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The experience of and engagement with Perinatal Mental Health Services amongst mothers with and without personality disorder

Bennett, Eleanor M.; (2023) The experience of and engagement with Perinatal Mental Health Services amongst mothers with and without personality disorder. Doctoral thesis (D.Clin.Psy), UCL (University College London). Green open access

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Abstract

This thesis considers interventions and service provisions for mothers with a personality disorder across the journey of parenthood. Part 1 is a mixed methods systematic review. Eleven studies that explored parenting interventions in parents with personality disorder (PD) or personality disorder traits (PD traits) were reviewed and synthesised. The review aimed to consider intervention feasibility, acceptability, and effectiveness. Modest support was found for parenting interventions being feasible and acceptable to parents with PD/PD traits. Further, this review noted trends of effectiveness across parent and parent-child outcomes. Part 2 is a mixed methods study exploring the experiences and engagement of Perinatal Mental Health Services (PMHS) in mothers with and without PD. Comparing mothers with and without PD, found that the presence of a PD or not, did not predict engagement with PMHS. Instead, mandated attendance to PMHS by social services, heightened hea lth and social needs, and lower perceived social support predicted reduced engagement with PMHS. Mothers with PD reported significantly less confidence in the skills and techniques used by PMHS, whilst thematic analysis depicted mothers with PD valued PMHS, yet experienced obstacles to care. Part 3 is a critical appraisal of designing, conducting, and analysing the empirical study (part 2). This appraisal maps the chronology of the project, from highlighting motivations behind the topic area to completing the project. A range of challenges and learnings are reflected upon.

Type: Thesis (Doctoral)
Qualification: D.Clin.Psy
Title: The experience of and engagement with Perinatal Mental Health Services amongst mothers with and without personality disorder
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Copyright © The Author 2023. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10184266
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