Warning messageThis content is filtered. APPPAH membership is required for full access to journal articles.
This study explored the experiences of women who self-identify with the term “postnatal depression” and have accessed NHS services for treatment. This research gives a voice to these women and hopes to better understand how to work psychologically with them.
This study explored the experiences of women who self-identify with the term “postnatal depression” and have accessed NHS services for treatment. This research gives a voice to these women and hopes to better understand how to work psychologically with them. Six women were interviewed and narrative analysis was used to explore their experiences. A single story was constructed to illustrate the shared meanings from the women’s experiences. This depicted trauma, feeling unheard, the use of language, and the impact of social constructs of motherhood as key narratives. The clinical application and implications of this paper are considered.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
Boals, A., & Schuettler, D. (2009). PTSD symptoms in response to traumatic and non-traumatic events: The role of respondent perception and A2 criterion. Journal of Anxiety Disorders, 23, 458-462.
Centre for Mental Health; Bauer, A., Parsonage, M., Knapp, M., Lemmi, V., & Adelaja, B. (2014). The costs of perinatal mental health problems. London: Centre for Mental Health.
Choi, P., Henshaw, C., Baker, S., & Tree, J. (2005). Supermum, superwife, supereverything: performing femininity in the transition to motherhood. Journal of Reproductive and Infant Psychology, 23(2), 167-180.
Collins, J. E. (1980). Why new mothers get the blues and what they can do about it. Glamour, 78, 76-78. Reprinted in L. Held, L., & A. Rutherford, A. (2012), Can’t a mother sing the blues? Postpartum depression and the construction of motherhood in late 20th century America. History of Psychology, 15(2), 107-123.
Collins, S., & Long, A. (2003). Working with the psychological effects of trauma: consequences for mental health care workers - a literature review. Journal of Psychiatric and Mental Health Nursing, 10, 217-424.
Department of Health (DOH) (2014). The Mandate. A mandate from the Government to NHS England: April 2014 to March 2015. London: Crown Copyright.
Emden, C. (1998). Conducting narrative analysis. Collegian Journal of the Royal College of Nursing Australia, 5(3), 34-39
Etherington, K. (2013). Narrative approaches to case studies. [online]. Available from: https://www.keele.ac.uk/media/keeleuniversity/facnatsci/schpsych/documen... toCaseStudies.pdf
Gold, S. D., Marx, B. P., Soler-Baillo, J. M., & Sloan, D. M. (2005). Is life stress more traumatic than traumatic stress? Journal of Anxiety Disorders, 19, 687–698.
Held, L., & Rutherford, A. (2012). Can’t a mother sing the blues? Postpartum depression and the construction of motherhood in late 20th century America. History of Psychology, 15(2), 107-123.
Hogg, S. (2013). NSPCC, Prevention in mind. All babies count: spotlight on perinatal mental health. London: NSPCC.
Joint Commissioning Panel for Mental Health (2012). Guidance for commissioners of perinatal mental health services. Volume two: practical mental health commissioning. London: Raffertys.
Jomeen, J. (2012). Women’s psychological status in pregnancy and childbirth – measuring or understanding? Journal of Reproductive and Infant Psychology, 30(4), 337-340.
Labov, W. (1972). The transformation of experience in narrative syntax. In W. Labov (Ed.), Language in the inner city, (354-396). Philadelphia: University of Pennsylvania Press.
Masood, Y., Lovell, K., Lunat, F., Atif, N., Waheed, W., Rahman, A., Mossabir, R., Chaudhry, N., & Husain, N. (2015). Group psychological intervention for postnatal depression: a nested qualitative study with British South Asian women. BMC Women’s Health, 15, 109.
McCarthy, M., & McMahon, C. (2008). Acceptance and experience of treatment for postnatal depression in a community mental health setting. Health Care for Women International, 29, 618-637.
McNally, R. J. (2009). Can we fix PTSD in DSM-V? Depression and Anxiety, 26(7), 597-600.
Myors, K. A., Schmied, V., Johnson, M., & Cleary, M. (2014) ‘My special time’: Australian women’s experiences of accessing a specialist perinatal and infant mental health service. Health and Social Care in the Community, 22(3), 268-277.
NHS England (2014). Putting patients first. Business plan 2014-14 to 2016-17. Available from: https://www.england.nhs.uk/wp-content/uploads /2015/11/nhse-bus-plan-1415-1617.pdf
NHS Improving Quality (2015). Improving access to perinatal mental health services in England - A review. NHS Improving Quality: publication date: August 2015.
NICE (2014). Antenatal and postnatal mental health: clinical management and service guidance. Clinical Guidance [CG192].
Nicholson, P. (1999). Loss, happiness and postpartum depression: the ultimate paradox. Canadian Psychology, 40(2), 162-178.
Polkinghorne, D. E. (1988). Narrative knowing and the human sciences. Albany: State University of New York Press.
Royal College of Psychiatrists (2014.) CCQI: Quality network for perinatal mental health services. Service standards (2nd ed.). Publication number CCQI171.
Rubin, D. C., & Feeling, N. (2013). Measuring the severity of negative and traumatic events. Clinical Psychological Science, 1, 375–389.
Shaikh, A., & Kauppi, C. (2015). Postpartum depression: deconstructing the label through a social constructionist lens. Social Work in Mental Health, 13(5), 459-480.
Shakespeare, J., Blake, F., & Garcia, J. (2006). How do women with postnatal depression experience listening visits in primary care? A qualitative interview study. Journal of Reproductive and Infant Psychology, 24(2), 149-162.
Statista (2018). Total number of Facebook user in the United Kingdom (UK) in January 2017, by age group and gender (in millions). Available from https://www.statista.com/statistics/507417/number-of-facebook-user-in-th...
Turner, K. M., Chew-Graham, C., Folkes, L., & Sharp, D. (2010). Women’s experiences of health visitor delivered listening visits as a treatment for postnatal depression: a qualitative study. Patient Education and Counselling, 78, 234-239.
Templeton, L., Velleman, R., Persaud, A., & Milner, P. (2003). The experiences of postnatal depression in women from black and minority ethnic communities in Wiltshire, UK. Ethnicity and Health, 8(3), 207-221.
Ussher, J. M. (2005). Managing the monstrous feminine. Florence, KY: Routeledge.
Wittkowski, A., Zumla, A., Glendenning, S., & Fox, J. E. (2011). The experience of postnatal depression in South Asian mothers living in Great Britain: A qualitative study. Journal of Reproductive And Infant Psychology, 29(5), 480-492.
Wood, D. (1991). On Paul Ricoeur: Narrative and interpretation. London: Routledge.