The conversation about family planning and desire for children in mental healthcare: Patients' perspective versus Professionals' perspective in a mixed methods study

IF 5.3 2区 医学 Q1 PSYCHIATRY Acta Psychiatrica Scandinavica Pub Date : 2024-06-24 DOI:10.1111/acps.13725
Noralie N. Schonewille, Monique J. M. van den Eijnden, Ruveyda Sahin, Nini H. Jonkman, Anne A. M. W. van Kempen, Maria G. van Pampus, Fedde Scheele, Odile A. van den Heuvel, Birit F. P. Broekman
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Abstract

Background

Reproductive health and mental health are intertwined, but studies investigating family planning needs and desire for children in mental healthcare are scarce.

Methods

We studied the experiences of (former) patients, those with close relationships with the (former) patients (close ones) and mental health professionals (MHP) on discussing family planning and desire for children in mental healthcare. We combined quantitative (two nationwide surveys) and qualitative data (four focus groups) in a mixed-methods approach with sequential analytical design.

Results

Combined data from focus groups (n = 19 participants) and two surveys (n = 139 MHPs and n = 294 (former) patients and close ones) showed that a considerable group of MHPs (64.0%), patients (40.9%) and close ones (50.0%) found that family planning should be discussed by a psychiatrist. However, several obstacles impeded a conversation, such as fear of judgment, lack of time and knowledge and limited opportunity for in-depth exploration of life themes in therapeutic relationships.

Conclusions

To increase the autonomy of patients in discussing family planning, we suggest MHPs explore the desire to discuss family planning with all patients in the reproductive phase of life, prior to discussing contraceptive care. MHPs should receive education about psychiatric vulnerability in relation to family planning and desire for children, and patients and close ones should be empowered to initiate a conversation themselves.

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心理医疗保健中关于计划生育和生育意愿的对话:一项混合方法研究中的患者观点与专业人员观点。
背景:生殖健康与心理健康相互交织,但有关心理保健中计划生育需求和生育意愿的研究却很少:我们研究了(前)患者、与(前)患者关系密切者(亲密者)和精神卫生专业人员(MHP)在讨论精神卫生保健中的计划生育和生育意愿时的经历。我们将定量数据(两次全国范围的调查)和定性数据(四个焦点小组)结合起来,采用混合方法和顺序分析设计:焦点小组(n = 19 名参与者)和两项调查(n = 139 名精神科医生和 n = 294 名(前)患者及亲友)的综合数据显示,相当一部分精神科医生(64.0%)、患者(40.9%)和亲友(50.0%)认为精神科医生应该讨论计划生育问题。然而,一些障碍阻碍了谈话的进行,如害怕被评判、缺乏时间和知识,以及在治疗关系中深入探讨生活主题的机会有限:为了提高患者在讨论计划生育问题时的自主性,我们建议心理保健医生在讨论避孕护理之前,先与所有处于生育期的患者探讨讨论计划生育问题的意愿。医疗保健人员应接受与计划生育和生育愿望相关的精神疾病易感性方面的教育,同时应增强患者及其亲友自己发起对话的能力。
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来源期刊
Acta Psychiatrica Scandinavica
Acta Psychiatrica Scandinavica 医学-精神病学
CiteScore
11.20
自引率
3.00%
发文量
135
审稿时长
6-12 weeks
期刊介绍: Acta Psychiatrica Scandinavica acts as an international forum for the dissemination of information advancing the science and practice of psychiatry. In particular we focus on communicating frontline research to clinical psychiatrists and psychiatric researchers. Acta Psychiatrica Scandinavica has traditionally been and remains a journal focusing predominantly on clinical psychiatry, but translational psychiatry is a topic of growing importance to our readers. Therefore, the journal welcomes submission of manuscripts based on both clinical- and more translational (e.g. preclinical and epidemiological) research. When preparing manuscripts based on translational studies for submission to Acta Psychiatrica Scandinavica, the authors should place emphasis on the clinical significance of the research question and the findings. Manuscripts based solely on preclinical research (e.g. animal models) are normally not considered for publication in the Journal.
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