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dc.contributor.advisorCheyne, Helen-
dc.contributor.advisorMaxwell, Margaret-
dc.contributor.authorBinti Mohd Arifin, Siti Roshaidai-
dc.description.abstractBackground: Postnatal depression (PND) is one of the most common maternal mental health problems for women worldwide. Yet the wide range of reported rates of PND in different countries raises questions about how PND is experienced by women in different cultures and whether interventions developed in western cultures are appropriate in very different settings. It is important to establish how PND is defined, experienced and managed in different cultures in order to create culturally relevant interventions. No previous studies of experience of PND and its management have been conducted in Malaysia. The aim of this study was to explore women’s experiences and healthcare practitioners’ (HCPs) perspectives of PND in a multicultural country, Malaysia. Methods: This was a qualitative study informed by a critical realist approach. Semi-structured interviews were carried out with 33 women (from three different cultural backgrounds) attending for child or postnatal care and 18 HCPs in six purposively selected maternal and child health (MCH) clinics and a female psychiatric ward in Kuala Lumpur, Malaysia. Data were analysed using framework analysis. Findings: There were some differences in the women’s perceptions of PND experience across three different cultural backgrounds in Malaysia. Malay women were more likely to describe the symptoms of PND based on a combination of emotional and behavioural changes, whereas Chinese and Indian women talked more about emotional changes. Traditional postnatal practices were described as contributing to PND by some Malay women but were accepted as promoting maternal and infant well-being by the majority of Indian women. Religious activities were reported as an effective strategy for the Malay women but were not seen as helpful by the majority of Chinese women. Considering HCPs, it appeared that the absence of a clear and specific policy and guideline in the management of PND within the Malaysian healthcare system has resulted in a lack of professional ownership in the management of PND, especially among HCPs in MCH clinics. Conclusion: The women and the HCPs had distinct ways of conceptualising PND experiences, although they agreed on several symptoms and causal explanations. This study calls for a system-based enhanced PND care with an initiation of culturally appropriate care for PND within the healthcare system.en_GB
dc.publisherUniversity of Stirlingen_GB
dc.subjecthealthcare practitionersen_GB
dc.subjectpostnatal depressionen_GB
dc.subject.lcshPostpartum depressionen_GB
dc.subject.lcshDepression, Postpartum Psychologyen_GB
dc.subject.lcshMedical care Malaysiaen_GB
dc.subject.lcshPostnatal care Malaysia Psychological aspectsen_GB
dc.titlePerspectives of Postnatal Depression in Malaysia: Exploring Experiences of Women and Healthcare Practitionersen_GB
dc.typeThesis or Dissertationen_GB
dc.type.qualificationnameDoctor of Philosophyen_GB
dc.rights.embargoreasonRequire time to write articles for publication from my thesis.en_GB
dc.contributor.funderMinistry of Higher Education Malaysiaen_GB
Appears in Collections:Faculty of Health Sciences and Sport eTheses

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