Thoughts and Considerations of Women With Bipolar Disorder About Family Planning and Pregnancy: A Qualitative Study

被引：9
作者：
Stevens, Anja Wilhelmina Margaretha Maria [1 ,2 ]
Daggenvoorde, Thea Henrica [1 ,3 ]
van der Klis, Samuel Martinus Dianshah [4 ]
Kupka, Ralph Werner [2 ]
Goossens, Peter Jan Joseph [1 ,3 ,5 ]
机构：
[1] Dimence Grp Mental Hlth Care, Deventer, Netherlands
[2] Vrije Univ Amsterdam, Med Ctr, Amsterdam, Netherlands
[3] Radboud Univ Nijmegen, Med Ctr, Nijmegen, Netherlands
[4] Univ Med Ctr Utrecht, Utrecht, Netherlands
[5] Univ Ghent, Ghent, Belgium
来源：
JOURNAL OF THE AMERICAN PSYCHIATRIC NURSES ASSOCIATION | 2018年 / 24卷 / 02期
关键词：
bipolar disorder; desire to have children; family planning; pregnancy; MENTAL-HEALTH SURVEY; LIFE-CHART METHOD; RISK; PREVALENCE; CONSULTATION; SYMPTOMS; ILLNESS; PERIOD;
D O I：
10.1177/1078390317711251
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
BACKGROUND: Women with bipolar disorder have an increased risk of relapse during pregnancy and the postpartum period, and they often express broad concerns about family planning. OBJECTIVE: To explore the thoughts and considerations of women of childbearing age with bipolar disorder, about family planning and pregnancy. DESIGN: A qualitative study was conducted: 15 women with bipolar I disorder were individually interviewed. Content analysis was applied. RESULTS: Women worried about heritability of bipolar disorder, medication issues, and risk of relapse during pregnancy. They mentioned their fear to be incompetent as a mother during future mood episodes. Support of partner, family/friends, and professionals was mentioned as essential. CONCLUSIONS: Family planning is an essential topic in the treatment of every woman with bipolar disorder of childbearing age. These women expect early consultation with professionals for support, and specific information about heritability of the illness and use of medication during and after pregnancy.
引用
收藏
页码：118 / 126
页数：9
相关论文
共 39 条
[1]   Subsyndromal depressive symptoms are associated with functional impairment in patients with bipolar disorder: Results of a large, multisite study [J].
Altshuler, Lori L. ;
Post, Robert M. ;
Black, David O. ;
Keck, Paul E., Jr. ;
Nolen, Willem A. ;
Frye, Mark A. ;
Suppes, Trisha ;
Grunze, Heinz ;
Kupka, Ralph W. ;
Leverich, Gabriele S. ;
McElroy, Susan L. ;
Walden, Joerg ;
Mintz, Jim .
JOURNAL OF CLINICAL PSYCHIATRY, 2006, 67 (10) :1551-1560
[2]  
[Anonymous], 2009, ONDERZOEKSMETHODEN
[3]  
[Anonymous], 2008, To analyze in qualitative research. Thinking and practicing
[4]  
[Anonymous], 2012, QUAL INQ
[5]   Risks of adverse pregnancy and birth outcomes in women treated or not treated with mood stabilisers for bipolar disorder: population based cohort study [J].
Boden, Robert ;
Lundgren, Maria ;
Brandt, Lena ;
Reutfors, Johan ;
Andersen, Morten ;
Kieler, Helle .
BRITISH MEDICAL JOURNAL, 2012, 345
[6]   Subthreshold symptoms in bipolar disorder: Impact on neurocognition, quality of life and disability [J].
Bonnin, C. M. ;
Sanchez-Moreno, J. ;
Martinez-Aran, A. ;
Sole, B. ;
Reinares, M. ;
Rosa, A. R. ;
Goikolea, J. M. ;
Benabarre, A. ;
Ayuso-Mateos, J. L. ;
Ferrer, M. ;
Vieta, E. ;
Torrent, C. .
JOURNAL OF AFFECTIVE DISORDERS, 2012, 136 (03) :650-659
[7]   Use of psychotropic medications during pregnancy: perception of teratogenic risk among physicians in two Latin American countries [J].
Cantilino, Amaury ;
Lorenzo, Laura ;
de Paula, Juliane dos A. ;
Einarson, Adrienne .
REVISTA BRASILEIRA DE PSIQUIATRIA, 2014, 36 (02) :106-110
[8]   Molecular genetics of bipolar disorder [J].
Craddock, N ;
Jones, I .
BRITISH JOURNAL OF PSYCHIATRY, 2001, 178 :S128-S133
[9]  
de Boer J., 2008, Prenatale Verloskundige Begeleiding KNOVstandaard
[10]   Prevalence of mental disorders and trends from 1996 to 2009. Results from the Netherlands Mental Health Survey and Incidence Study-2 [J].
de Graaf, Ron ;
ten Have, Margreet ;
van Gool, Coen ;
van Dorsselaer, Saskia .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2012, 47 (02) :203-213
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