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Published in: Archives of Women's Mental Health 3/2012

01-06-2012 | Original Article

Information and support needs during recovery from postpartum psychosis

Authors: Jessica Heron, Naomi Gilbert, Clare Dolman, Sonal Shah, Ines Beare, Sarah Dearden, Nicola Muckelroy, Ian Jones, Jonathan Ives

Published in: Archives of Women's Mental Health | Issue 3/2012

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Abstract

Postpartum Psychosis (PP) is a severe and debilitating psychiatric illness with acute onset in the days following childbirth. Recovering from an episode can be a long and difficult process. The aim of this study was to gain an understanding of the difficulties faced by recovering women and to inform the planning of post-discharge information and support services. A study was designed collaboratively by service user and academic researchers. Women with experience of PP were trained in qualitative research methodology. Service user researchers (SURs) led in-depth interviews into women’s experiences of recovery. PP is a life-changing experience that challenges women’s sense of personal and social identity. Recovery themes are organised around ruminating and rationalising, rebuilding social confidence, gaining appropriate health service support, the facilitation of family functioning, obtaining appropriate information, and understanding that recovery will take time. Women suffering from PP must be adequately supported following discharge from psychiatric hospital if we are to address maternal suicide rates. We describe a successful collaboration between academics and service users exploring the needs of women and their families.
Literature
go back to reference Bloor M (1997) Techniques of validation in qualitative research: A critical commentary. In: Miller G, Dingwall R (eds) Context and method in qualitative research. Sage Publications, Ltd., London Bloor M (1997) Techniques of validation in qualitative research: A critical commentary. In: Miller G, Dingwall R (eds) Context and method in qualitative research. Sage Publications, Ltd., London
go back to reference Brockington I (1996) Motherhood and mental health. Oxford University Press, Oxford Brockington I (1996) Motherhood and mental health. Oxford University Press, Oxford
go back to reference Caramlau I, Barlow J, Sembi S, McKenzie-McHarg K, McCabe C (2011) Trials. Mums 4 Mums: structured telephone peer-support for women experiencing postnatal depression. Pilot and exploratory RCT of its clinical and cost effectiveness. Mar 25;12:88 Caramlau I, Barlow J, Sembi S, McKenzie-McHarg K, McCabe C (2011) Trials. Mums 4 Mums: structured telephone peer-support for women experiencing postnatal depression. Pilot and exploratory RCT of its clinical and cost effectiveness. Mar 25;12:88
go back to reference Dennis CL (2003) The effect of peer-support on postpartum depression: a pilot randomised controlled trial. Canadian Journal of Psychiatry 45:61–70 Dennis CL (2003) The effect of peer-support on postpartum depression: a pilot randomised controlled trial. Canadian Journal of Psychiatry 45:61–70
go back to reference Engqvist I, Nilsson A, Nilsson K, Sjöström B (2007) Strategies in caring for women with postpartum psychosis—an interview study with psychiatric nurses. J Clin Nurs 16(7):1333–42PubMedCrossRef Engqvist I, Nilsson A, Nilsson K, Sjöström B (2007) Strategies in caring for women with postpartum psychosis—an interview study with psychiatric nurses. J Clin Nurs 16(7):1333–42PubMedCrossRef
go back to reference Engqvist I, Ferszt G, Ahlin A, Nilsson K (2009) Psychiatric nurses’ descriptions of women with postpartum psychosis and nurses’ responses—an exploratory study in Sweden. Issues in Mental Health Nursing 30:23–30PubMedCrossRef Engqvist I, Ferszt G, Ahlin A, Nilsson K (2009) Psychiatric nurses’ descriptions of women with postpartum psychosis and nurses’ responses—an exploratory study in Sweden. Issues in Mental Health Nursing 30:23–30PubMedCrossRef
go back to reference Faulkner A, Thomas P (2002) User-led research and evidence-based medicine. Br J Psychiatry 180:1–3PubMedCrossRef Faulkner A, Thomas P (2002) User-led research and evidence-based medicine. Br J Psychiatry 180:1–3PubMedCrossRef
go back to reference Faulkner A (2000) Strategies for living: A report of user-led research into people’s strategies for living well with mental distress. Mental Health Foundation, London Faulkner A (2000) Strategies for living: A report of user-led research into people’s strategies for living well with mental distress. Mental Health Foundation, London
go back to reference Heron J, McGuinness M, Blackmore ER, Craddock N, Jones I (2008) Early postpartum symptoms in puerperal psychosis. Bjog 115(3):348–53PubMedCrossRef Heron J, McGuinness M, Blackmore ER, Craddock N, Jones I (2008) Early postpartum symptoms in puerperal psychosis. Bjog 115(3):348–53PubMedCrossRef
go back to reference Jones I, Craddock N (2005) Bipolar disorder and childbirth: the importance of recognising risk. Br J Psychiatry 186:453–4PubMedCrossRef Jones I, Craddock N (2005) Bipolar disorder and childbirth: the importance of recognising risk. Br J Psychiatry 186:453–4PubMedCrossRef
go back to reference Kendell RE, Chalmers JC, Platz C (1987) Epidemiology of puerperal psychoses. Br J Psychiatry 150:662–673PubMedCrossRef Kendell RE, Chalmers JC, Platz C (1987) Epidemiology of puerperal psychoses. Br J Psychiatry 150:662–673PubMedCrossRef
go back to reference Lewis GE (2007) Saving Mothers’ Lives - 2003–2005, in The Seventh Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom. CEMACH: London Lewis GE (2007) Saving Mothers’ Lives - 2003–2005, in The Seventh Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom. CEMACH: London
go back to reference McGlashan T (1987) Recovery style from mental illness and long term outcome. J Nerv Ment Dis 175(11):681–5PubMedCrossRef McGlashan T (1987) Recovery style from mental illness and long term outcome. J Nerv Ment Dis 175(11):681–5PubMedCrossRef
go back to reference Pitt L, Kilbride M, Nothard S, Welford M, Morrison A (2007) Researching recovery from psychosis: a user-led project. Psychiatr Bull 31:55–60CrossRef Pitt L, Kilbride M, Nothard S, Welford M, Morrison A (2007) Researching recovery from psychosis: a user-led project. Psychiatr Bull 31:55–60CrossRef
go back to reference Robertson E, Lyons A (2003) Living with puerperal psychosis: a qualitative analysis. Psychol Psychother 76(Pt 4):411–31PubMedCrossRef Robertson E, Lyons A (2003) Living with puerperal psychosis: a qualitative analysis. Psychol Psychother 76(Pt 4):411–31PubMedCrossRef
go back to reference Silverman D (2006) Interpreting qualitative data: methods for analyzing talk, text, and interaction. Sage Publications Ltd., London Silverman D (2006) Interpreting qualitative data: methods for analyzing talk, text, and interaction. Sage Publications Ltd., London
go back to reference Sit D, Rothschild AJ, Wisner KL (2006) A review of postpartum psychosis. J Womens Health (Larchmt) 15(4):352–68CrossRef Sit D, Rothschild AJ, Wisner KL (2006) A review of postpartum psychosis. J Womens Health (Larchmt) 15(4):352–68CrossRef
go back to reference Spinelli MG (2004) Maternal infanticide associated with mental illness: prevention and the promise of saved lives. Am J Psychiatry 161(9):1548–1557PubMedCrossRef Spinelli MG (2004) Maternal infanticide associated with mental illness: prevention and the promise of saved lives. Am J Psychiatry 161(9):1548–1557PubMedCrossRef
go back to reference Tait L, Birchwood M, Trower P (2003) Predicting engagement with services for psychosis: insight, symptoms and recovery style. Br J Psychiatry 182:123–128PubMedCrossRef Tait L, Birchwood M, Trower P (2003) Predicting engagement with services for psychosis: insight, symptoms and recovery style. Br J Psychiatry 182:123–128PubMedCrossRef
go back to reference Thornicroft G, Tansella M (2005) Growing recognition of the importance of service user involvement in mental health service planning and evaluation. Epidemiologia e Psichiatria Sociale 14(1):1–3PubMedCrossRef Thornicroft G, Tansella M (2005) Growing recognition of the importance of service user involvement in mental health service planning and evaluation. Epidemiologia e Psichiatria Sociale 14(1):1–3PubMedCrossRef
go back to reference Trivedi P, Wykes T (2002) From passive subjects to equal partners: qualitative review of user involvement in research. Br J Psychiatry 181:468–472PubMedCrossRef Trivedi P, Wykes T (2002) From passive subjects to equal partners: qualitative review of user involvement in research. Br J Psychiatry 181:468–472PubMedCrossRef
Metadata
Title
Information and support needs during recovery from postpartum psychosis
Authors
Jessica Heron
Naomi Gilbert
Clare Dolman
Sonal Shah
Ines Beare
Sarah Dearden
Nicola Muckelroy
Ian Jones
Jonathan Ives
Publication date
01-06-2012
Publisher
Springer Vienna
Published in
Archives of Women's Mental Health / Issue 3/2012
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-012-0267-1

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