{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T02:36:05Z","timestamp":1788489365418,"version":"build-2803163510"},"reference-count":31,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,9]],"date-time":"2023-02-09T00:00:00Z","timestamp":1675900800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001826","name":"Netherlands Organisation for Health Research and Development","doi-asserted-by":"publisher","award":["554002007"],"award-info":[{"award-number":["554002007"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>High rates of unintended pregnancies in patients with mental health problems reflect the unmet need for tailored family planning. This study aims to explore aspects of family planning that are especially challenging for patients experiencing health problems by obtaining the perspective of (former) patients and those with close relationships with the (former) patients. In August 2021, members of a Dutch national mental health panel, consisting of (former) patients and close ones, were invited to respond to a 34-question online survey that included questions on four domains: reproductive history, decision making, parenting, and sexuality. This study has revealed the severe and adverse impact of mental health problems across all of the four domains of reproductive health and family planning, which the questions specifically targeted. Based on these results, we recommend discussing family planning with all patients experiencing or at risk for mental health problems and their partners. These discussions should address a desire to have children, (involuntary) childlessness, uncertainties about parenting and sexuality, while remaining considerate of experienced taboos.<\/jats:p>","DOI":"10.3390\/ijerph20043070","type":"journal-article","created":{"date-parts":[[2023,2,10]],"date-time":"2023-02-10T02:33:27Z","timestamp":1675996407000},"page":"3070","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Experiences with Family Planning amongst Persons with Mental Health Problems: A Nationwide Patient Survey"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5698-4289","authenticated-orcid":false,"given":"Noralie N.","family":"Schonewille","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Medical Psychology, OLVG, Oosterpark 9, 1091 AC Amsterdam, The Netherlands"},{"name":"Department of Psychiatry, Amsterdam UMC, Vrije Universiteit Amsterdam, Boelelaan 1117, 1081 HV Amsterdam, The Netherlands"},{"name":"Amsterdam Public Health, Mental Health Program, Amsterdam UMC, Vrije Universiteit Amsterdam, Boelelaan 1117, 1081 HV Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique J. M.","family":"van den Eijnden","sequence":"additional","affiliation":[{"name":"Team Knowledge, Innovation and Research, MIND, Stationsplein 125, 3818 LE Amersfoort, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nini H.","family":"Jonkman","sequence":"additional","affiliation":[{"name":"Department of Research and Epidemiology, OLVG, Oosterpark 9, 1091 AC Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne A. M. W.","family":"van Kempen","sequence":"additional","affiliation":[{"name":"Department of Neonatology and Pediatrics, OLVG, Oosterpark 9, 1091 AC Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria G.","family":"van Pampus","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, OLVG, Oosterpark 9, 1091 AC Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisca G.","family":"Goedhart","sequence":"additional","affiliation":[{"name":"Team Knowledge, Innovation and Research, MIND, Stationsplein 125, 3818 LE Amersfoort, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Odile A.","family":"van den Heuvel","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Amsterdam UMC, Vrije Universiteit Amsterdam, Boelelaan 1117, 1081 HV Amsterdam, The Netherlands"},{"name":"Department of Anatomy & Neuroscience, Amsterdam UMC, Vrije Universiteit Amsterdam, Boelelaan 1117, 1081 HV Amsterdam, The Netherlands"},{"name":"Amsterdam Neuroscience, Compulsivity, Impulsivity & Attention Program, 1081 HV Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birit F. 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Child Health J."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e160","DOI":"10.1017\/S2045796020000736","article-title":"Mental health impact on the unmet need for family planning and fertility rate in rural Ethiopia: A population-based cohort study","volume":"29","author":"Catalao","year":"2020","journal-title":"Epidemiol. Psychiatr. Sci."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1080\/0167482X.2020.1725463","article-title":"Professional counseling in women with serious mental illness: Achieving a shift toward a more effective contraceptive method","volume":"42","author":"Lozano","year":"2021","journal-title":"J. Psychosom. Obstet. Gynecol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1097\/01.pra.0000400263.52913.dc","article-title":"Prescribing contraceptives for women with schizophrenia","volume":"17","author":"Seeman","year":"2011","journal-title":"J. Psychiatr. Pract."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1016\/j.contraception.2015.01.013","article-title":"Contraceptive adherence among women Veterans with mental illness and substance use disorder","volume":"91","author":"Callegari","year":"2015","journal-title":"Contraception"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/AOG.0b013e3181f7efdc","article-title":"Unplanned pregnancy in women with anorexia nervosa","volume":"116","author":"Bulik","year":"2010","journal-title":"Obstet. Gynecol."},{"key":"ref_8","first-page":"502697","article-title":"The Effects of Antipsychotics on Prolactin Levels and Women's Menstruation","volume":"2013","author":"Bargiota","year":"2013","journal-title":"Schizophr. Res. Treat."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Schonewille, N.N., Rijkers, N., Berenschot, A., Lijmer, J.G., van den Heuvel, O.A., and Broekman, B.F.P. (2022). Psychiatric vulnerability and the risk for unintended pregnancies, a systematic review and meta-analysis. BMC Pregnancy Childbirth, 22.","DOI":"10.1186\/s12884-022-04452-1"},{"key":"ref_10","first-page":"1745506518762664","article-title":"Women\u2019s sexual dysfunction associated with psychiatric disorders and their treatment","volume":"14","author":"Basson","year":"2018","journal-title":"Womens Health"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1177\/1078390317711251","article-title":"Thoughts and Considerations of Women With Bipolar Disorder About Family Planning and Pregnancy: A Qualitative Study","volume":"24","author":"Stevens","year":"2018","journal-title":"J. Am. Psychiatr. Nurses Assoc."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e18","DOI":"10.2196\/mental.5611","article-title":"A Thematic Analysis of Stigma and Disclosure for Perinatal Depression on an Online Forum","volume":"3","author":"Moore","year":"2016","journal-title":"JMIR Ment. Health"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Liu, A., Akimova, E.T., Ding, X., Jukarainen, S., Vartiainen, P., Kiiskinen, T., Kuitunen, S., Havulinna, A.S., Gissler, M., and Lombardi, S. (2022). The relationship of major diseases with childlessness: A sibling matched case-control and population register study in Finland and Sweden. medRxiv.","DOI":"10.1101\/2022.03.25.22272822"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1001\/jamapsychiatry.2013.268","article-title":"Fecundity of patients with schizophrenia, autism, bipolar disorder, depression, anorexia nervosa, or substance abuse vs their unaffected siblings","volume":"70","author":"Power","year":"2013","journal-title":"JAMA Psychiatry"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1177\/0020764020925104","article-title":"Factors influencing decision-making around pregnancy among women with severe mental illness (SMI): A qualitative study","volume":"66","author":"Bagadia","year":"2020","journal-title":"Int. J. Soc. Psychiatry"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1111\/j.1601-5215.2010.00464.x","article-title":"Agreement II: Categorical measures","volume":"22","year":"2010","journal-title":"Acta Neuropsychiatr."},{"key":"ref_17","unstructured":"Agresti, A., and Finlay, B. (2009). Statistical Methods for the Social Science, Pearson Education International."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The Measurement of Observer Agreement for Categorical Data","volume":"33","author":"Landis","year":"1977","journal-title":"Biometrics"},{"key":"ref_19","first-page":"121","article-title":"Zwangerschap en anticonceptie in Nederland","volume":"36","author":"Picavet","year":"2012","journal-title":"Tijdschr. Voor Seksuol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.whi.2009.07.006","article-title":"Psychiatric disorders among low-income women and unintended pregnancies","volume":"19","author":"Tenkku","year":"2009","journal-title":"Womens Health Issues"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1186\/s40834-017-0046-5","article-title":"Women's perceptions of contraceptive efficacy and safety","volume":"2","author":"Kakaiya","year":"2017","journal-title":"Contracept. Reprod. Med."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Ajayi, A.I., and Ezegbe, H.C. (2020). Association between sexual violence and unintended pregnancy among adolescent girls and young women in South Africa. BMC Public Health, 20.","DOI":"10.1186\/s12889-020-09488-6"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1002\/imhj.21776","article-title":"Impact of infant crying on mothers with a diagnosis of borderline personality disorder: A qualitative study","volume":"40","author":"Geerling","year":"2019","journal-title":"Infant Ment. Health J."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Samari, E., Teh, W.L., Roystonn, K., Devi, F., Cetty, L., Shahwan, S., and Subramaniam, M. (2022). Perceived mental illness stigma among family and friends of young people with depression and its role in help-seeking: A qualitative inquiry. BMC Psychiatry, 22.","DOI":"10.1186\/s12888-022-03754-0"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1111\/inm.12820","article-title":"Stigma in relation to families living with parental mental illness: An integrative review","volume":"30","author":"Reupert","year":"2021","journal-title":"Int. J. Ment. Health Nurs."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1186\/s12939-020-01287-0","article-title":"Unmet mental health needs in the general population: Perspectives of Belgian health and social care professionals","volume":"19","author":"Rens","year":"2020","journal-title":"Int. J. Equity Health"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1007\/s11017-015-9321-0","article-title":"Psychiatric comorbidity: Fact or artifact?","volume":"36","author":"Romeijn","year":"2015","journal-title":"Theor. Med. Bioeth."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Cheung, K.L., Ten Klooster, P.M., Smit, C., de Vries, H., and Pieterse, M.E. (2017). The impact of non-response bias due to sampling in public health studies: A comparison of voluntary versus mandatory recruitment in a Dutch national survey on adolescent health. BMC Public Health, 17.","DOI":"10.1186\/s12889-017-4189-8"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"43","DOI":"10.5032\/jae.2001.04043","article-title":"Handling non-response in social science research","volume":"42","author":"Lindner","year":"2001","journal-title":"J. Agric. Educ."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"23743735211033100","DOI":"10.1177\/23743735211033100","article-title":"Dutch Mental Health Patients\u2019 and Significant Others' Perspectives on Compulsory Treatment at Home: One Size Does Not Fit All","volume":"8","author":"Meijnckens","year":"2021","journal-title":"J. Patient Exp."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"e1152","DOI":"10.1016\/S2214-109X(20)30315-6","article-title":"Unintended pregnancy and abortion by income, region, and the legal status of abortion: Estimates from a comprehensive model for 1990\u20132019","volume":"8","author":"Bearak","year":"2020","journal-title":"Lancet Glob. Health"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/4\/3070\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:29:10Z","timestamp":1760120950000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/4\/3070"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,9]]},"references-count":31,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,2]]}},"alternative-id":["ijerph20043070"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20043070","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,9]]}}}