In this study, domestic violence (DV) in five African refugee background communities post-settlement in Perth, Australia, is investigated—specifically, the interrelationship between experiences of DV, and changed and changing gender and family roles and responsibilities. The participatory qualitative design utilized in-depth interviews with 54 members of the Somalian, Sierra Leonean, Ethiopian, Liberian and Sudanese Communities, and focus groups with 24 professionals who support them. Three key dimensions of this interrelationship are discussed: “male loss of the breadwinner role and status,” “financial independence,” and “mismatch between formal response and expectations.” The importance of understanding experiences of DV within the context of cultural transition is highlighted here.
Background: Breast cancer is the most commonly diagnosed cancer among women in Western Australia, with negative psychological impacts exacerbated for younger women. Many women survive 5 years following diagnosis, suggesting more young women and their families will be living with its ongoing effects for longer periods. Diagnosis and treatment impact a woman’s identity as a mother, but limited research exists from the women’s perspective. Objective: The aim of the study was to explore the impact of breast cancer on the identities of young women as “mothers.” Methods: A qualitative research design using conversational in-depth interviews and guided by a social constructivist paradigm was used. In-depth interviews were undertaken with 8 young women who were living with breast cancer and had dependent children. Interviews were audiotaped, transcribed, and analyzed. Results: Biographical disruption as described by Bury provided the analytical framework for interpretation of data. Four themes, “diagnosis and disruption,” “maintaining normality,” “continuing the mothering role,” and “experiencing survivorship,” reflect women’s experiences of identity reconstruction in the context of living with breast cancer. Conclusions: A breast cancer diagnosis precipitates complex changes in a woman’s identity as a mother. A woman’s postdiagnosis identity invariably integrates a changed prediagnosis identity and that of “breast cancer patient” and “survivor.” The relationship between the 3 is dynamic and in constant tension. Implications for Practice: Routine practice should include acknowledgement that an identity as mother exists alongside “patient.” Questions to women about children and any concerns and issues they may have should also be routine.
21 November 2007 in Journal of Reproductive and Infant Psychology
In developing countries, postnatal depression (PND) is estimated to affect a high proportion of women following childbirth. There are no reliable estimates for the magnitude of the problem in Bangladesh, a country of 140 million people. The lack of a validated Bangla version of screening scale such as the Edinburgh Postnatal Depression Scale (EPDS) has hindered attempts to quantify and address the problem in the country. This study was carried out among Bangladeshi women to validate the Bangla version of the EPDS with the help of a multi‐disciplinary research consultative group. A research assistant administered the Bangla EPDS to a convenience sample of 100 mothers at 6–8 weeks postpartum attending an urban childhood immunization clinic. A psychiatrist examined all women using the Structured Clinical Interview (SCID) for DSM‐IV diagnosis of depression. Nine (9%) women were found to have depression. Internal consistency was tested using Cronbach's alpha coefficient (0.84). The optimal Receiver Operating Characteristic (ROC) cut‐off score of Bangla EPDS was 10 with a sensitivity of 89%, specificity of 87 %, positive predictive value of 40%, and negative predictive value of 99%. The Bangla EPDS is thus a valid and reliable screening scale for identifying PND in Bangladesh.
In developed countries, perinatal death is known to cause major emotional and social effects on mothers. However, little is known about these effects in low income countries which bear the brunt of perinatal mortality burden. This paper reports the impact of perinatal death on psychological status and social consequences among mothers in a rural area of Bangladesh.