Dealing with it: Black Caribbean women's response to adversity and psychological distress associated with pregnancy, childbirth, and early motherhood

Dawn Edge, Anne Rogers

    Research output: Contribution to journalArticlepeer-review

    Abstract

    This paper focuses on Black Caribbean women's ideas about perinatal depression and the ways in which these are linked to coping with personal adversity. An epidemiological survey found that despite higher levels of social risk among Black Caribbean women living in the UK, they were no more likely than White British women to record above-threshold depression scores postnatally and were significantly less likely to have done so during pregnancy. In-depth interviews were undertaken to illuminate the models, experiences, and meaning of perinatal depression held by Black Caribbean women. Women's narratives suggested that they rejected 'postnatal depression' as a central construct for understanding responses to psychological distress associated childbirth and early motherhood. Rejection of depression as illness was associated with imperatives to normalise distress and a self-concept which stressed the importance of being 'Strong-Black-Women' for maintaining psychological well-being. This identity served to reinforce notions of resilience, empowerment, and coping strategies characterised by the need to problem-solve practically, assertively, and materially. The study questions the utility of attaching psychiatric labels to the emotional and psychological distress experienced by Black Caribbean women around the perinatal period. © 2004 Elsevier Ltd. All rights reserved.
    Original languageEnglish
    Pages (from-to)15-25
    Number of pages10
    JournalSocial Science and Medicine
    Volume61
    Issue number1
    DOIs
    Publication statusPublished - Jul 2005

    Keywords

    • Black Caribbean women
    • Help-seeking
    • Perinatal depression

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