‘Crippling and unfamiliar’: Analysing the concept of perinatal anxiety; definition, recognition and implications for psychological care provision for women during pregnancy and early motherhood

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Folliard, Kelda J. ORCID: https://orcid.org/0000-0002-4075-1875, Crozier, Kenda ORCID: https://orcid.org/0000-0002-5328-9376 and Wadnerkar Kamble, Meghana M. ORCID: https://orcid.org/0000-0001-5799-4032 (2020) ‘Crippling and unfamiliar’: Analysing the concept of perinatal anxiety; definition, recognition and implications for psychological care provision for women during pregnancy and early motherhood. Journal of Clinical Nursing, 29 (23-24). pp. 4454-4468. ISSN 0962-1067

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Abstract

Aim: To clarify how perinatal anxiety is characterised within the current evidence base and discuss how a clearer definition and understanding of this condition may contribute to improving care provision by midwives and other healthcare professionals. Background: Perinatal anxiety is common, occurs more frequently than depression and carries significant morbidity for mother and infant. The concept of perinatal anxiety is ill-defined; this can pose a barrier to understanding, identification and appropriate treatment of the condition. Design: Concept Analysis paper. Method: Rodgers’ Evolutionary Model of Concept Analysis, with review based on PRISMA principles. Findings: While somatic presentation of perinatal anxiety shares characteristics with general anxiety, anxiety is a unique condition within the context of the perinatal period. The precursors to perinatal anxiety are grounded in biopsychosocial factors and the sequelae can be significant for mother, fetus, newborn and older child. Due to the unique nature of perinatal anxiety, questions arise about presentation and diagnosis within the context of adjustment to motherhood, whether services meet women’s needs and how midwives and other health professionals contribute to this. Most current evidence explores screening tools with little examination of the lived experience of perinatal anxiety. Conclusion: Examination of the lived experience of perinatal anxiety is needed to address the gap in evidence and further understand this condition. Service provision should account for the unique nature of the perinatal period and be adapted to meet women’s psychological needs at this time, even in cases of mild or moderate distress.

Item Type: Article
Uncontrolled Keywords: attitudes to mental illness,,childbirth,infant,mental health,midwifery,,patient-centred care,perinatal care,psychological well-being,state anxiety,women's health,maternity and midwifery,psychiatry and mental health,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2900/2913
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Rehabilitation
Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
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Depositing User: LivePure Connector
Date Deposited: 10 Sep 2020 23:57
Last Modified: 19 Oct 2023 02:46
URI: https://ueaeprints.uea.ac.uk/id/eprint/76835
DOI: 10.1111/jocn.15497

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