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Table 2 Characteristics of included studies

From: ‘Just snap out of it’ – the experience of loneliness in women with perinatal depression: a Meta-synthesis of qualitative studies

Author & ref

Year

Participants

Study setting

Data collection & analysis

Quality assessment (score out of 10)

Sample size

Diagnosis

Country

Clinical setting recruited

Data collection

Data analysis

Beck [27]

1992

7

Postpartum depression

Self report

USA

Postpartum depression support group

One-to-one interviews

Colaizzi’s phenomenological 6-step data analysis method

6

Blanchard [51]

2009

7

Antenatal depresssion

EPDS> = 10

USA

Family health centre - primary care & counselling

Semi-structured interviews

Colaizzi’s phenomenological data analysis method

9

Boath [52]

2013

15

Postpartum depression

EPDS> 12

England

Health visitors in the community

Semi-structured interviews

Thematic framework analysis

9

Edhborg [53]**

2005

22

Postpartum depression

EPDS> = 10

Sweden

Maternity ward

Unstructured interviews

Grounded theory

9

Evans [54]

2012

512 online postings (unknown number of participants)

Postpartum depression

Self report

Study based in Canada (unknown location of participants)

Online postpartum depression support group

Unit of analysis was individual online messages

Directed content analysis

7

Gardner [55]

2014

6

Postpartum depression

EPDS> = 10

England

NHS commissioned parenting groups.

Semi-structured interviews

Interpretative Phenomenological Analysis

8

Hanley [56]

2006

10

Postnatal depression

EPDS> = 12 & clinical diagnosis

Wales

General Practice/ primary care.

Semi-structured interviews

Content analysis using Colaizzi’s method

6

Highet [28]

2014

28

Postnatal depression

Self report

Australia

Website of 3rd sector organisation

24 Face to face and 4 telephone interviews

Grounded theory

8

Jackson [57]

2020

21

Antenatal or postnatal depression.

Self report

England

Flyers, health visitors, midwives, support groups and local press.

Semi-structured interviews (18 face-to-face & 3 telephone)

Thematic analysis

10

Keefe [58]

2016

30

Postpartum depression

Self report

USA

Flyers in an urban health centre serving low-income residents.

Semi-structured face-to-face interviews

Constant comparative analysis

4

Keefe [59]

2019

30

Postpartum depression

Self report

USA

Flyers in an urban health centre serving low-income residents

Semi-structured face-to-face interviews

Constant comparative analysis

5

Letourneau [60]

2007

41

Postpartum depression

Self report

Canada

Newspapers and community health care clinics

41 Semi-structured interviews & 11 focus group interviews

Thematic content analysis

9

Mauthner [61]

1995

18

Postpartum depression

Self report

England

Details not available

Semi-structured interviews

Voice centred relational method

5

Mauthner [62]**

1998

18

Postpartum depression

Self report

England

Local and national organisations, support groups, health clinics & ‘network sampling’

Semi-structured in-depth interviews

Voice centred relational method

6

Montgomery [63]**

2009

27

Perinatal depression

Self report

Canada

Peer support groups, community mental health agency, public health agency & family play centres

Unstructured interviews

Narrative analysis

7

Morrow [64]

2008

18

Postnatal depression

Self-report

Canada

General and family practitioners, community-based organisations,

Semi-structured interviews

Ethnographic narrative approach

8

Nahas [65]

1999

45

Postpartum depression

Self report

Australia

Arabic community centres

Unstructured interviews

Phenomenological study

9

O’Mahony [66]

2012

30

Postpartum depression

EPDS> = 10

Canada

Health care providers & organisations that provide mental health services

Semi-structured interviews

Critical ethnographic method

10

Raymond [67]

2009

9

Antenatal depression

Self report

England

GPs, nurseries, health visitors

Semi-structured interviews

Thematic analysis

9

Recto [68]

2020

20

Perinatal depression

Self report

USA

Parenting classes - school nurses and social workers helped recruit

Interviews

Deductive content analysis

7

Roseth [69]

2011

4

Postpartum depression

EPDS> = 13 or clinical diagnosis

Norway

Local healthcare clinic nurses or psych outpatient dept

Interviews

Descriptive-phenomenological method

6

Scrandis [70]

2005

10

Postpartum depression

Self report

Unknown

Community sites - churches, postpartum support groups, home visiting programs

Semi-structured interviews

Grounded theory

5

Shafiei [71]

2015

39

Postnatal depression

EPDS or self report

Australia

Antenatal clinics or postnatal wards

39 Semi-structured telephone interviews then 10 face-to-face in depth interviews

Thematic analysis

9

Tang [72]

2016

38

Postpartum depression

Self report

China

Convenience sample from community

Semi-structured interviews online

Grounded theory approach and constant comparison method

6

Taylor [18]

2021

14

Perinatal depression

Self report

England

NHS health providers from primary care to acute and secondary mental health care

Semi-structured interviews

Social constructionist theory. Thematic analysis.

10

Templeton [73]

2003

20

Postnatal depression

EPDS> = 12

England

Local community known to health viitors

6 Semi-structured interviews + 14 from focus groups

Descriptive thematic analysis

6

Wittkowski [74]**

2012

10

Postnatal depression

EPDS> = 12

England

Health visitors and midwives.

Face to face interviews

Constant comparison and grounded theory approach

8

  1. Key: EPDS = Edinburgh Postnatal Depression Scale; ** = Papers identified by hand searches; PND = postnatal depression; PPD = postpartum depression; NEET = Not in education, employment or training