"It Slowly Drained the Life Out of Me, Leaving Me Dead Inside": Coping and Response Patterns Among Chinese Women Experiencing Postpartum Depression.

IF 3 3区 医学 Q1 COMMUNICATION Health Communication Pub Date : 2024-11-01 Epub Date: 2023-11-27 DOI:10.1080/10410236.2023.2288382
Wenxue Zou, Liyao Huang, Yan Yan
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Abstract

The prevalence of postpartum depression (PPD) exceeds 20% in China. In this article, we unpack the coping strategies and involuntary responses to PPD among Chinese women and how such patterns are shaped by family communication dynamics and reflect distinct social, structural, and cultural contexts. Drawing upon the communication accommodation theory and the generic stress and coping model, we analyzed 661 posts collected under the hashtag #PPD (chanhou yiyuzheng) on Zhihu using the phronetic iterative approach. The analysis reveals that women self-identifying as having PPD often find themselves situated within a family environment marked by non-adaptive communication, culminating in insufficient support from their social circles. Furthermore, a significant number of these women lack effective coping mechanisms to manage PPD. Instead, they tend to stifle their expressions and needs through automatic responses, dedicating themselves to constant self-monitoring without practicing self-care. Our findings contribute to informed policymaking for postpartum support, addressing nuanced challenges encountered by new mothers in China.

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“它慢慢地耗尽了我的生命,让我内心死亡”:中国产后抑郁症女性的应对和反应模式。
产后抑郁症(PPD)在中国的患病率超过20%。在本文中,我们揭示了中国女性对产后抑郁症的应对策略和非自愿反应,以及这些模式如何受到家庭沟通动态的影响,并反映了不同的社会、结构和文化背景。基于沟通适应理论和通用压力与应对模型,我们对知乎上#PPD (chanhou yiyuzheng)标签下的661篇帖子进行了phronetic迭代分析。分析显示,自认为患有产后抑郁症的女性经常发现自己处于一个以非适应性沟通为特征的家庭环境中,最终导致社交圈的支持不足。此外,这些妇女中有相当一部分缺乏有效的应对机制来管理产后抑郁症。相反,他们倾向于通过自动反应扼杀自己的表达和需求,把自己奉献给不断的自我监控,而不练习自我照顾。我们的研究结果有助于制定明智的产后支持政策,解决中国新妈妈面临的微妙挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
8.20
自引率
10.30%
发文量
184
期刊介绍: As an outlet for scholarly intercourse between medical and social sciences, this noteworthy journal seeks to improve practical communication between caregivers and patients and between institutions and the public. Outstanding editorial board members and contributors from both medical and social science arenas collaborate to meet the challenges inherent in this goal. Although most inclusions are data-based, the journal also publishes pedagogical, methodological, theoretical, and applied articles using both quantitative or qualitative methods.
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