COVID-19 pandemic, the survey was prepared online. The questionnaire was fully anonymous, and it contained the authors' own questions and two standardized questionnaires: the Edinburgh Postnatal Depression Scale (EPDS) and Generalized Anxiety Disorders GAD-7. The conducted analysis clearly indicated that the level of postpartum depression, in as many as 52 of the mothers, had increased significantly compared to the time before delivery, when symptoms of depression were shown by 22 women (p = 0.009). However, there was no statistically significant change between prenatal and postnatal anxiety. There are many factors associated with postnatal depression. The strongest predictors turned out to be average socioeconomic status, history of anxiety disorders, past neurosis or depression, lack of or inadequate level of assistance from healthcare professionals, as well as lactation problems and postpartum pain.
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Affiliation(s)
- Joanna Baran
- Institute of Health Sciences, Medical College, University of Rzeszów, Al. mjr. W. Kopisto 2a, 35-310 Rzeszów, Poland; (J.L.); (A.W.); (E.C.-L.)
- Natural and Medical Center for Innovative Research, ul. Litawora 2, 35-310 Rzeszów, Poland
| | - Justyna Leszczak
- Institute of Health Sciences, Medical College, University of Rzeszów, Al. mjr. W. Kopisto 2a, 35-310 Rzeszów, Poland; (J.L.); (A.W.); (E.C.-L.)
- Natural and Medical Center for Innovative Research, ul. Litawora 2, 35-310 Rzeszów, Poland
| | - Rafał Baran
- SOLUTION-Statistical Analysis, ul. Stojałowskiego 4/73, 35-120 Rzeszów, Poland;
| | - Anna Biesiadecka
- PELVIMED mgr Anna Biesiadecka, Aleja Niepodległości 4/32, 39-300 Mielec, Poland;
| | - Aneta Weres
- Institute of Health Sciences, Medical College, University of Rzeszów, Al. mjr. W. Kopisto 2a, 35-310 Rzeszów, Poland; (J.L.); (A.W.); (E.C.-L.)
- Natural and Medical Center for Innovative Research, ul. Litawora 2, 35-310 Rzeszów, Poland
| | - Ewelina Czenczek-Lewandowska
- Institute of Health Sciences, Medical College, University of Rzeszów, Al. mjr. W. Kopisto 2a, 35-310 Rzeszów, Poland; (J.L.); (A.W.); (E.C.-L.)
- Natural and Medical Center for Innovative Research, ul. Litawora 2, 35-310 Rzeszów, Poland
| | - Katarzyna Kalandyk-Osinko
- Institute of Medical Science, Medical College, University of Rzeszów, Al. mjr. W. Kopisto 2a, 35-310 Rzeszów, Poland;
- Department of Gynecology and Obstetrics of the Frederic Chopin Clinical Provincial Hospital No. 1 in Rzeszów, ul. Szopena 2, 35-055 Rzeszów, Poland
- Fortitudo Medical Center, ul. Jana Pawła II 94, 35-317 Rzeszów, Poland
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Mousavi F, Shojaei P. Postpartum Depression and Quality of Life: A Path Analysis. THE YALE JOURNAL OF BIOLOGY AND MEDICINE 2021; 94:85-94. [PMID: 33795985 PMCID: PMC7995937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Purpose: The aim of this study was to model the relationship between risk factors of postpartum depression and quality of life in Iranian women. Methods: In this study, 306 women were included as a sample. The study tools of the Edinburgh Postpartum Depression Inventory included items such as socioeconomic characteristics, recent pregnancy history and outcome, and Quality of Life Questionnaire (SF-12). SPSS software was used for data analysis and a significance value of 0.05 was considered. Results: Most participants were homemakers with no instances of abortion, no stillbirth, no history of depression, no preterm delivery, no difficulties during pregnancy, no difficulties during delivery, no unplanned pregnancy, no smoking during pregnancy, had family support during pregnancy and after delivery, type of delivery was cesarean, had a healthy baby and satisfaction with neonatal sex, and never or rarely experienced partner violence. Their mean age, years of education, living arrangements, and breastfeeding of participants respectively were 29.73±5.42, 14.64±1.96, 1.09±0.53, and 5.61±2.98. The prevalence of postpartum depression was 5.6%. According to the path analysis, living arrangements with β=0.73 had the most direct effect and occupation with β=0.69 had the most indirect effect on postpartum depression. Conclusions: According to the path analysis model, postpartum depression is affected by many factors such as age, years of education, occupation, living arrangements, and quality of life.
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Affiliation(s)
| | - Parisa Shojaei
- To whom all correspondence should be addressed:
Parisa Shojaei, Department of Community & Preventive Medicine, Faculty of
Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran;
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Amirchaghmaghi E, Malekzadeh F, Chehrazi M, Ezabadi Z, Sabeti SH. A Comparison of Postpartum Depression in Mothers Conceived by Assisted Reproductive Technology and Those Naturally Conceived. INTERNATIONAL JOURNAL OF FERTILITY & STERILITY 2019; 13:277-281. [PMID: 31710187 PMCID: PMC6875850 DOI: 10.22074/ijfs.2020.5466] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Accepted: 04/24/2019] [Indexed: 11/23/2022]
Abstract
Background It is thought that mothers who conceive via assisted reproductive technology (ART) may be at greater
risk of postpartum depression (PPD) because of the problems and psychological stresses associated with ART treat-
ment. The aim of the present study is to determine the occurrence of PPD among mothers who conceive by ART in
comparison with mothers who naturally conceive. The Edinburgh Postnatal Depression Scale (EPDS) was used to
assess PPD. Materials and Methods This historical cohort study investigated 406 mothers with infants aged 3-9 months. Three
hundred and eight women with natural pregnancies were selected as the control group from mothers who referred to
Tehran healthcare centres for infant vaccinations. The ART group consisted of 98 women who conceived via ART at
Royan Institute. Participants completed a general questionnaire that asked about education, occupation, number of
children, delivery method, history of infant hospitalization, breastfeeding, mothers’ and infants’ ages, cause of infertil-
ity (ART group), and history of depression. A validated Persian version of the EPDS was used to measure depressive
symptoms. Results The mean EPDS score in mothers who naturally conceived was 8.38 ± 0.35 in comparison with mothers who
conceived via ART (7.59 ± 0.63). The proportions of women who reported PPD were 26.0% for the control group
and 20.4% for the ART group. There was no statistically significant difference in PPD between the control and ART
groups (P=0.26). Conclusion The occurrence of PPD in mothers who conceived via ART was similar to those who conceived naturally.
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Affiliation(s)
- Elham Amirchaghmaghi
- Department of Regenerative Biomedicine, Cell Science Research Center, Royan Institute for Stem Cell Biology and Technology, ACECR, Tehran, Iran.,Department of Endocrinology and Female Infertility, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran
| | - Farideh Malekzadeh
- Department of Endocrinology and Female Infertility, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran.Electronic Address: .,Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran
| | - Mohammad Chehrazi
- Department of Biostatistics and Epidemiology, School of Medicine, Babol University of Medical Sciences, Babol, Iran
| | - Zahra Ezabadi
- Department of Endocrinology and Female Infertility, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran.,Department of Medical Education, School of Medicine and Center for Educational Research in Medical Sciences (CERMS), Iran University of Medical Sciences, Tehran, Iran
| | - S Hokufeh Sabeti
- Department of Endocrinology and Female Infertility, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran
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Kerie S, Menberu M, Niguse W. Prevalence and associated factors of postpartum depression in Southwest, Ethiopia, 2017: a cross-sectional study. BMC Res Notes 2018; 11:623. [PMID: 30157909 PMCID: PMC6114481 DOI: 10.1186/s13104-018-3730-x] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2018] [Accepted: 08/24/2018] [Indexed: 11/22/2022] Open
Abstract
Objective The aim of this study was to determine the prevalence and associated factors of postpartum depression among mothers who gave birth within the last 12 months among hospitals of Southwest Ethiopia, 2017. Result The study revealed that 138 (33.82%) of mothers had postpartum depression. Unplanned pregnancy adjusted odds ratio (AOR) = 4.49, 95% CI (2.31, 8.71), age from 15 to 24 years AOR = 0.420, 95% CI (0.18, 0.98), having a chronic physical illness AOR = 7.71, 95% CI (2.34, 25.44), experiencing death of infant AOR = 4.12, (1.78, 9.51) and unstable marital condition AOR = 6.02, (2.79, 12.99) were significantly associated with postpartum depression. The prevalence of post-partum depression was found to be high. Therefore urgent attention must be given to this problem, in particular towards its early detection, so that morbidity could be reduced in this group of women.
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Affiliation(s)
- Sitotaw Kerie
- Nursing Department, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
| | - Melak Menberu
- Psychiatry Department, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Wondwossen Niguse
- Nursing Department, College of Medicine and Health Sciences, MizanTepi University, Mizan Teferi, Ethiopia
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Mokhtari F, Bahadoran P, Baghersad Z. Effectiveness of Postpartum Homecare Program as a New Method on Mothers' Knowledge about the Health of the Mother and the Infant. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2018; 23:316-321. [PMID: 30034494 PMCID: PMC6034528 DOI: 10.4103/ijnmr.ijnmr_48_17] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/05/2022]
Abstract
Background: Reduced maternal mortality due to pregnancy and delivery is one of the priorities of reproductive health programs of World Health Organization. Benefiting from appropriate social support, such as receiving homecare, has an important role in mothers’ adaptation and health. Lack of access to comprehensive and desirable health services is the most important barrier to improvement of maternal health. In this study, the effect of postpartum homecare on mother's knowledge about maternal and child health is evaluated. Materials and Methods: This study was two-group field trial which was conducted in 2015 on 62 postpartum mothers who were selected randomly in Shahid Beheshti Hospital of Isfahan. Mothers and infants of the intervention (experimental) groups were first visited at the hospital and then received two visits at home. The control group received routine postpartum care. A researcher-designed questionnaire was used for data collection. Data analysis was conducted using SPSS18 and independent, paired t-test, and Chi-square tests. Results: Comparing the demographic characteristics between both groups revealed no significant difference. After the intervention mothers’ knowledge about maternal (t = 4.26; p < 0.001) and child (t = 3.19; p = 0.003) health showed a significant difference between the intervention (experimental) and control groups. Conclusions: Performance of postpartum homecare as a new and useful method in the health system of Iran can increase mothers’ knowledge about their own health and their children, enhance their ability to adapt with the postpartum period, and improve the health level of vulnerable populations.
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Affiliation(s)
- Fatemeh Mokhtari
- Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Science, Isfahan, Iran
| | - Parvin Bahadoran
- Department of Reproductive Health, Nursing and Midwifery Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Zahra Baghersad
- Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Science, Isfahan, Iran
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