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- Title
Rural Women's Explanatory Models of Postpartum Depressive Symptomatology.
- Authors
Mollard, Elizabeth; Hudson, Diane B.; Wilhelm, Susan; Springer, Paul R.; Pullen, Carol
- Abstract
Purpose: To construct explanatory models of postpartum depressive symptomatology (PPDS) from the perspective of rural women and to compare these models to the traditional medical model Methods: This qualitative descriptive study was informed by Kleinman's (1980) explanatory model of illness and used a semi-structured interview guide. Telephone interviews were audio- recorded and transcribed verbatim. Data analysis included content analysis within the categories of Kleinman's (1980) explanatory model. Findings: Rural women were more likely to attribute their PPDS to nonphysiological causes than physiological causes. Rural women reported the onset, duration, and symptomatology of PPDS were similar to what is outlined in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Women considered the effects of PPDS to be far-reaching and serious. Rural women in this study preferred a variety of often nonpharmacological treatment options and care from informal networks to that available from health care providers. Although the rural women in this study did not believe PPDS could be prevented, they believed women could better prepare themselves for PPDS by having a support system in place and by planning for practical life concerns. Conclusions: Nurses and other health care providers and researchers should consider rural women's explanatory models of PPDS when considering interventions and program development for women in rural communities.
- Subjects
MIDWEST (U.S.); ATTRIBUTION (Social psychology); CONTENT analysis; INTERVIEWING; RESEARCH methodology; CLASSIFICATION of mental disorders; MOTHERHOOD; NURSING models; QUESTIONNAIRES; POSTPARTUM depression; SELF-evaluation; RURAL nursing; QUALITATIVE research; THEORY; JUDGMENT sampling; QUANTITATIVE research; SOCIAL support; DISEASE duration; DESCRIPTIVE statistics; PSYCHOLOGICAL factors; PREVENTION; THERAPEUTICS
- Publication
Online Journal of Rural Nursing & Health Care, 2017, Vol 17, Issue 1, p138
- ISSN
1539-3399
- Publication type
Article
- DOI
10.14574/ojrnhc.v17i1.437