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

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
• 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
• 3 Riecher-Rössler A. Psychische Störungen und Erkrankungen nach der Entbindung. Fortschr Neurol Psychiatr 1997; 65: 97-107
• 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
• 5 Brockington I. Postpartum psychiatric disorders. Lancet 2004; 363: 303-310
• 6 Zelkowitz P, Milet TH. The course of postpartum psychiatric disorders in women and their partners. J Nerv Ment Dis 2001; 189: 575-582
• 7 O’Hara MW, McCabe JE. Postpartum depression: current status and future directions. Annu Rev Clin Psychol 2013; 9: 379-407
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 19 Strauss A, Corbin J. Grounded Theory: Grundlagen Qualitativer Sozialforschung. Weinheim: PsychologieVerlagsUnion Beltz; 1996
• 20 Rosenthal G. Erlebte und erzählte Lebensgeschichte: Gestalt und Struktur biographischer Selbstbeschreibungen. Frankfurt am Main/New York: Campus; 1995
• 21 Witzel A. Verfahren der qualitativen Sozialforschung: Überblick und Alternativen. Frankfurt am Main/New York: Campus; 1982
• 22 VERBI Software GmbH. MAXQDA. Berlin: 2015
• 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
• 24 Karp DA, Tanarugsachock V. Mental illness, caregiving, and emotional management. Qual Health Res 2014; 10: 6-25
• 25 Lovestone S, Kumar R. Postnatal psychiatric illness: the impact on partners. Br J Psychiatry 1993; 163: 210-216
• 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
• 27 Jorm AF. Mental health literacy: empowering the community to take action for better mental health. Am Psychol 2012; 67: 231-243
• 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
• 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
• 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
• 31 Knüppel Lauener S, Schnepp W, Imhof L. Screening für Postnatale Depression in der ambulanten Versorgung. Pflegewissenschaft 2000; 16: 676-684
• 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
• 33 Jungbauer J, Wittmund B, Angermeyer MC. Der behandelnde Arzt aus Sicht der Angehörigen: Bewältigungsressource oder zusätzliche Belastung?. Psychiat Prax 2002; 29: 279-284