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Resilience and prenatal mental health in Pakistan: a qualitative inquiry

BACKGROUND: Women in Pakistan suffer from a high rate of depression. The stress of low-income, illiteracy, exposure to violence and living in a patriarchal society are predisposing vulnerabilities for depression, particularly during and following pregnancy. The resilience of an individual plays a si...

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Autores principales: Bhamani, Shireen Shehzad, Arthur, David, Van Parys, An-Sofie, Letourneau, Nicole, Wagnild, Gail, Premji, Shahirose Sadrudin, Asad, Nargis, Degomme, Olivier
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9664804/
https://www.ncbi.nlm.nih.gov/pubmed/36376896
http://dx.doi.org/10.1186/s12884-022-05176-y
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author Bhamani, Shireen Shehzad
Arthur, David
Van Parys, An-Sofie
Letourneau, Nicole
Wagnild, Gail
Premji, Shahirose Sadrudin
Asad, Nargis
Degomme, Olivier
author_facet Bhamani, Shireen Shehzad
Arthur, David
Van Parys, An-Sofie
Letourneau, Nicole
Wagnild, Gail
Premji, Shahirose Sadrudin
Asad, Nargis
Degomme, Olivier
author_sort Bhamani, Shireen Shehzad
collection PubMed
description BACKGROUND: Women in Pakistan suffer from a high rate of depression. The stress of low-income, illiteracy, exposure to violence and living in a patriarchal society are predisposing vulnerabilities for depression, particularly during and following pregnancy. The resilience of an individual plays a significant role in promoting prenatal mental health, but this has yet to be thoroughly researched. In this article, our objective is to identify the core characteristics of resilience among pregnant women, which will then help us in developing an intervention. METHODS: The exploratory-descriptive study was conducted over 6 months in five different antenatal hospitals in Sindh, Pakistan. A total of 17 semi-structured interviews were conducted with pregnant women, purposefully selected with heterogeneous characteristics to explore diverse perspectives, while symptoms of depression were quantified by the Edinburgh Postnatal Depression Scale before the interview. Verbatim transcriptions were coded openly and merged into categories and themes. RESULT: A total of six themes emerged from in-depth thematic analysis: 1) purpose of life, 2) dealing with emotions, 3) believing in yourself, 4) optimistic approach, 5) strengthening support and relationship and 6) spirituality and humanity. Women agreed that these characteristics could help them improve their mental health. CONCLUSION: In conclusion, these themes were the core components of pregnant women’s resilience which ultimately could help to promote prenatal mental health. These pave a pathway towards developing culturally and contextually resilience interventions aimed at enhancing mental health of pregnant women which then may improve neonatal and family mental wellbeing.
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spelling pubmed-96648042022-11-15 Resilience and prenatal mental health in Pakistan: a qualitative inquiry Bhamani, Shireen Shehzad Arthur, David Van Parys, An-Sofie Letourneau, Nicole Wagnild, Gail Premji, Shahirose Sadrudin Asad, Nargis Degomme, Olivier BMC Pregnancy Childbirth Research BACKGROUND: Women in Pakistan suffer from a high rate of depression. The stress of low-income, illiteracy, exposure to violence and living in a patriarchal society are predisposing vulnerabilities for depression, particularly during and following pregnancy. The resilience of an individual plays a significant role in promoting prenatal mental health, but this has yet to be thoroughly researched. In this article, our objective is to identify the core characteristics of resilience among pregnant women, which will then help us in developing an intervention. METHODS: The exploratory-descriptive study was conducted over 6 months in five different antenatal hospitals in Sindh, Pakistan. A total of 17 semi-structured interviews were conducted with pregnant women, purposefully selected with heterogeneous characteristics to explore diverse perspectives, while symptoms of depression were quantified by the Edinburgh Postnatal Depression Scale before the interview. Verbatim transcriptions were coded openly and merged into categories and themes. RESULT: A total of six themes emerged from in-depth thematic analysis: 1) purpose of life, 2) dealing with emotions, 3) believing in yourself, 4) optimistic approach, 5) strengthening support and relationship and 6) spirituality and humanity. Women agreed that these characteristics could help them improve their mental health. CONCLUSION: In conclusion, these themes were the core components of pregnant women’s resilience which ultimately could help to promote prenatal mental health. These pave a pathway towards developing culturally and contextually resilience interventions aimed at enhancing mental health of pregnant women which then may improve neonatal and family mental wellbeing. BioMed Central 2022-11-14 /pmc/articles/PMC9664804/ /pubmed/36376896 http://dx.doi.org/10.1186/s12884-022-05176-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Bhamani, Shireen Shehzad
Arthur, David
Van Parys, An-Sofie
Letourneau, Nicole
Wagnild, Gail
Premji, Shahirose Sadrudin
Asad, Nargis
Degomme, Olivier
Resilience and prenatal mental health in Pakistan: a qualitative inquiry
title Resilience and prenatal mental health in Pakistan: a qualitative inquiry
title_full Resilience and prenatal mental health in Pakistan: a qualitative inquiry
title_fullStr Resilience and prenatal mental health in Pakistan: a qualitative inquiry
title_full_unstemmed Resilience and prenatal mental health in Pakistan: a qualitative inquiry
title_short Resilience and prenatal mental health in Pakistan: a qualitative inquiry
title_sort resilience and prenatal mental health in pakistan: a qualitative inquiry
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9664804/
https://www.ncbi.nlm.nih.gov/pubmed/36376896
http://dx.doi.org/10.1186/s12884-022-05176-y
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