The contribution of a critical realist approach to understanding the symptoms and causal explanations of postnatal depression in Malaysia
Postnatal depression (PND) is considered to be a serious mental health problem for many women worldwide; contributing to increased maternal morbidity and mortality. Although it has been found to be associated with hormonal and sociocultural factors; it remains unclear why the experience of PND varie...
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International Institute for Qualitative Methodology/ Sage Publications
2016
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iium-535012017-10-19T14:27:37Z http://irep.iium.edu.my/53501/ The contribution of a critical realist approach to understanding the symptoms and causal explanations of postnatal depression in Malaysia Mohd Arifin, Siti Roshaidai cheyne, helen maxwell, margaret RG Gynecology and obstetrics RT Nursing Postnatal depression (PND) is considered to be a serious mental health problem for many women worldwide; contributing to increased maternal morbidity and mortality. Although it has been found to be associated with hormonal and sociocultural factors; it remains unclear why the experience of PND varies by context and culture. The aim of this presentation is to evaluate the contribution of critical realism in understanding the symptoms and the perceived causes of PND among women from three different cultural backgrounds. A total of 33 women from three different cultural backgrounds attending for care in six purposively selected Maternal and Child Health clinics in Kuala Lumpur, Malaysia were individually interviewed. Data were analyzed using framework analysis. Symptoms of PND as explained by the women did not fully reflect medical diagnostic criteria, focusing instead on women’s emotional experiences and disturbances. Women’s causal explanations were different from one culture to another. For example, Malay and Chinese women felt traditional postnatal practices contributed to PND, whereas Indian women felt such practices actually served to promote maternal and child well-being. Whilst women have different experiences and explanations for PND they also shared many common experiences reflected in a set of physical, psychological and sociocultural causal factors. International Institute for Qualitative Methodology/ Sage Publications 2016-11-18 Article PeerReviewed application/pdf en http://irep.iium.edu.my/53501/1/QM%20CONFERENCE_SITI_2220291_02052016_7.pdf application/pdf en http://irep.iium.edu.my/53501/18/53501-edited.pdf application/pdf en http://irep.iium.edu.my/53501/19/53501-The%20contribution%20of%20a%20critical%20realist%20approach%20to%20understanding%20the%20symptoms-WOS.pdf Mohd Arifin, Siti Roshaidai and cheyne, helen and maxwell, margaret (2016) The contribution of a critical realist approach to understanding the symptoms and causal explanations of postnatal depression in Malaysia. International Journal of Qualitative Methods, 15 (1). p. 5. ISSN 1609-4069 E-ISSN 1609-4069 http://journals.sagepub.com/doi/pdf/10.1177/1609406916672113 10.1177/1609406916672113 |
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RG Gynecology and obstetrics RT Nursing |
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RG Gynecology and obstetrics RT Nursing Mohd Arifin, Siti Roshaidai cheyne, helen maxwell, margaret The contribution of a critical realist approach to understanding the symptoms and causal explanations of postnatal depression in Malaysia |
description |
Postnatal depression (PND) is considered to be a serious mental health problem for many women worldwide; contributing to increased maternal morbidity and mortality. Although it has been found to be associated with hormonal and sociocultural factors; it remains unclear why the experience of PND varies by context and culture. The aim of this presentation is to evaluate the contribution of critical realism in understanding the symptoms and the perceived causes of PND among women from three different cultural backgrounds. A total of 33 women from three different cultural backgrounds attending for care in six purposively selected Maternal and Child Health clinics in Kuala Lumpur, Malaysia were individually interviewed. Data were analyzed using framework analysis. Symptoms of PND as explained by the women did not fully reflect medical diagnostic criteria, focusing instead on women’s emotional experiences and disturbances. Women’s causal explanations were different from one culture to another. For example, Malay and Chinese women felt traditional postnatal practices contributed to PND, whereas Indian women felt such practices actually served to promote maternal and child well-being. Whilst women have different experiences and explanations for PND they also shared many common experiences reflected in a set of physical, psychological and sociocultural causal factors. |
format |
Article |
author |
Mohd Arifin, Siti Roshaidai cheyne, helen maxwell, margaret |
author_facet |
Mohd Arifin, Siti Roshaidai cheyne, helen maxwell, margaret |
author_sort |
Mohd Arifin, Siti Roshaidai |
title |
The contribution of a critical realist approach to understanding the symptoms and causal explanations of postnatal depression in Malaysia |
title_short |
The contribution of a critical realist approach to understanding the symptoms and causal explanations of postnatal depression in Malaysia |
title_full |
The contribution of a critical realist approach to understanding the symptoms and causal explanations of postnatal depression in Malaysia |
title_fullStr |
The contribution of a critical realist approach to understanding the symptoms and causal explanations of postnatal depression in Malaysia |
title_full_unstemmed |
The contribution of a critical realist approach to understanding the symptoms and causal explanations of postnatal depression in Malaysia |
title_sort |
contribution of a critical realist approach to understanding the symptoms and causal explanations of postnatal depression in malaysia |
publisher |
International Institute for Qualitative Methodology/ Sage Publications |
publishDate |
2016 |
url |
http://irep.iium.edu.my/53501/ http://irep.iium.edu.my/53501/ http://irep.iium.edu.my/53501/ http://irep.iium.edu.my/53501/1/QM%20CONFERENCE_SITI_2220291_02052016_7.pdf http://irep.iium.edu.my/53501/18/53501-edited.pdf http://irep.iium.edu.my/53501/19/53501-The%20contribution%20of%20a%20critical%20realist%20approach%20to%20understanding%20the%20symptoms-WOS.pdf |
first_indexed |
2023-09-18T21:15:41Z |
last_indexed |
2023-09-18T21:15:41Z |
_version_ |
1777411545922273280 |