Barriers to care and treatment experiences among individuals with postpartum psychosis

IF 3.2 3区 医学 Q2 PSYCHIATRY Archives of Women's Mental Health Pub Date : 2024-02-23 DOI:10.1007/s00737-024-01447-z
Lauren A. Kobylski, Miranda H. Arakelian, Marlene P. Freeman, Margaret L. Gaw, Lee S. Cohen, Rachel Vanderkruik
{"title":"Barriers to care and treatment experiences among individuals with postpartum psychosis","authors":"Lauren A. Kobylski,&nbsp;Miranda H. Arakelian,&nbsp;Marlene P. Freeman,&nbsp;Margaret L. Gaw,&nbsp;Lee S. Cohen,&nbsp;Rachel Vanderkruik","doi":"10.1007/s00737-024-01447-z","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>Postpartum psychosis (PP) is a severe psychiatric disorder affecting 1–2 per 1,000 deliveries. Prompt access to healthcare and timely initiation of treatment are crucial to minimizing harm and improving outcomes. This analysis seeks to fill gaps in knowledge surrounding barriers to care and treatment experiences among this population.</p><h3>Methods</h3><p>Participants were individuals with histories of PP who enrolled in the Massachusetts General Hospital Postpartum Psychosis Project (MGHP3). The MGHP3 Healthcare Access Survey, a cross-sectional questionnaire, assesses barriers to care, treatment-seeking behaviors, and experiences with treatment. Descriptive statistics were utilized to describe sample characteristics.</p><h3>Results</h3><p>139 participants provided 146 episode-specific survey responses. Lack of available services was cited as the greatest barrier to care for PP. Among those who sought treatment, obstetric providers (34.5%) and emergency medical professionals (29.4%) were the most common initial points of contact. 82.2% of the respondents went to an emergency room or crisis center during their episode(s). Most (61.8%) reported being given insufficient information to manage their PP. Approximately half of participants were hospitalized (55.5%), the majority of whom had no access to their infant during hospitalization (70.4%). Of those breastfeeding or pumping at admission, 31.3% were not given access to a breast pump. 44.4% dealt with delivery-related medical issues during their hospitalization.</p><h3>Conclusion</h3><p>This report is the first of its kind to assess key public health domains among individuals with PP. Findings point to several directions for future research and clinical practice to improve treatment timeliness and quality, potentially improving long-term outcomes related to this serious illness.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 4","pages":"637 - 647"},"PeriodicalIF":3.2000,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Women's Mental Health","FirstCategoryId":"3","ListUrlMain":"https://link.springer.com/article/10.1007/s00737-024-01447-z","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose

Postpartum psychosis (PP) is a severe psychiatric disorder affecting 1–2 per 1,000 deliveries. Prompt access to healthcare and timely initiation of treatment are crucial to minimizing harm and improving outcomes. This analysis seeks to fill gaps in knowledge surrounding barriers to care and treatment experiences among this population.

Methods

Participants were individuals with histories of PP who enrolled in the Massachusetts General Hospital Postpartum Psychosis Project (MGHP3). The MGHP3 Healthcare Access Survey, a cross-sectional questionnaire, assesses barriers to care, treatment-seeking behaviors, and experiences with treatment. Descriptive statistics were utilized to describe sample characteristics.

Results

139 participants provided 146 episode-specific survey responses. Lack of available services was cited as the greatest barrier to care for PP. Among those who sought treatment, obstetric providers (34.5%) and emergency medical professionals (29.4%) were the most common initial points of contact. 82.2% of the respondents went to an emergency room or crisis center during their episode(s). Most (61.8%) reported being given insufficient information to manage their PP. Approximately half of participants were hospitalized (55.5%), the majority of whom had no access to their infant during hospitalization (70.4%). Of those breastfeeding or pumping at admission, 31.3% were not given access to a breast pump. 44.4% dealt with delivery-related medical issues during their hospitalization.

Conclusion

This report is the first of its kind to assess key public health domains among individuals with PP. Findings point to several directions for future research and clinical practice to improve treatment timeliness and quality, potentially improving long-term outcomes related to this serious illness.

Abstract Image

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
产后精神病患者的护理障碍和治疗经历。
目的:产后精神病(PP)是一种严重的精神障碍,每 1,000 例分娩中就有 1-2 例患病。及时获得医疗服务和及时开始治疗对于减少伤害和改善治疗效果至关重要。本分析报告旨在填补有关该人群的护理障碍和治疗经验方面的知识空白:研究对象为麻省总医院产后精神病项目(MGHP3)中有产后精神病史的患者。MGHP3 医疗服务调查是一项横断面问卷调查,主要评估医疗服务的障碍、寻求治疗的行为以及治疗经验。描述性统计用于描述样本特征:139 名参与者提供了 146 份针对特定病例的调查问卷。缺乏可用的服务被认为是获得 PP 治疗的最大障碍。在寻求治疗的受访者中,产科医疗人员(34.5%)和急诊专业人员(29.4%)是最常见的最初接触点。82.2% 的受访者在发病期间去了急诊室或危机处理中心。大多数受访者(61.8%)表示,他们没有获得足够的信息来管理自己的 PP。约有一半的受访者曾住院治疗(55.5%),其中大多数人(70.4%)在住院期间无法接触自己的婴儿。在入院时进行母乳喂养或吸奶的参试者中,31.3% 没有获得吸奶器。44.4%的产妇在住院期间遇到了与分娩有关的医疗问题:本报告首次对 PP 患者的主要公共卫生领域进行了评估。研究结果为今后的研究和临床实践指明了几个方向,以提高治疗的及时性和质量,从而改善这一严重疾病的长期预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Archives of Women's Mental Health
Archives of Women's Mental Health 医学-精神病学
CiteScore
8.00
自引率
4.40%
发文量
83
审稿时长
6-12 weeks
期刊介绍: Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.
期刊最新文献
Risk of congenital anomalies associated with psychotropic medications: a review of neonatal reports in the FDA adverse event reporting System (FAERS). Commentary on "Intimate partner violence among ever-married Afghan women: patterns, associations and attitudinal acceptance". A narrative review on emerging issues about war-related trauma in perinatal women: good practice for assessment, prevention, and treatment. Good practice in lactation counseling for Ukrainian refugee mothers to ensure the health and mental benefits of breastfeeding - an observational study. Cognition and motherhood: a key to understanding perinatal mental health?
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1