Women’s Attitudes, Preferences, and Perceived Barriers to Treatment for Perinatal Depression

TLDR

Perinatal depression can harm mother and infant, so improving treatment access and efficacy is needed. The study examined pregnant women's preferences, attitudes, and perceived barriers to depression treatment. A questionnaire was administered to 509 mostly well‑educated, high‑income, married women in the northeastern US during late pregnancy to assess treatment modality preferences, attitudes toward psychotherapy and medication, and perceived barriers. Most women (92%) would likely choose individual therapy, only 35% would take medication, and 14% would attend group therapy, with the main barriers being lack of time (65%), stigma (43%), and childcare (33%), and most preferred receiving care at their obstetrics clinic. BIRTH 36:1, March 2009.

Abstract

ABSTRACT: Background: Perinatal depression is associated with potential negative consequences for the mother and infant, and therefore efforts to improve treatment access and efficacy are warranted. The purpose of this study was to examine pregnant women’s preferences and attitudes about treatment for depression, and perceived potential barriers to accessing treatment. Methods: Data were collected by means of a questionnaire from a convenience sample of 509 predominantly well‐educated, high‐income, married women in the northeastern United States during the last trimester of pregnancy. Participants were queried as to treatment modalities in which they would most likely participate if they wanted help for depression, their attitudes toward psychotherapeutic and pharmacological treatments, and perceived barriers to receiving help . Results: Most women (92%) indicated that would likely participate in individual therapy if help was needed. Only 35 percent stated that they would likely take medication if recommended, and 14 percent indicated that they would participate in group therapy. The greatest perceived potential barriers to treatment were lack of time (65%), stigma (43%), and childcare issues (33%). Most women indicated a preference to receive mental health care at the obstetrics clinic, either from their obstetrics practitioner or from a mental health practitioner located at the clinic. Factors associated with acceptability of various depression treatments are presented. Conclusions: Understanding what prevents women from seeking or obtaining help for depression and determining what they prefer in the way of treatment may lead to improved depression treatment rates and hold promise for improving the overall health of childbearing women. (BIRTH 36:1 March 2009)