Perinatal Mental Health Care in Switzerland

NCT04185896 | Unknown

• 1 other identifier: 2218-2018
• Study Type: observational
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

This qualitative study with quantitative elements examines the health care provided to women who suffered from mental disorder during pregnancy and / or in the first year after birth (i.e. during the perinatal phase). Investigators will perform individual interviews with former PMD patients, and health and social care professionals to gain insights into current health care for PMD patients.

Conditions

Mental Disorder; Perinatal; Depression; Anxiety Disorders; Panic Disorder; Post Traumatic Stress Disorder; Adaptation Reaction; Behavior Disorders; Substance Abuse; Psychosis; Health Care Seeking Behavior; Health Care Utilization; Health Care Acceptability

Keywords

Social stigma; Access to care; Facilitators; Barriers

Outcome Measures

Primary Outcomes (4)

• Narratives of barriers to perinatal mental health care use

  Narratives of access-inhibiting factors, in semi-structured individual interviews with former PMD patients

  perinatal phase, i.e. pregnancy and first year after birth

• Narratives of mentions of facilitators of perinatal mental health care use

  Narratives of access-promoting factors, in semi-structured individual interviews with former PMD patients

  Perinatal phase, i.e. pregnancy and first year after birth

• Narratives of mentions of barriers to perinatal mental health care provision

  Narratives of provision-inhibiting factors, in focus group interviews with health and social care providers

  Perinatal phase, i.e. pregnancy and first year after birth

• Narratives of mentions of facilitators of perinatal mental health care provision

  Narratives of provision-promoting factors, in focus group interviews with health and social care providers

  Perinatal phase, i.e. pregnancy and first year after birth

Secondary Outcomes (2)

• Sociodemographic data of participating affected PMD patients

  2019-2020

• Sociodemographic data of participating health care professionals

  2019-2020

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Population 1: 24 former PMD patients, by 4 groups of F-diagnoses (ICD-10) and 2 groups (yes or no) of pre-existent mental disorders. Population 2: 18-24 professional health care and social care providers, who are experienced in service provision for PMD patients and are * Nurses * Midwives * Gynecologists * Medical primary care providers * Pediatricians * Neonatologists * Psychiatrists * Psychologists * Social care providers (community service) * Expert from a health insurance

You may qualify if:

• PMD within the past 24 months before the interview,
• Recovered from acute PMD and stable for at least 12 months before the interview;
• Able to share experiences;
• More than 18 years old
• Speak and understand German
• At least 1 diagnosis in the last perinatal phase out of 4 groups of psychiatric disorders (ICD-10 Chapter V, F00-F99):
• Mood (affective) disorders (F30-F39); Anxiety disorders (F41); Reaction to severe stress, and adjustment disorders (F43); and Obsessive-compulsive disorder (F42);
• Disorders of adult personality and behavior (F60-F69; especially F60.3 Emotionally unstable personality disorder);
• Mental and behavioral disorders due to psychoactive substance use (F10-F19; excluding tobacco (F17) if it is the sole F-diagnosis of the patient);
• Psychosis (F20-F29 Schizophrenia, schizotypal and delusional disorders).
• Sample 2: Professional health and social care providers
• Professional experience of at least two years,
• Have cared for at least 2 PMD patients the year before the focus group, a
• Speak and understand German.

Sponsors & Collaborators

• Bern University of Applied Sciences: lead
• University of Bern: collaborator

Study Sites (1)

Anke Berger

Bern, 3008, Switzerland

RECRUITING

Related Publications (2)

• Berger A, Bachmann N, Signorell A, Erdin R, Oelhafen S, Reich O, Cignacco E. Perinatal mental disorders in Switzerland: prevalence estimates and use of mental-health services. Swiss Med Wkly. 2017 Mar 7;147:w14417. doi: 10.4414/smw.2017.14417. eCollection 2017.

  PMID: 28322424 BACKGROUND

• Berger A, Schenk K, Ging A, Walther S, Cignacco E. Perinatal mental health care from the user and provider perspective: protocol for a qualitative study in Switzerland. Reprod Health. 2020 Feb 17;17(1):26. doi: 10.1186/s12978-020-0882-7.

  PMID: 32066475 DERIVED

MeSH Terms

Conditions

Mental Disorders; Depression; Anxiety Disorders; Panic Disorder; Stress Disorders, Post-Traumatic; Substance-Related Disorders; Psychotic Disorders; Patient Acceptance of Health Care; Social Stigma

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Stress Disorders, Traumatic; Trauma and Stressor Related Disorders; Chemically-Induced Disorders; Schizophrenia Spectrum and Other Psychotic Disorders; Treatment Adherence and Compliance; Health Behavior; Social Behavior

Central Study Contacts

Anke Berger, Dr.

CONTACT

+41318483543; anke.berger@bfh.ch

Eva Cignacco, Prof. Dr.

CONTACT

+41 31 848 45 18; eva.cignacco@bfh.ch

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Project leader

Study Record Dates

• First Submitted: November 19, 2019
• First Posted: December 4, 2019
• Study Start: July 10, 2019
• Primary Completion: February 29, 2020
• Study Completion: February 29, 2020
• Last Updated: December 4, 2019

Record last verified: 2019-12

Data Sharing

• IPD Sharing: Will not share

Locations

CH (1)