Gender competence and mental health promotion

Fisher, Jane

doi:10.1002/wps.20694

Cited by 9 publications

(5 citation statements)

References 7 publications

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“…In this regard, programmes initiated within a health systems framework might benefit from considering multidisciplinary perspectives [97]. Providers' levels of gender competence should be specifically addressed [98]. Training should also include simple practical strategies for safely involving male partners, such as speaking to women separately first [90].…”

Section: General Discussion and Recommendationsmentioning

confidence: 99%

Male partner participation in maternity care and social support for childbearing women: a discussion paper

Daniele

2021

Phil. Trans. R. Soc. B

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Male partners/fathers are key support persons for many childbearing women and their involvement in pregnancy, childbirth and the postpartum/postnatal period has beneficial effects on a wide range of outcomes related to maternal and child health and family wellbeing. Social support is implicated in the relevant causal pathway, but has received largely tangential attention in the public health literature. This discussion paper aims to reframe men's participation in maternity care as an opportunity to enhance their readiness and ability to provide social support to women, contributing to the debate on the definition and rationale for male partner involvement, and paving the way for further empirical work. I begin by presenting a theory of change illustrating the causal pathway leading from male partner participation, through the key intermediate step of social support, to improved health and wellbeing for women and children. I proceed by arguing that many people desire male partner participation in maternity care; however, in practice, this is often limited owing to cultural, social and institutional barriers. I use examples from the intervention literature to demonstrate how participation in care can boost men's motivation to support women and enhance their ability to do so by increasing their knowledge and skills. Finally, I draw up general implications for further male partner involvement programmes, suggesting that in order to achieve meaningful and sustainable gains, attention to design is crucial in order to avoid reinforcing patriarchal gender norms. Programmes should be implemented alongside other efforts to improve quality and promote woman-centred care. This article is part of the theme issue ‘Multidisciplinary perspectives on social support and maternal–child health’.

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Section: General Discussion and Recommendationsmentioning

confidence: 99%

Male partner participation in maternity care and social support for childbearing women: a discussion paper

Daniele

2021

Phil. Trans. R. Soc. B

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“…In our study we demonstrated that the predicting role of MB on the onset of PDD is still valid on a longer period, and therefore symptoms of MB should be closely monitored by health professionals in order to avoid long-term complications on the mothers. Training courses should be made available to both mental health professionals and other health care providers involved in mother care (i.e., primary physicians, obstetricians and gynecologists) (59,60). Moreover, women with MB should receive appropriate pharmacological and psychosocial interventions in order to minimize the risk to develop PPD (61)(62)(63).…”

Section: Discussionmentioning

confidence: 99%

The Transition From Maternity Blues to Full-Blown Perinatal Depression: Results From a Longitudinal Study

et al. 2021

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Background: The aims of the present study are to: (1) assess the frequency of maternity blues (MB); (2) identify the clinical and social characteristics more frequently associated with the onset of depressive symptoms after delivery; and (3) verify the hypothesis that the presence of maternity blues is a risk factor for the onset of a full-blown depressive episode in the 12 months after delivery.Methods: This is a longitudinal observational study. All pregnant women who gave birth at the inpatient unit of Gynecology and Obstetrics of the University of Campania “Luigi Vanvitelli” from December 2019 to February 2021 have been invited to participate in the study. Upon acceptance, women were asked to complete the Italian version of the Edinburgh Postnatal Depression Scale along with an ad-hoc questionnaire on the women's sociodemographic, gynecological and peripartum characteristics as well as their psychiatric history. Women have been reassessed after one, 3, 6 and 12 months.Results: A total of 359 women were recruited within 3 days from delivery, with a mean EPDS total score of 5.51 (±4.20). Eighty-three women (23.1%) reported the presence of maternity blues. Mean EPDS total scores were 12.8 (±0.2) in the MB group vs. 4.26 (±0.2) in the group without MB (p <0.0001). MB predictors were the presence of an anxiety disorder with an onset 6 months prior to pregnancy, of preeclampsia, of increased fetal health rate, of conflicts with relatives other than partner and having a partner with an anxiety disorder. At multivariate analyses the presence of MB increased 7-time the risk to have a higher EPDS score at follow-up assessments (OR: 7.79; CI: 6.88–8.70, p <0.000). This risk is almost four times higher 1 months after the delivery (OR: 4.66; CI: 2.54–6.75, p < 0.000), almost three times higher after 3 months (OR: 2.98; CI: 0.50–5.46, p < 0.01) and almost six times higher after 12 months (OR: 5.88; CI: 3.20–8.54, p < 0.000).Conclusions: Although MB was a self-limiting condition in the majority of cases, depressive symptoms arose quite often immediately after the childbirth. Professionals should be trained to monitor symptoms of MB and its transition toward a depressive episode.

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“…This finding needs a careful evaluation, considering that the number of female students starting a career in the medical field has doubled since 1980s. Therefore, it may be useful to develop preventive and supportive interventions for depressive disorders taking into account biological, social and psychological gender differences [ 64 , 65 , 66 ].…”

Section: Discussionmentioning

confidence: 99%

Mental Health Disturbances and Related Problems in Italian University Medical Students from 2000 to 2020: An Integrative Review of Qualitative and Quantitative Studies

et al. 2020

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Background and objectives: The presence of mental health problems in the population of medical students in Italy has been evaluated in several cross-sectional studies, which have used different methodologies and study designs. However, a global overview of the prevalence of mental health problems in Italian medical students is not available, although this would be essential for promoting preventive strategies and supportive treatments. Materials and Methods: An integrative review aiming to describe the prevalence of mental health problems in Italian medical students has been performed. Results: The most relevant findings are the high prevalence of substance use, in particular alcohol and nicotine, and of depressive and anxiety disorders in Italian medical students. In particular, substance use ranges from 13 to 86%, which is higher compared to Italian students coming from other faculties. Italian medical students show a high rate of smoking and of depressive symptoms of about 20%. Conclusions: Our findings highlight the need to develop appropriate supportive interventions for the medical student population, which are rarely provided and implemented among the routine activities of Italian medical universities. A relevant aspect to be considered is the stigma and anticipated discrimination attached to mental disorders, which reduce the help-seeking process in medical students.

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Gender competence and mental health promotion

Cited by 9 publications

References 7 publications

Male partner participation in maternity care and social support for childbearing women: a discussion paper

Male partner participation in maternity care and social support for childbearing women: a discussion paper

The Transition From Maternity Blues to Full-Blown Perinatal Depression: Results From a Longitudinal Study

Mental Health Disturbances and Related Problems in Italian University Medical Students from 2000 to 2020: An Integrative Review of Qualitative and Quantitative Studies

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