A systematic review of qualitative evidence: Perspectives of fathers whose partner experienced postpartum psychosis
Theresa Lyons, Therese Hennesey, Maria Noonan- General Nursing
Abstract
Aims
This study aimed to systematically identify, appraise and synthesize qualitative evidence which explored fathers' experiences and perspectives of their partners' postpartum psychosis.
Design
Qualitative evidence synthesis (QES).
Data Sources
Seven databases (CINAHL, PsycINFO, Medline, Scopus, Google Scholar, ProQuest Dissertations and Open Grey) were systematically searched for qualitative studies from each database's inception to the 17th of February 2022.
Review Methods
Studies that utilized a qualitative research design to explore fathers' experiences and perspectives of their partners' postpartum psychosis were included. Studies were appraised using the Critical Appraisal Skills Programme to determine their methodological quality. Qualitative data were extracted and synthesized using the process of thematic synthesis to form analytical themes.
Results
Eleven reports (seven journal articles and four theses), representing six unique qualitative studies were included in the review. Two analytical themes and eight subthemes were identified. The analytical themes were ‘a sense of loss across multiple domains of their lives’, and ‘informational and emotional support needs’.
Conclusion
Postpartum psychosis is a severe mental health condition which also impacts the woman's partner. Fathers experienced an array of emotions which they attributed to a lack of knowledge and understanding of postpartum psychosis. The development of appropriate support structures is needed to better support fathers in supporting their partners.
Reporting Method
This review adhered to Preferred Reporting Items for Systematic Reviews and Meta‐Analysis statement and ENTREQ reporting guidelines.
Patient or Public Contribution
There was no patient or public contribution.
Impact
What Problem did this Study Address?
Fathers play a pivotal role in supporting their partner who has postpartum psychosis, and a supportive father has a positive impact on the mental health of the mother. Several qualitative studies have explored fathers' experiences of their partners' psychosis. This QES integrated findings from these studies to gain a deeper understanding and knowledge of the father's experience.
What are the Main Findings?
Fathers reported a significant sense of loss across multiple domains of their lives, from a perceived loss of their relationship with their partner to a loss of the future they had planned together. Fathers experienced an array of emotions, such as fear and shock which they attributed to their lack of knowledge and awareness of postpartum psychosis.