Cross-disciplinary working between gynaecologists and mental healthcare professionals: a mixed-methods systematic review protocol.
| Autor: | Hartnett Y; School of Medicine, University College Dublin, Dublin 4, Ireland hartnety@tcd.ie.; Department of Psychiatry, RSCI Royal College of Surgeons in Ireland, Dublin 2, Ireland., Conlan-Trant R; Louth Meath Mental Health Services, Navan, Ireland., Duffy R; School of Medicine, University College Dublin, Dublin 4, Ireland.; Rotunda Hospital, Dublin 1, Ireland., Doherty AM; School of Medicine, University College Dublin, Dublin 4, Ireland.; Mater Misericordiae University Hospital, Dublin 1, Ireland. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ open [BMJ Open] 2024 Oct 16; Vol. 14 (10), pp. e091378. Date of Electronic Publication: 2024 Oct 16. |
| DOI: | 10.1136/bmjopen-2024-091378 |
| Abstrakt: | Introduction: Reproductive hormone transitions (menstrual cycle, post partum and menopause) can trigger mental disorders in a subset of women. Gynaecological diseases, such as endometriosis and polycystic ovary syndrome, can also elevate the risk of mental illness. The link between psychiatrists and obstetricians is already well established in the peripartum period; however, the link between gynaecology and psychiatry is less so. This mixed-methods systematic review aims to synthesise the existing evidence for integrated mental healthcare for gynaecological illnesses or reproductive hormone transitions outside the perinatal period. Methods and Analysis: A systematic search of the MEDLINE, Embase, Scopus, PsycInfo, CINAHL and Web of Science databases will be conducted. All study types will be considered, both quantitative and qualitative. Opinion and expert consensus statements, as well as government and professional body documents, will also be included, but separately analysed and reported. Studies examining the unmet clinical needs and experiences of women experiencing mental disorders related to reproductive hormone transitions (menarche, menstrual, menopause, but not pregnancy or breast feeding) or gynaecological illness will be included. Studies related to the experience or training of professionals caring for them will be included, specifically on the concept of integrated or interdisciplinary work with colleagues outside their specialty. Abstracts of the identified papers will be screened independently by two reviewers. Full texts will be assessed by two reviewers, and data will be extracted using predetermined data extraction tools. Quantitative studies will be synthesised in narrative format. A thematic synthesis of qualitative studies will be conducted and an integrated narrative synthesis will be described. Ethics and Dissemination: Ethical approval is not required for this systematic review, as no primary data will be collected. The results will be disseminated via a peer-reviewed publication in a relevant scientific journal. Prospero Registration Number: CRD42024523590. Competing Interests: Competing interests: RD works as a consultant psychiatrist in perinatal mental health and sits on the National Oversight Implementation Group for the Specialist Perinatal Mental Health Services in Ireland. The other authors have no conflicts of interest to declare. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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