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Disclosure during prenatal mental health screening
Dawn E Kingston1, Anne Biringer2, Amy Toosi3
1Faculty of Nursing, Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alberta, Canada.
Journal of Affective Disorders
|August 3, 2015
Summary
Most pregnant women are honest during mental health screenings, but fear of judgment and less anonymous screening methods can hinder disclosure. Addressing stigma is key for early detection of prenatal mental illness.
Area of Science:
- Perinatal mental health
- Healthcare screening
Background:
- Perinatal mental health screening is generally well-received by women and healthcare providers.
- However, some women may intentionally withhold symptoms during screening.
Purpose of the Study:
- To describe women's willingness to disclose mental health concerns during screening.
- To identify factors associated with women's disclosure during screening.
Main Methods:
- Cross-sectional study of pregnant women (>16 years, English proficient) recruited from maternity clinics and hospitals in Alberta, Canada.
- Online Barriers and Facilitators of Mental Health Screening Questionnaire used.
- Primary outcome: women's honesty level during screening (completely vs. somewhat/not at all honest).
Main Results:
- High participation rate (92%).
- 79% of women reported being 'completely honest' during screening.
- Fear of being perceived as a 'bad mother' was associated with reduced honesty.
- Less anonymous screening modes were linked to increased honesty.
Conclusions:
- Most women in the study reported being able to be honest during mental health screening.
- Stigma and the mode of screening significantly influenced women's disclosure.
- Strategies to reduce stigma are needed to improve early detection of prenatal mental illness.
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