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Between life and death: exploring the sociocultural context of antenatal mental distress in rural Ethiopia
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Psykiatri.
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2010 (Engelska)Ingår i: Archives of Women's Mental Health, ISSN 1434-1816, E-ISSN 1435-1102, Vol. 13, nr 5, s. 385-393Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The high prevalence of antenatal common mental disorders in sub-Saharan Africa compared to high-income countries is poorly understood. This qualitative study explored the sociocultural context of antenatal mental distress in a rural Ethiopian community. Five focus group discussions and 25 in-depth interviews were conducted with purposively sampled community stakeholders. Inductive analysis was used to develop final themes. Worry about forthcoming delivery and fears for the woman's survival were prominent concerns of all participants, but only rarely perceived to be pathological in intensity. Sociocultural practices such as continuing physical labour, dietary restriction, prayer and rituals to protect against supernatural attack were geared towards safe delivery and managing vulnerability. Despite strong cultural norms to celebrate pregnancy, participants emphasised that many pregnancies were unwanted and an additional burden on top of pre-existing economic and marital difficulties. Short birth interval and pregnancy out of wedlock were both seen as shameful and potent sources of mental distress. The notion that pregnancy in traditional societies is uniformly a time of joy and happiness is misplaced. Although antenatal mental distress may be self-limiting for many women, in those with enduring life difficulties, including poverty and abusive relationships, poor maternal mental health may persist.

Ort, förlag, år, upplaga, sidor
2010. Vol. 13, nr 5, s. 385-393
Nyckelord [en]
Mental health, Ethiopia, Sub-Saharan Africa, Pregnancy, Qualitative
Nationell ämneskategori
Psykiatri
Identifikatorer
URN: urn:nbn:se:umu:diva-41133DOI: 10.1007/s00737-010-0149-3PubMedID: 20148274OAI: oai:DiVA.org:umu-41133DiVA, id: diva2:404768
Tillgänglig från: 2011-03-18 Skapad: 2011-03-18 Senast uppdaterad: 2018-06-08Bibliografiskt granskad

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Alem, Atalay

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Totalt: 81 träffar
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