Family planning decision-making in relation to psychiatric disorders in women 127 Methodological integrity The research team, with backgrounds in psychiatry, obstetrics, neurosciences, and health behavior, ensured a foundation for conducting a nuanced and in-depth qualitative analysis of family planning decision-making, thereby incorporating triangulation. The epistemological approach was clearly stated and closely adhered to, which helped to align the research question with the applied methods. The conclusions were grounded in the evidence through the inclusion of quotations. Providing contextual information, such as the study setting and participant details, enhanced the comprehensibility of the results. Unlike a conventional consensusreaching method, different interpretations were integrated into the findings to enrich the data analysis process. Utilizing methods of researcher reflexivity, such as memos and field notes, contributed to a reflexive and transparent analytical process. Reflexivity was considered throughout the process, acknowledging that [ME]’s background with lived experience with perinatal mental health problems may have influenced the discussions and interaction with participants, potentially fostering a more open and empathetic environment. Results Demography Information about the demographics of the participants ( n=17) is reported in Table 6.2. Ages ranged between 24 and 70 years, with a median age of 57 years. All women had a Dutch background. The participants exhibited diverse occupational backgrounds, with six (35%) declaring themselves unfit for employment for reasons related to their psychiatric disorder(s). A history of pregnancy and psychiatric disorder(s) are described in Table 6.3. Mood disorders were the predominant psychiatric disorder ( n=10), manifesting across all focus group discussions. Subsequently, trauma-related disorders ( n=8) and anxiety disorders ( n=6) were the most prevalent.
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