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Treatment Decision Making in the Postpartum Period: Examining Women’s Preferences and Perspectives

Deleault, Jenessa Danielle
http://rave.ohiolink.edu/etdc/view?acc_num=antioch1443125585

Abstract Details

2015, Psy. D., Antioch University, Antioch New England: Clinical Psychology.
This research study aims to understand the medical decision-making process for new mothers who may be experiencing depression, anxiety, or psychological distress following birth, and understanding their treatment preferences. This study replicates one by Patel and Wisner (2011), and was developed from their suggestions in further research. The goal was to replicate the methodology with a more diverse sample of new mothers. The study reviews recent literature on postpartum depression and anxiety, including, symptoms, etiology, risk factors, the impact on family functioning and child development, as well as the literature on medical decision-making. The Decisional Conflict Scale, the Problem-Solving Decision Making Scale, and the Control Preferences Scale were used to assess the decision-making process, desired control in problem solving and decision making, and decisional conflict. The results revealed that women preferred more collaborative problem solving related to diagnosing, and preferred to retain more responsibility related to decision making about treatment. The group of mothers who had made a decision about treatment endorsed statistically lower levels of decisional conflict versus those who had not made a treatment decision. Furthermore, respondents who endorsed a diagnosis of depression, anxiety, or a mood disorder (self-reported) also endorsed statistically lower levels of decisional conflict. In reference to decision making and preferences, there was no difference found between groups of respondents who endorsed psychological distress and those who did not. Regardless of symptoms, respondents indicated they preferred collaborative decision-making and wanted to retain control in the process.
Theodore Ellenhorn, PhD (Committee Chair)
Amanda Hitchings, PsyD (Committee Member)
David Arbeitman, PhD (Committee Member)
85 p.
Clinical Psychology
Postpartum Depression; Medical Decision Making; Treatment; women; human females; new mothers

Recommended Citations

Citations

  • Deleault, J. D. (2015). Treatment Decision Making in the Postpartum Period: Examining Women’s Preferences and Perspectives [Doctoral dissertation, Antioch University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1443125585

    APA Style (7th edition)

  • Deleault, Jenessa. Treatment Decision Making in the Postpartum Period: Examining Women’s Preferences and Perspectives. 2015. Antioch University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=antioch1443125585.

    MLA Style (8th edition)

  • Deleault, Jenessa. "Treatment Decision Making in the Postpartum Period: Examining Women’s Preferences and Perspectives." Doctoral dissertation, Antioch University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1443125585

    Chicago Manual of Style (17th edition)

antioch1443125585
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© 2015, all rights reserved.
This open access ETD is published by Antioch University and OhioLINK.