Inner Experience of Postpartum Depression in Women：a Qualitative Study

doi:10.12114/j.issn.1007-9572.2019.00.086

Abstract

Abstract: Background　Postpartum depression（PPD） is a common mental health problem in parturients，which causes pain and produces serious negative effects on parturients and their families.It has attracted wide attention at home and abroad.Objective　To get a deep understanding of the inner experience of PPD in women by a survey，and analyze the causes of PPD.Methods　This qualitative study was based on Edmund & Heidegger's interpretive phenomenology.Participants were 14 consecutive PPD female outpatients recruited from a tertiary grade A hospital in Shijiazhuang City during May to July，2017 by use of convenience sampling.Unstructured interviews were conducted to collect data associated with PPD.Interviews were recorded on site，transcribed，and analyzed with Colaizzi's method.Results　The focus problems extracted from the interviews mainly were relationship between mother-in-law and daughter-in-law，relationship between husband and wife，family economic issues，parenting issues.And the 3 themes identified were relationship between mother-in-law and daughter-in-law，relationship between husband and wife，and lack of parenting experience.Conclusion　Interpersonal relationships，especially family relationships，are the issues concerned most by women with PPD，which also are the major problems that plague their life.In addition，lack of parenting experience also trouble these women to a certain extent.

Key words: Depression, postpartum；Mental health；Reason；Phenomenological research

摘要： 背景　产后抑郁（PPD）是产妇常见的心理健康问题，给产妇及其家人带来了痛苦和严重的负面影响，受到了国内外的广泛关注。目的　深入了解和探索PPD女性的心理体验，分析其出现PPD的原因。方法　采用便利抽样的方法，于2017年5—7月在石家庄市某三级甲等医院产后门诊连续收集14例PPD女性，运用Edmund & Heidegger观点构成的质性研究进行非结构访谈，进行现场录音和笔录，运用Colaizzi的分析程序对访谈内容进行分析。结果　本研究PPD女性访谈焦点问题主要为婆媳关系、夫妻关系、家庭经济问题、育儿问题等，提炼出夫妻关系、婆媳关系、缺乏育儿经验3个主题。结论　PPD女性抑郁阶段关注的问题聚焦在人际关系上，尤其是家庭关系是困扰女性产后生活的主要问题；此外，育儿经验缺乏也对女性产后生活造成了一定困扰。

关键词: 抑郁症, 产后；精神卫生；原因；现象学研究

LIU Yan,QI Weijing,ZHAO Lixia, et al. Inner Experience of Postpartum Depression in Women：a Qualitative Study　[J]. Chinese General Practice, 2019, 22(24): 2949-2954. DOI: 10.12114/j.issn.1007-9572.2019.00.086.
刘嫣,齐伟静,赵丽霞等. 产后抑郁女性心理体验的质性研究[J]. 中国全科医学, 2019, 22(24): 2949-2954. DOI: 10.12114/j.issn.1007-9572.2019.00.086.

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