An exploratory study of perinatal depressive symptoms and its intersection with intergenerational coresidence among women in Kavrepalanchok, Nepal

Abstract

This qualitative study delves into the intricate dynamics between perinatal depressive symptoms and intergenerational coresidence, with a specific focus on the relationship between perinatal women (pregnant women and new mothers up to 12 months postpartum) and members of the elder generation (parents and parents-in-law) living in the same household to identify the potential risks and protective factors associated with intergenerational cohabitation that influence perinatal depressive symptoms. Twenty-two in-depth interviews were conducted with perinatal women in Kavrepalanchok district of Nepal using semi-structured interview guide. The participants were identified purposefully through administration of demographic survey and a clinically validated Nepali version of PHQ-9. The interviews were audio-recorded, transcribed, and translated in English for thematic analysis conducted using Dedoose 9.4.20.Eleven major themes were identified that highlighted the challenges faced by perinatal women within the context of intergenerational coresidence and the benefits associated with child rearing. This study shed light on the common sources of stress, such as incompatible value systems, assumed subordination, poor relationships, ineffective communication, and poor coping mechanisms that are potential risk factors influencing presentation of depressive symptoms. Positive interactions and effective communication between the two generations, as well as spousal support, were identified as significant factors that might mitigate risk of perinatal depression. The study highlights the crucial role of family context and support in influencing perinatal depression, and underscores the need for culturally sensitive support systems and family-centered interventions that address the challenges faced by perinatal women in intergenerational households.