First-generation Nigerian mothers living in the UK and their experience of postnatal depression: an interpretative phenomenological analysis

Objective: Previous studies emphasise the negative psychological and physical consequences of Postnatal Depression (PND) on mothers and children’s health. In the UK, around 10-20% of women can be affected by perinatal mental health problems. Minority ethnic groups such as Black African mothers are...

Full description

Bibliographic Details
Main Authors: Ling, Lydia Success, Eraso, Yolanda, Di Mascio, Verity
Format: Article
Language:English
Published: Taylor & Francis 2023
Subjects:
Online Access:https://repository.londonmet.ac.uk/7897/1/Manuscript%20Final%20copy%20Ling%20Eraso%20Di%20Mascio.pdf
_version_ 1825625738764615680
author Ling, Lydia Success
Eraso, Yolanda
Di Mascio, Verity
author_facet Ling, Lydia Success
Eraso, Yolanda
Di Mascio, Verity
author_sort Ling, Lydia Success
collection LMU
description Objective: Previous studies emphasise the negative psychological and physical consequences of Postnatal Depression (PND) on mothers and children’s health. In the UK, around 10-20% of women can be affected by perinatal mental health problems. Minority ethnic groups such as Black African mothers are considered to be at greater risk of developing PND and data estimates that immigrant mothers are twice more likely to develop PND than native mothers. The unique experiences and needs of this culturally diverse group remain little explored in the UK. To address this gap in the literature, this study aimed to explore the lived experiences of First-Generation Nigerian Mothers (FGNMs) who suffered PND, their coping behaviours and treatment experiences in the UK. Design: Six FGNMs with a previous diagnosis of PND and treatment experiences were purposefully recruited from GP practices and social groups attended by Nigerian mothers in the UK. Semi-structured interviews were analysed using Interpretative Phenomenological Analysis. Results: Three master and seven subordinate themes were identified: (i) Socio-cultural factors (Inter-generational transmission; cultural perceptions: shame and stigma; transitions: adjusting to a new culture); (ii) What about me? The neglected nurturer (experiences of treatment; pretending to be OK); and (iii) Loneliness and coping (lack of support from partner; self-reliance). Conclusions: The study provides evidence about the difficulties encountered by FGNMs in relation to PND, including socio-cultural factors, neglect from family and healthcare professionals, and self-reliance as a coping strategy. Contrary to reports suggesting that Black ethnic groups do not seek help for their mental health needs, participants’ accounts indicated that their attempts to engage with professionals were met with unsatisfactory responses. The findings of this study highlight the need to address barriers affecting access to services by fostering a patient-centred and culturally sensitive approach in healthcare teams to effectively engage mothers at an early stage in the detection pathway.
first_indexed 2024-07-09T04:05:27Z
format Article
id oai:repository.londonmet.ac.uk:7897
institution London Metropolitan University
language English
last_indexed 2024-07-09T04:05:27Z
publishDate 2023
publisher Taylor & Francis
record_format eprints
spelling oai:repository.londonmet.ac.uk:78972023-10-01T01:58:09Z https://repository.londonmet.ac.uk/7897/ First-generation Nigerian mothers living in the UK and their experience of postnatal depression: an interpretative phenomenological analysis Ling, Lydia Success Eraso, Yolanda Di Mascio, Verity 360 Social problems & services; associations 610 Medicine & health Objective: Previous studies emphasise the negative psychological and physical consequences of Postnatal Depression (PND) on mothers and children’s health. In the UK, around 10-20% of women can be affected by perinatal mental health problems. Minority ethnic groups such as Black African mothers are considered to be at greater risk of developing PND and data estimates that immigrant mothers are twice more likely to develop PND than native mothers. The unique experiences and needs of this culturally diverse group remain little explored in the UK. To address this gap in the literature, this study aimed to explore the lived experiences of First-Generation Nigerian Mothers (FGNMs) who suffered PND, their coping behaviours and treatment experiences in the UK. Design: Six FGNMs with a previous diagnosis of PND and treatment experiences were purposefully recruited from GP practices and social groups attended by Nigerian mothers in the UK. Semi-structured interviews were analysed using Interpretative Phenomenological Analysis. Results: Three master and seven subordinate themes were identified: (i) Socio-cultural factors (Inter-generational transmission; cultural perceptions: shame and stigma; transitions: adjusting to a new culture); (ii) What about me? The neglected nurturer (experiences of treatment; pretending to be OK); and (iii) Loneliness and coping (lack of support from partner; self-reliance). Conclusions: The study provides evidence about the difficulties encountered by FGNMs in relation to PND, including socio-cultural factors, neglect from family and healthcare professionals, and self-reliance as a coping strategy. Contrary to reports suggesting that Black ethnic groups do not seek help for their mental health needs, participants’ accounts indicated that their attempts to engage with professionals were met with unsatisfactory responses. The findings of this study highlight the need to address barriers affecting access to services by fostering a patient-centred and culturally sensitive approach in healthcare teams to effectively engage mothers at an early stage in the detection pathway. Taylor & Francis 2023 Article PeerReviewed text en cc_by_nc_4 https://repository.londonmet.ac.uk/7897/1/Manuscript%20Final%20copy%20Ling%20Eraso%20Di%20Mascio.pdf Ling, Lydia Success, Eraso, Yolanda and Di Mascio, Verity (2023) First-generation Nigerian mothers living in the UK and their experience of postnatal depression: an interpretative phenomenological analysis. Ethnicity & Health, 28 (5). pp. 738-756. ISSN 1355-7858 https://doi.org/10.1080/13557858.2022.2128069 10.1080/13557858.2022.2128069 10.1080/13557858.2022.2128069
spellingShingle 360 Social problems & services; associations
610 Medicine & health
Ling, Lydia Success
Eraso, Yolanda
Di Mascio, Verity
First-generation Nigerian mothers living in the UK and their experience of postnatal depression: an interpretative phenomenological analysis
title First-generation Nigerian mothers living in the UK and their experience of postnatal depression: an interpretative phenomenological analysis
title_full First-generation Nigerian mothers living in the UK and their experience of postnatal depression: an interpretative phenomenological analysis
title_fullStr First-generation Nigerian mothers living in the UK and their experience of postnatal depression: an interpretative phenomenological analysis
title_full_unstemmed First-generation Nigerian mothers living in the UK and their experience of postnatal depression: an interpretative phenomenological analysis
title_short First-generation Nigerian mothers living in the UK and their experience of postnatal depression: an interpretative phenomenological analysis
title_sort first generation nigerian mothers living in the uk and their experience of postnatal depression an interpretative phenomenological analysis
topic 360 Social problems & services; associations
610 Medicine & health
url https://repository.londonmet.ac.uk/7897/1/Manuscript%20Final%20copy%20Ling%20Eraso%20Di%20Mascio.pdf
work_keys_str_mv AT linglydiasuccess firstgenerationnigerianmotherslivingintheukandtheirexperienceofpostnataldepressionaninterpretativephenomenologicalanalysis
AT erasoyolanda firstgenerationnigerianmotherslivingintheukandtheirexperienceofpostnataldepressionaninterpretativephenomenologicalanalysis
AT dimascioverity firstgenerationnigerianmotherslivingintheukandtheirexperienceofpostnataldepressionaninterpretativephenomenologicalanalysis