22 Volume 1 • Issue 1 • 1000106 Madridge J Womens Health Emancipation.
ISSN: 2638-1575
Madridge
Journal of Women’s Health and Emancipation
Research Article Open Access
Perceptions of Perinatal Anxiety, Depression, and
Mental Health treatment in a Low-Income, Latina
Population
Jamie Lim Lacsina
1
*, Vivian Tang
1
, Kate Wolitzky-Taylor
2
, Doerthe Brueggmann
3
, Jenny Jaque
3
and Emily C Dossett
1
1
Department of Psychiatry, University of Southern California, USA
2
Department of Psychiatry and Biobehavioral Sciences, Semel Institute, University of California, Los Angeles, USA
3
Department of Obstetrics and Gynecology, University of Southern California, USA
Article Info
*Corresponding author:
Jamie Lim Lacsina
Department of Psychiatry
University of Southern California
2250 Alcazar St. #2200
Los Angeles, CA 90033
USA
Tel: 323-226-5555
E-mail: jllacsina@gmail.com
Received: September 1, 2017
Accepted: September 18, 2017
Published: September 22, 2017
Citation: Lacsina JL, Tang VK, Wolitzky-Taylor
K, Brueggmann D, Jaque J, Dossett EC.
Perceptions of Perinatal Anxiety, Depression,
and Mental Health treatment in a Low-Income,
Latina Population. Madridge J Womens Health
Emancipation. 2017; 1(1): 22-28.
doi: 10.18689/mjwh-1000106
Copyright: © 2017 The Author(s). This work
is licensed under a Creative Commons
Attribution 4.0 International License, which
permits unrestricted use, distribution, and
reproduction in any medium, provided the
original work is properly cited.
Published by Madridge Publishers
Abstract
This study examined the perceptions of Latina women regarding perinatal mental
health and its treatment. Ninety-five women completed a 60-item Perinatal Mental
Health Questionnaire (PMHQ). Responses to items were compared between women
who completed the questionnaire in English versus Spanish. In regards to the effects of
anxiety or depression on the fetus or breastfeeding infant, both English and Spanish
participants expressed concern over potential high levels of harm. Despite this, both
groups viewed psychotropic medication during the perinatal period to be unsafe. There
was a significant difference when it came to therapy (p<0.001), with those completing
Spanish questionnaires finding therapy during pregnancy to be less acceptable. A clear
gap existed between the perceived high risks of untreated perinatal depression or
anxiety and the low acceptability of mental health services. Understanding these results
may lead to increased treatment rates and improve long-term health outcomes for both
Latina mothers and their infants.
Keywords: Perinatal anxiety; Depression; Latina; Low income; Postpartum depression.
Introduction
Perinatal depression and anxiety disorders are associated with adverse long-term
health effects for both mothers and infants [19, 30]. As a result, improving mental health
interventions during this critical time period may have important consequences for
women and their children. A systematic review of studies predominantly performed in
high-income countries estimated the prevalence of major depressive disorder to be
between 3.1% and 4.9% during pregnancy and 4.7% in the first three months post-
partum. When minor depression was included, prevalence was estimated to be up to
11% in pregnancy and 13% in the first three months post-partum [13]. In terms of
anxiety, a study done in the U.S. found a prevalence of 13% of anxiety disorder in
pregnant women or post-partum women in the past year [35]. In addition, up to one-
third of women experiencing postpartum depression also meet criteria for postpartum
anxiety disorder, suggesting significant comorbidity rates [28]. According to a 2010 U.S.
Census report, more than half of the growth in the total population of the United States
between 2000 and 2010 was due to the increase in the Latino population [9]. Although
research has been limited, studies of perinatal Latinas have reported prevalence of high
depressive symptoms to be between 15-31% [6, 17].
ISSN: 2638-1575