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Start Over Topic conceptual structures Publication Year Range Last 3 years Journal women's reproductive health
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1. Development of the Creating Comfort in Choice Theory of Decision Making Regarding Antidepressant Use in Pregnancy: "The Biggest Decision I've Ever Made".

Author

Hippman, Catriona, Balneaves, Lynda G., Ryan, Deirdre, and Austin, Jehannine

Subjects
FEAR, SOCIAL constructionism, FEMINISM, RESEARCH funding, SELF-management (Psychology), INTERVIEWING, STATISTICAL sampling, MENTAL illness, QUESTIONNAIRES, NEGOTIATION, JUDGMENT sampling, ANXIETY, PSYCHOLOGICAL adaptation, PREGNANT women, REFLECTION (Philosophy), ANTIDEPRESSANTS, SOUND recordings, LONGITUDINAL method, SOCIAL context, CONCEPTUAL structures, RESEARCH methodology, GUILT (Psychology), MATHEMATICAL models, THEORY, GROUNDED theory, PATIENT decision making, DATA analysis software, MENTAL depression, SOCIAL stigma, INFORMATION-seeking behavior, PREGNANCY
Abstract

Prenatal depression affects approximately 10% to 15% of women. Guidelines recommend supporting women to make informed treatment decisions; however, minimal evidence exists regarding this decision-making process. This study aimed to develop a constructivist grounded theory of prenatal antidepressant treatment decision-making. Semi-structured interviews were conducted with purposively sampled women from the community or specialty clinics (N = 31). Iterative data collection and analysis, theoretical sampling, and member checking supported model sufficiency. In the Creating Comfort in Choice theory that we developed, participants were highly conscious of societal stigma toward mental illness and prenatal medication use, so fear, anxiety, and guilt dominated decision-making. Participants navigated dynamically among three clusters of decision-making activities: seeking information, making sense of information, and self-soothing. "Seeking information" included internal and external processes. In "making sense of information," participants appraised available evidence. In "self-soothing," participants engaged in coping strategies to try to alleviate painful emotions. The Creating Comfort in Choice theory can support patient-oriented decision-making regarding prenatal mental healthcare. [ABSTRACT FROM AUTHOR]

Published
2024
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2. "It Wasn't Until I Took the Reins and Said...." Power and Advocacy in Canadian Women's Narratives of Polycystic Ovary Syndrome Diagnosis and Treatment*.

Author

Soucie, Kendall, Tapp, Kenzie, Kobrosli, Jasmine, Rakus, Marissa, Katzman, Rachel, Schramer, Kristin, Samardzic, Tanja, Citron, Noelle, and Cao, Peiwen

Subjects
SELF advocacy, REGULATION of body weight, PATIENT advocacy, POLYCYSTIC ovary syndrome, GUMS & resins, MEDICAL care, SOCIAL stigma, CONCEPTUAL structures, QUALITATIVE research, SELF-efficacy, PSYCHOLOGY of women, RESEARCH funding, INTERSECTIONALITY, HEALTH equity, THEMATIC analysis, POWER (Social sciences), WOMEN'S health, POWER of attorney
Abstract

Gaps in health-care services for women with polycystic ovary syndrome (PCOS) are not isolated incidents. They are systemic and disadvantage women. In this study, we explored the juxtaposition of power and agency in diagnosis narratives collected from 72 Canadian women diagnosed with PCOS. Using Braun and Clarke's inductive codebook thematic analysis, three themes of power were constructed: physicians as gatekeepers, oppression as intersectional, and antagonistic provider communications, leading to emotional and cognitive impacts. Themes of agency centered on education, active resistance strategies, and collective action. Implications for these findings are discussed in relation to women's health equity. [ABSTRACT FROM AUTHOR]

Published
2023
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