The process of recovery in women who experienced psychosis following childbirth

BMC Psychiatry

Research Article

Angelika Wieck¹  Sarah Peters²  Laura McGrath²  Anja Wittkowski³ 

[1] Manchester Mental Health and Social Care Trust, Wythenshawe Hospital, Manchester, UK;School of Psychological Sciences, the University of Manchester, 2nd Floor Zochonis Building, Brunswick Street, M13 9PL, Manchester, UK;School of Psychological Sciences, the University of Manchester, 2nd Floor Zochonis Building, Brunswick Street, M13 9PL, Manchester, UK;Manchester Mental Health and Social Care Trust, Wythenshawe Hospital, Manchester, UK;

关键词: Puerperal psychosis;    Postpartum psychosis;    Postnatal psychosis;    Recovery;    Grounded theory;    Qualitative;    United Kingdom;   

DOI  :  10.1186/1471-244X-13-341

 received in 2013-04-16, accepted in 2013-11-11,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundPsychosis following childbirth affects 1–2 mothers per 1000 deliveries. Onset is rapid and functioning is severely affected. Although prognosis in terms of symptom remission is generally good, long-term disability can persist. The study’s aim was to develop a theoretical understanding of recovery from psychosis following childbirth.MethodsSemi-structured interviews were conducted with 12 women with experience of psychosis following childbirth. Interview transcripts were analysed using grounded theory methodology.ResultsA theory of four superordinate themes was developed from the data, including: (i) the process of recovery; (ii) evolving an understanding; (iii) strategies for recovery; and (iv) sociocultural context. The process of recovery and women’s understanding of their experience were conceptualised as parallel processes, which informed one another. Women found that a diagnosis facilitated their use of particular strategies.ConclusionsThis study highlighted a complex and ongoing process of recovery from psychosis following childbirth. Sensitivity to a woman’s position in the process of recovery has the potential to facilitate professionals in assessing readiness for different interventions which will be likely to result in women feeling more understood, accepted and supported.

【 授权许可】

Unknown   
© McGrath et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.