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Development of the Creating Comfort in Choice Theory of Decision Making Regarding Antidepressant Use in Pregnancy: "The Biggest Decision I've Ever Made".
- Source :
- Women's Reproductive Health; 2024, Vol. 11 Issue 2, p273-295, 23p
- Publication Year :
- 2024
-
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]
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 23293691
- Volume :
- 11
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Women's Reproductive Health
- Publication Type :
- Academic Journal
- Accession number :
- 178232527
- Full Text :
- https://doi.org/10.1080/23293691.2023.2230463