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Table 4 Help-seeking: intentions, preferred sources and treatment

From: Perinatal mental health literacy: knowledge, attitudes, and help-seeking among perinatal women and the public – a systematic review

Authors

Outcomes

 

Intention to seek help

Attitudesa

Preferred /recommended source of help

Preferred treatment

Ayres 2019 [26]

36.2%

  

Azale 2016 [27]

Perceived need for treatment:71.6%

*Informal: husband (61.3%);

Formal: general health professional (any) (12.7%)

Modern medicine (49.8%)

Barrera 2015 [28]

 

* Informal: partners (82.5%); family members (75.5%);

Formal: health providers (49.4%)

 

Bina 2014 [29]

 

*Professional help users (24%): mental health professional (71%)

Informal help users (62.5%): family and friends (approx. 50%)

 

Buist 2005 [32]

 

*Informal: family (50%);

Formal: GP (29.2%)

 

Branquinho 2020 [31]

Help-seeking propensity:

M = 3.19; SD = 0.61b

  

DaCosta 2018 [33]

 

*All women: family doctor/general practitioner (9.7%)

Women EPDS> = 10: family doctor/general practitioner (19.2%)

 

Dunford 2017 [34]

Help-seeking propensity: M = 21.46; SD = 6.29b

  

Fonseca 2015 [35]

Willingness to seek professional help for psychological problems: 38.4%

  

Fonseca 2017 [36]

Intention to seek professional help: M = 4.48; SD = 1.60d

  

Fonseca 2018 [37]

Intention to seek professional help: M = 4.48; SD = 1.59d

  

Goodman 2009 [39]

 

Obstetric practitioner or mental health practitioner at obstetrics clinic (69.4%)

Individual psychotherapy (72.5%)

Goodman 2013 [40]

Interested in professional mental health services: 78.3%

 

PPD prevention: mindfulness approach (MBCT) (47.46%)

Henshaw 2013 [41]

 

Informal: friend or family member (83.3%);

Formal: counsellor/psychologist (58.3%)

 

Highet 2011 [18]

 

Full sample:

Informal: friends and family (32%); Formal: doctor (52%);

Family / friends (male: 21,1; female: 43,1); GP (male: 32%; female: 21%)

 

Holt 2017 [42]

 

*GP (69.6%); psychologist/counsellor (52.2%)f

 

Kingston 2014a [44]

 

Informal: partner (17.7%);

Formal: family doctor (38.9%)

Talking to doctor or midwife (81.6%); counselling (79.8%); peer support (73.2%); parenting help (70.3%); diet/ nutritional supplements (63.2%); phone support (52.9%)

Logsdon 2018a [45]

M = 3.8; SD = 1.2e

 

First inclination: psychological treatment (73.9%)

Logsdon 2018b [46]

Baseline CG:11.5%; Baseline IG:11.9%

  

Mirsalimi 2020 [47]

 

Informal: friends / family members (27.2%);

Formal: psychologist (42.1%)

 

O’Mahen 2008 [48]

 

Mental health specialist (85.1%); primary care physician (68.8%); obstetrician (62.5%); pastor (60.5%)

Family/friend support (89.6%); therapy (76.4%); antidepressant; (68.7%); case management (62.5%)

Patel 2011 [50]

  

Combination of medication and counselling (55%)

Prevatt 2018 [51]

 

OB-Gyn (53.4%)

 

Ride 2016 [52]

77%

 

Pregnant women: individual counselling; Breastfeading women: Meditation; Yoga or Exersice;

Non-breastfeeding women: combinded counselling and Medication.

Individual counselling was consistently the highest ranked guideline-recommended treatment.g

Sleath 2005 [53]

  

Wait and get over it naturally (83.6%); counseling from a mental health professional (57.6%)h

Small 1994 [54]

 

* Informal: friends (70%); partner (66.7%);

Formal: GP (65%), maternal and child health nurse (55%)

 

Smith 2019 [55]

Women who would not seek help for PPD: 3.8%

Informal: family/friends (male: 19%; female: 53%);

Formal: doctor (male: 43.3%; female: 50.7%)

 

Thorsteinsson 2014 [56]

 

Informal: family (70%); friends (68%); Formal: GP (96%); counsellor (86%); community health nurse (75%); telephone counselling service (71%); social worker (60%); internet (54%); psychiatrist (53%)

Family support (88%); support group (85%); counselling/psychotherapy; (81%); relaxation/time to self (76%); sleep (74%), exercise (74%); antidepressant medication (56%); improved diet (51%)

Thorsteinsson 2018 [57]

Help-seeking propensity (averaged across groups):

M = 2.92; SD = 1.73c

  

Wenze 2018 [58]

47.8% interested in mental health treatment in the perinatal period (for stress: 32.1%; for depression: 18.8%; for anxiety: 21.9%)

 

Preference Ranking: 1. Individual therapy (47.9%)

Zittel-Palamara 2008 [59]

 

OB/Gyn (73.3%); psychiatrist (73.3%); psychologist (71.1%); primary care physician (71.1%); social workers (66.7%); paediatricians (60%); midwives (57.8%); spiritual assistance (64.4%)

Individual counselling (84.4%); medication (73.3%); In-person support group (73.3%); hospital inpatient (68.9%); online support group (66.7%)

  1. When only mean values of help-seeking intention / propensity without any associated standard values were presented, no conclusions were drawn; * Sources of help used by help-seeking women in the study; a Reported by more than 50% of participants; if all percentages were < 50%, the highest percentage per category was reported; bThe Help-seeking Propensity subscale of the Portuguese version of the Inventory of Attitudes Toward Seeking Mental Health Services (IATSMHS [61]), 8 items, 4 point likert scale, higher scores higher help-seeking propensity; cInventory of Attitudes Towards Seeking Mental health Services (IASMHS [62]), 24 items, 5-point Likert scale, Subscale Scores 0–32, higher scores indicate more positive attitudes towards help-seeking; d General Help-Seeking Questionnaire (GHSQ [64]), 7 point likert scale (range 1–7); eMental Health Intention Scale (1 item [65]), scores range from 0 to 9 with higher scores representing more intention; g discrete choice experiment; htreatment preferences were measured by asking women to rate how acceptable (definitely acceptable, probably acceptable, probably not acceptable, and definitely not acceptable) certain treatments would be if they felt sad