Women's decision-making regarding medication use in pregnancy for anxiety and/or depression

Aim To increase understanding of women's decision‐making process concerning the medication use for anxiety and/or depression while pregnant. Background Anxiety and depression affects many pregnant women, yet the decision to take psychotropic medication is complex and possibly subject to social...

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Bibliographic Details
Published in:Journal of advanced nursing 2013-11, Vol.69 (11), p.2470-2480
Main Authors: Stepanuk, Kathleen M., Fisher, Kathleen M., Wittmann-Price, Ruth, Posmontier, Bobbie, Bhattacharya, Anand
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anxiety
Anxiety Disorders - drug therapy
Cross-Sectional Studies
Decision Making
depression
Depressive Disorder - drug therapy
emancipated decision-making
Female
Health Knowledge, Attitudes, Practice
Humans
medication use
Mental depression
Middle Aged
nurses
Nursing
Patient Satisfaction
Pregnancy
Pregnancy Complications - psychology
Psychotropic drugs
Psychotropic Drugs - administration & dosage
Regression analysis
satisfaction
Surveys and Questionnaires
Women
Young Adult
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Summary:Aim To increase understanding of women's decision‐making process concerning the medication use for anxiety and/or depression while pregnant. Background Anxiety and depression affects many pregnant women, yet the decision to take psychotropic medication is complex and possibly subject to social oppression. Design Cross‐sectional descriptive survey design. Methods A web‐based survey was used to collect data from a convenience sample of 143 pregnant women over 3 months beginning in early 2011. An independent t‐test was conducted to determine differences in satisfaction between women with high and low levels of emancipated decision‐making (EDM). A multiple regression analysis was conducted to determine which subscales of the emancipation scale best predict level of satisfaction with the decision. Findings The majority of respondents were White, between 25–34 years of age. The group with lower levels of emancipation reported lower mean satisfaction scores compared with those with higher levels of emancipation. Regression analysis showed that the three subscale emancipation model was a statistically significant predictor of satisfaction with the decision and accounted for 54% of the variance in satisfaction. The subconcept of personal knowledge was most predictive of satisfaction with decision. Conclusions Women may be able to overcome oppressive forces by using an EDM process. EDM allows them to make a decision that feels right for them and to feel satisfied with the decision.
ISSN:0309-2402
1365-2648
DOI:10.1111/jan.12122