A Qualitative Content Analysis of Social Influences on Mental Health Care Seeking Considerations Among Pregnant Latines

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Abstract

Pregnancy is a developmental period with distinct practical and attitudinal factors that affect mental health help-seeking. Within the Latine community, the inclusion of family values in therapy is associated with positive outcomes, suggesting that social relationships may contribute to help-seeking behavior for this population. This study aimed to describe the roles that social relationships play in pregnant Latines’ consideration of psychotherapy. We conducted an inductive qualitative content analysis of 25 interview transcripts assessing the acceptability of an evidence-based psychological intervention, exposure therapy, among English-speaking pregnant Latines with elevated anxiety. Emergent themes revealed that participants were motivated to seek anxiety treatment to improve family well-being, experienced internal conflict between prioritizing care for self and fulfilling their familial role, and were impacted by their close others’ attitudes toward and experiences with therapy. Findings suggest a need to address both positive and negative influences of social relationships when engaging pregnant Latines in prospective psychotherapeutic care to improve motivation, engagement, and potential outcomes, which may reduce care disparities during pregnancy.

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对拉美孕妇寻求心理保健考虑因素的社会影响的定性内容分析
摘要 怀孕是一个发育期,其独特的实际和态度因素会影响心理健康求助行为。在拉美人群体中,将家庭价值观纳入治疗与积极的治疗结果相关,这表明社会关系可能有助于该群体的求助行为。本研究旨在描述社会关系在拉美孕妇考虑心理治疗时所扮演的角色。我们对 25 份访谈记录进行了归纳定性内容分析,以评估焦虑症孕妇对基于证据的心理干预--暴露疗法--的接受程度。新出现的主题显示,参与者寻求焦虑治疗的动机是为了改善家庭幸福,他们在优先照顾自己和履行家庭角色之间经历着内部冲突,并受到身边人对治疗的态度和经验的影响。研究结果表明,在让拉美孕妇参与预期心理治疗护理时,有必要解决社会关系的积极和消极影响,以提高治疗动机、参与度和潜在效果,从而减少孕期护理差异。
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来源期刊
CiteScore
2.70
自引率
6.70%
发文量
38
期刊介绍: The International Journal for the Advancement of Counselling is published under the auspices of the International Association for Counselling. It promotes the exchange of information about counselling activities throughout the world. The Editorial Board is committed to working with diverse authors from varied backgrounds to meet the publication standards for the International Journal for the Advancement of Counselling, including assistance with organization, structure, and style for publication. The journal publishes conceptual, practical, and research contributions that provide an international perspective on the following areas: Theories and models of guidance and counselling; Counsellor education and supervision; State of the art reports on guidance and counselling in specific settings; Social justice and equity (e.g., issues of diversity, advocacy, racial or ethnic identity, religion and culture, gender issues); Special applications; Counselling services in countries with social and economic challenges.
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