{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:04:28Z","timestamp":1786122268703,"version":"build-2736575974"},"reference-count":46,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Postpartum mental health research has traditionally focused on depression, though anxiety is gaining attention. Alarmingly, nearly half of the affected women do not seek help, leaving conditions frequently unrecognised and untreated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study explores barriers to professional psychological help\u2010seeking among postpartum women in Latvia with postpartum depression (PPD), generalised anxiety disorder (GAD), or both.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Using the qualitative comparison groups design and thematic analysis, seventeen semi\u2010structured interviews were conducted, with four participants diagnosed with PPD, six with GAD, and seven with both PPD and GAD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overarching domains of help\u2010seeking barriers were: (1) Individual barriers (hesitation and internal rationalisations, lack of awareness and information about symptoms, stigmatisation and emotional barriers); (2) Family barriers (difficulties arranging childcare); and (3) Systemic and socioeconomic barriers (financial constraints, accessibility and systemic issues, lack of information). Specifically, women with PPD reported emotional unawareness and guilt; those with GAD feared burdening others. Comorbid cases emphasised logistical and access barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications and Recommendations<\/jats:title>\n                    <jats:p>Help\u2010seeking behaviour in the postpartum period is influenced by individual, family, and structural factors. To improve access to psychological care, it is essential to foster maternal mental health literacy, normalise help\u2010seeking through public discourse, and ensure health systems proactively support and inform parents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpm.70190","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T11:56:27Z","timestamp":1785758187000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Barriers to Psychological Help\u2010Seeking in Postpartum Women With Depression, Anxiety, or Comorbid Conditions: A Qualitative Exploration"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2186-2115","authenticated-orcid":false,"given":"El\u012bna","family":"Zel\u010d\u0101ne","sequence":"first","affiliation":[{"name":"Department of Health Psychology and Paedagogy R\u012bga Stradi\u0146\u0161 University  Riga Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4145-8440","authenticated-orcid":false,"given":"Krist\u012bne","family":"M\u0101rtinsone","sequence":"additional","affiliation":[{"name":"Department of Health Psychology and Paedagogy R\u012bga Stradi\u0146\u0161 University  Riga Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2238-7026","authenticated-orcid":false,"given":"Anita","family":"Pipere","sequence":"additional","affiliation":[{"name":"Department of Health Psychology and Paedagogy R\u012bga Stradi\u0146\u0161 University  Riga Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3510-6035","authenticated-orcid":false,"given":"Krist\u012bne","family":"Vende","sequence":"additional","affiliation":[{"name":"Department of Health Psychology and Paedagogy R\u012bga Stradi\u0146\u0161 University  Riga Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2986-2242","authenticated-orcid":false,"given":"Ance","family":"Mestere","sequence":"additional","affiliation":[{"name":"Department of Health Psychology and Paedagogy R\u012bga Stradi\u0146\u0161 University  Riga Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8329-7887","authenticated-orcid":false,"given":"Elm\u0101rs","family":"Ranc\u0101ns","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Narcology R\u012bga Stradi\u0146\u0161 University  Riga Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/HSC.12693"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_12_4_1","first-page":"110","volume-title":"Social Theory Re\u2010Wired","author":"Berger P.","year":"2016"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17113887"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14740"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/rfc2.17"},{"key":"e_1_2_12_9_1","first-page":"1","volume-title":"Perinatal Depression","author":"Carlson K.","year":"2025"},{"key":"e_1_2_12_10_1","unstructured":"CASP.2025. \u201cCASP Checklist: CASP Qualitative Studies Checklist.\u201dhttps:\/\/casp\u2010uk.net\/casp\u2010tools\u2010checklists\/qualitative\u2010studies\u2010checklist\/."},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1529100614531398"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010022\u201004865\u2010y"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/J.1523\u2010536X.2006.00130.X"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11126\u2010015\u20109367\u20101"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597\u2010017\u20100138\u20103"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.42107"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JOGN.2018.09.006"},{"key":"e_1_2_12_18_1","first-page":"105","volume-title":"Handbook of Qualitative Research","author":"Guba E. 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