Download PDF
Psychiatr Prax 2017; 44(05): 279-285
DOI: 10.1055/s-0042-110417
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Fremdheit – das Erleben von Männern, deren Partnerinnen nach der Geburt eines Babys psychisch erkranken

Facing Strangeness: Perceptions of Men Whose Partners Became Mentally Ill After Delivering a Baby
Sabine Roebers
1   InBVG – Institut für Bildungs- und Versorgungsforschung im Gesundheitsbereich, Fachhochschule Bielefeld
,
Oliver Razum
2   Fakultät für Gesundheitswissenschaften, AG Epidemiologie & International Public Health, Universität Bielefeld
,
Katja Makowsky
1   InBVG – Institut für Bildungs- und Versorgungsforschung im Gesundheitsbereich, Fachhochschule Bielefeld
› Author Affiliations
Further Information

Publication History

Publication Date:
12 September 2016 (online)

Also available at
    Permissions and Reprints

Zusammenfassung

Anliegen Wie erleben Partner postpartal psychisch erkrankter Frauen die Erkrankung und psychiatrische Versorgung?

Methode Narrativ-biografische Interviews mit 13 Partnern. Analyse mittels Grounded-Theory-Methodologie.

Ergebnisse Fremdheit dominiert das Erleben der Partner in den Bereichen Beziehung zur Partnerin, Wahrnehmung der psychischen Störung sowie der psychiatrischen Versorgung.

Schlussfolgerung Empfehlenswert sind die stärkere Berücksichtigung der Bedürfnisse der Partner sowie ihr Einbezug in die Behandlung der Partnerin zur Unterstützung des Familiensystems.

Abstract

Objective This study explores men’s perceptions of their partners’ postpartum psychiatric disorders and their experiences of acute mental health care.

Methods Interviews were conducted with 13 men who had experienced postpartum psychiatric disorders of their partners. Data were analysed using grounded theory methodology.

Results Fathers were affected by their partners’ postpartum psychiatric disorder and inpatient treatment. The core category found is the experience of strangeness. The men were faced with a changed partner, an unknown disorder and a confusing mental health care system.

Conclusion Fathers wanted to support their partners but felt rarely noticed by mental health care providers. Increased awareness of fathers’ needs, such as being informed and involved in their partner’s care planning, is recommended to promote the whole family system.

Schlüsselwörter

Partner - Väter - postpartal - psychisch erkrankte Mütter

Keywords

partner - father - postpartal - mentally ill mothers
 

  • Literatur

  • 1 Schücking BA. Kinderkriegen und Selbstbestimmung. In: Schücking BA. Hrsg. Selbstbestimmung der Frau in Gynäkologie und Geburtshilfe. Göttingen: V & R Verlag; 2003: 21-35
    Google Scholar
  • 2 Dolman C, Jones I, Howard LM. Pre-conception to parenting: a systematic review and meta-synthesis of the qualitative literature on motherhood for women with severe mental illness. Arch Womens Ment Health 2013; 16: 173-196
    CrossrefPubMedGoogle Scholar
  • 3 Riecher-Rössler A. Psychische Störungen und Erkrankungen nach der Entbindung. Fortschr Neurol Psychiatr 1997; 65: 97-107
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Reck C, Struben K, Backenstrass M. et al. Prevalence, onset and comorbidity of postpartum anxiety and depressive disorders. Acta Psychiatr Scand 2008; 118: 459-468
    CrossrefPubMedGoogle Scholar
  • 5 Brockington I. Postpartum psychiatric disorders. Lancet 2004; 363: 303-310
    CrossrefPubMedGoogle Scholar
  • 6 Zelkowitz P, Milet TH. The course of postpartum psychiatric disorders in women and their partners. J Nerv Ment Dis 2001; 189: 575-582
    CrossrefPubMedGoogle Scholar
  • 7 O’Hara MW, McCabe JE. Postpartum depression: current status and future directions. Annu Rev Clin Psychol 2013; 9: 379-407
    CrossrefPubMedGoogle Scholar
  • 8 Achtergarde S, Müller JM, Postert C. et al. Der Zusammenhang von Bindungsmustern und der Entwicklung von Angstsymptomen im Kindes- und Jugendalter. Prax Kinderpsychol Kinderpsychiatr 2015; 64: 496-526
    PubMedGoogle Scholar
  • 9 Grube M. Inpatient treatment of women with postpartum psychiatric disorders – the role of the male partners. Arch Womens Ment Health 2005; 8: 163-170
    CrossrefPubMedGoogle Scholar
  • 10 Paulson JF, Bazemore SD. Prenatal and postpartum depression in fathers and its association with maternal depression: a meta-analysis. JAMA 2010; 303: 1961-1969
    CrossrefPubMedGoogle Scholar
  • 11 Ramchandani PG, Psychogiou L, Vlachos H. et al. Paternal depression: an examination of its links with father, child and family functioning in the postnatal period. Depress Anxiety 2011; 28: 471-477
    CrossrefPubMedGoogle Scholar
  • 12 Engqvist I, Nilsson K. Men’s experience of their partners’ postpartum psychiatric disorders: narratives from the internet. Ment Health Fam Med 2011; 8: 137-146
    PubMedGoogle Scholar
  • 13 Engqvist I, Nilsson K. Experiences of the first days of postpartum psychosis: an interview study with women and next of kin in Sweden. Issues Ment Health Nurs 2013; 34: 82-89
    CrossrefPubMedGoogle Scholar
  • 14 Davey SJ, Dziurawiec S, O’Brien-Malone A. Men’s voices: postnatal depression from the perspective of male partners. Qual Health Res 2006; 16: 206-220
    CrossrefPubMedGoogle Scholar
  • 15 Meighan M, Davis MW, Thomas SP. et al. Living with postpartum depression: the father’s experience. MCN Am J Matern Child Nurs 1999; 24: 202-208
    CrossrefPubMedGoogle Scholar
  • 16 Beestin L, Hugh-Jones S, Gough B. The impact of maternal postnatal depression on men and their ways of fathering: an interpretative phenomenological analysis. Psychology & health 2014; 29: 717-735
    CrossrefPubMedGoogle Scholar
  • 17 Marrs J, Cossar J, Wroblewska A. Keeping the family together and bonding: a father’s role in a perinatal mental health unit. J Reprod Infant Psychol 2014; 32: 340-354
    CrossrefPubMedGoogle Scholar
  • 18 Letourneau N, Duffett-Leger L, Dennis C. et al. Identifying the support needs of fathers affected by post-partum depression: a pilot study. J Psychiatr Ment Health Nurs 2011; 18: 41-47
    CrossrefPubMedGoogle Scholar
  • 19 Strauss A, Corbin J. Grounded Theory: Grundlagen Qualitativer Sozialforschung. Weinheim: PsychologieVerlagsUnion Beltz; 1996
    Google Scholar
  • 20 Rosenthal G. Erlebte und erzählte Lebensgeschichte: Gestalt und Struktur biographischer Selbstbeschreibungen. Frankfurt am Main/New York: Campus; 1995
    Google Scholar
  • 21 Witzel A. Verfahren der qualitativen Sozialforschung: Überblick und Alternativen. Frankfurt am Main/New York: Campus; 1982
    Google Scholar
  • 22 VERBI Software GmbH. MAXQDA. Berlin: 2015
    Google Scholar
  • 23 Steinke I. Gütekriterien qualitativer Forschung. In: Flick U, von Kardoff E, Steinke I. Hrsg. Qualitative Forschung – Ein Handbuch. 6. Aufl. Reinbek: Rowohlt; 2008: 319-331
    Google Scholar
  • 24 Karp DA, Tanarugsachock V. Mental illness, caregiving, and emotional management. Qual Health Res 2014; 10: 6-25
    PubMedGoogle Scholar
  • 25 Lovestone S, Kumar R. Postnatal psychiatric illness: the impact on partners. Br J Psychiatry 1993; 163: 210-216
    CrossrefPubMedGoogle Scholar
  • 26 Gawlik S, Müller M, Hoffmann L. et al. Prevalence of paternal perinatal depressiveness and its link to partnership satisfaction and birth concerns. Arch Womens Ment Health 2014; 17: 49-56
    CrossrefPubMedGoogle Scholar
  • 27 Jorm AF. Mental health literacy: empowering the community to take action for better mental health. Am Psychol 2012; 67: 231-243
    CrossrefPubMedGoogle Scholar
  • 28 Lambert M, Härter M, Arnold D. et al. Verbesserung von Aufklärung, Wissen und Stigmatisierung psychischer Erkrankungen in der Hamburger Bevölkerung. Psychiat Prax 2015; 42 (Suppl. 01) S9-S13
    Article in Thieme ConnectPubMedGoogle Scholar
  • 29 Johanson R, Chapman G, Murray D. et al. The North Staffordshire Maternity Hospital prospective study of pregnancy-associated depression. J Psychosom Obstet Gynaecol 2000; 21: 93-97
    CrossrefPubMedGoogle Scholar
  • 30 Chew-Graham CA, Sharp D, Chamberlain E. et al. Disclosure of symptoms of postnatal depression, the perspectives of health professionals and women: a qualitative study. BMC Fam Pract 2009; 10: 7
    CrossrefPubMedGoogle Scholar
  • 31 Knüppel Lauener S, Schnepp W, Imhof L. Screening für Postnatale Depression in der ambulanten Versorgung. Pflegewissenschaft 2000; 16: 676-684
    PubMedGoogle Scholar
  • 32 Friedrich F, Unger A, Fellinger M. et al. Der erste Kontakt mit einer psychiatrischen Einrichtung: Was brauchen die Angehörigen Schizophreniekranker?. Psychiat Prax 2014; 41: 445-451
    Article in Thieme ConnectPubMedGoogle Scholar
  • 33 Jungbauer J, Wittmund B, Angermeyer MC. Der behandelnde Arzt aus Sicht der Angehörigen: Bewältigungsressource oder zusätzliche Belastung?. Psychiat Prax 2002; 29: 279-284
    Article in Thieme ConnectPubMedGoogle Scholar