119 results on '"post-natal depression"'
Search Results
2. Implementing and evaluating group interpersonal therapy for postnatal depression in Lebanon and Kenya—individually randomised superiority trial
- Author
-
Peter Fonagy, Rabih El Chammay, Carol Ngunu, Manasi Kumar, Lena Verdeli, Elizabeth Allison, Ghida Anani, Pasco Fearon, Fouad Fouad, Zoe Hoare, Lucina Koyio, Henrietta Moore, Andrew Nyandigisi, Stephen Pilling, Hannah Sender, Jolene Skordis, Rachel Evans, Gerard Joseph Abou Jaoude, Beatrice Madeghe, Sandra Pardi Arsen Maradian, Ciara O’Donnell, Elizabeth Simes, Alexandra Truscott, Grace Nduku Wambua, and Obadia Yator
- Subjects
Post-natal depression ,Group interpersonal therapy ,Infant development ,High-quality standard care ,Multisite randomised controlled trial ,Randomised controlled trial ,Medicine (General) ,R5-920 - Abstract
Abstract Background Depression ranks as the foremost mental health concern among childbearing women. Within low- and middle-income countries (LMICs), between 20 and 25% of women encounter depression during pregnancy or soon after delivery. This condition impacts not only the mothers but also their offspring. Offspring of women suffering from postnatal depression (PND) exhibit suboptimal cognitive development and increased emotional and behavioural issues throughout their growth. This scenario becomes more pronounced in LMICs, where numerous adversities further jeopardise children’s developmental progress. Despite antenatal services providing a pivotal platform to address women’s mental health needs, PND treatment remains inaccessible in many LMICs. The World Health Organization advocates interpersonal psychotherapy (IPT) for treating depression. While research from high-income countries has established the efficacy of IPT and group-IPT (g-IPT) for PND, its effectiveness within the LMIC context and its potential benefits for child development remain uncharted. This study seeks to gauge the potency of g-IPT for women with PND in two LMICs. Methods This multi-site randomised controlled trial is a continuation of two preceding phases—conceptual mapping and a feasibility study executed in Lebanon and Kenya. Insights gleaned from these phases underpin this comprehensive RCT, which contrasts the efficacy and cost-effectiveness of high-quality standard care (HQ-SC) augmented with g-IPT against HQ-SC in isolation. The trial, characterised as an individually randomised superiority assessment, targets women with postnatal depression in Beirut, Lebanon, and Nairobi, Kenya. It aims to determine if culturally tailored g-IPT, administered within community settings in both countries, outperforms HQ-SC in influencing child developmental outcomes, maternal depression, and the quality of the mother–child bond. Discussion The SUMMIT trial, designed with pragmatism, possesses the magnitude to evaluate g-IPT within two LMIC frameworks. It seeks to enlighten policymakers, service commissioners, professionals, and users about g-IPT’s potential to alleviate maternal PND and bolster child developmental outcomes in LMICs. Additionally, the trial will generate valuable data on the clinical and economic merits of high-quality standard care. Trial registration ISRCTN, ISRCTN15154316. Registered on 27 September 2023, https://doi.org/10.1186/ISRCTN15154316
- Published
- 2024
- Full Text
- View/download PDF
3. Implementing and evaluating group interpersonal therapy for postnatal depression in Lebanon and Kenya—individually randomised superiority trial.
- Author
-
Fonagy, Peter, Chammay, Rabih El, Ngunu, Carol, Kumar, Manasi, Verdeli, Lena, Allison, Elizabeth, Anani, Ghida, Fearon, Pasco, Fouad, Fouad, Hoare, Zoe, Koyio, Lucina, Moore, Henrietta, Nyandigisi, Andrew, Pilling, Stephen, Sender, Hannah, Skordis, Jolene, Evans, Rachel, Jaoude, Gerard Joseph Abou, Madeghe, Beatrice, and Maradian, Sandra Pardi Arsen
- Subjects
- *
INTERPERSONAL psychotherapy , *POSTPARTUM depression , *GROUP psychotherapy , *WOMEN'S mental health , *CONCEPT mapping - Abstract
Background: Depression ranks as the foremost mental health concern among childbearing women. Within low- and middle-income countries (LMICs), between 20 and 25% of women encounter depression during pregnancy or soon after delivery. This condition impacts not only the mothers but also their offspring. Offspring of women suffering from postnatal depression (PND) exhibit suboptimal cognitive development and increased emotional and behavioural issues throughout their growth. This scenario becomes more pronounced in LMICs, where numerous adversities further jeopardise children's developmental progress. Despite antenatal services providing a pivotal platform to address women's mental health needs, PND treatment remains inaccessible in many LMICs. The World Health Organization advocates interpersonal psychotherapy (IPT) for treating depression. While research from high-income countries has established the efficacy of IPT and group-IPT (g-IPT) for PND, its effectiveness within the LMIC context and its potential benefits for child development remain uncharted. This study seeks to gauge the potency of g-IPT for women with PND in two LMICs. Methods: This multi-site randomised controlled trial is a continuation of two preceding phases—conceptual mapping and a feasibility study executed in Lebanon and Kenya. Insights gleaned from these phases underpin this comprehensive RCT, which contrasts the efficacy and cost-effectiveness of high-quality standard care (HQ-SC) augmented with g-IPT against HQ-SC in isolation. The trial, characterised as an individually randomised superiority assessment, targets women with postnatal depression in Beirut, Lebanon, and Nairobi, Kenya. It aims to determine if culturally tailored g-IPT, administered within community settings in both countries, outperforms HQ-SC in influencing child developmental outcomes, maternal depression, and the quality of the mother–child bond. Discussion: The SUMMIT trial, designed with pragmatism, possesses the magnitude to evaluate g-IPT within two LMIC frameworks. It seeks to enlighten policymakers, service commissioners, professionals, and users about g-IPT's potential to alleviate maternal PND and bolster child developmental outcomes in LMICs. Additionally, the trial will generate valuable data on the clinical and economic merits of high-quality standard care. Trial registration: ISRCTN, ISRCTN15154316. Registered on 27 September 2023, https://doi.org/10.1186/ISRCTN15154316 [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
4. Seeing Through the Shadows: A Strategy to Improve Postpartum Depression Screening Practices.
- Author
-
Zappulla, Toni T. and Wechter, Susan M.
- Subjects
POSTPARTUM depression diagnosis ,MATERNAL health services ,POSTPARTUM depression ,OUTPATIENT medical care ,PROFESSIONS ,MEDICAL screening ,EVIDENCE-based medicine ,CLINICAL psychology ,PSYCHOLOGICAL tests ,HUMAN services programs ,QUALITY assurance ,CLINICAL competence ,HEALTH promotion ,WOMEN'S health ,GOAL (Psychology) - Abstract
Background: The pilgrimage of this Doctor of Nursing Practice project was to bring postpartum depression (PPD) out of the shadows and into the light. A gap existed in a postpartum ambulatory setting with the screening, detection, and treatment of PPD. Objective: A quality improvement project with an evidence-based standard of care for PPD screening was implemented with every postpartum patient. Methods: The Edinburgh Postnatal Depression Scale-10 (EPDS-10; Cox et al., 1987) was used as a reliable and valid screening instrument to screen 46 postpartum women. Results: Screening for PPD increased from 10.9% to 95.8% after the implementation of the EPDS. Referral and treatment of PPD increased from 1.8% to 19.6%. Conclusion: This project established an evidence-based standard of care that can be implemented with every postpartum patient and brought nine women out of the shadows with the hope that they can find the light to recover from PPD. Implications for Nursing: Screening for PPD is recommended by experts and is a Healthy People 2030 goal (ACOG, 2018; USPSTF, 2018). Universal screening with a validated tool may lead to improved compliance with screening, detection, and treatment of PPD. The outcomes of this project inform and prepare clinicians for the predicted mandate of national screening for PPD. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
5. The Relationship Between Maternal Depression and Stunting in Children: A Systematic Review
- Author
-
La Ode Alifariki, Sri Susanty, Sukurni Sukurni, and Heriviyatno J.Siagian
- Subjects
maternal behavior ,impaired parents ,post-natal depression ,children ,stunting ,Nursing ,RT1-120 - Abstract
Background: Maternal health is essential for the growth and development of the child. Mothers’ depression can cause great harm to their children. Many studies have investigated stunting in children and its relationship with maternal depression. However, these studies have yielded different results. This systematic review aims to answer the question of “what is the relationship between maternal depression and stunting in children” in published articles. Methods: This study used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The databases used included ScienceDirect, PubMed, ProQuest, and Cochrane Library setting the publication period between 2010 and 2021. The studies with observational designs, measuring maternal depression at any stage after childbirth, and examining child (under five) stunting status, using z-score or percentile were included. The quality of the studies was assessed using the Downs and Black tool, and the risk of bias was evaluated by the Cochrane Collaboration’s Risk of Bias Tool. Two authors extracted the data independently and the findings were synthesized qualitatively. Results: The literature search yielded 611 articles, and only 14 articles were found to meet the inclusion criteria after removing duplicates, dissertations, editorials, comments, not full texts, and case reports. A total of eight articles showed a significant relationship between maternal depression and stunting. In contrast, the remaining six studies did not show an association between these variables. It seems that the tools for measuring depression and the age difference of children participating in the studies were important factors that affected the outcome of the relationship between maternal depression and children’s stunting. Also, episodic maternal depression does not appear to be associated with stunting. Conclusion: The findings suggest that to prevent childhood stunting, initiatives may be needed to identify and support mothers with chronic depression. Future systematic reviews are suggested to investigate the relationship between maternal depression and children’s stunting in urban and rural communities or in high- and low-income countries in a broader time frame.
- Published
- 2022
6. Associations between breastfeeding intention, breastfeeding practices and post‐natal depression during the COVID‐19 pandemic: A multi‐country cross‐sectional study.
- Author
-
Chang, Yan‐Shing, Li, Kan M. C., Chien, Li‐Yin, Lee, Eun Y., Hong, Seo A., and Coca, Kelly P.
- Subjects
- *
STATISTICS , *ATTITUDES toward breastfeeding , *POSTPARTUM depression , *CONFIDENCE intervals , *MULTIVARIATE analysis , *CROSS-sectional method , *MULTIPLE regression analysis , *SURVEYS , *DESCRIPTIVE statistics , *CHI-squared test , *RESEARCH funding , *STATISTICAL sampling , *DATA analysis software , *ODDS ratio , *COVID-19 pandemic , *WOMEN'S health - Abstract
Associations between breastfeeding intention, duration and post‐natal depression (PND) have been shown in pre‐COVID‐19 studies. However, studies during COVID‐19 have not examined the associations between breastfeeding intention, breastfeeding practices, and PND in an international sample of post‐natal women, taking into consideration COVID‐19 related factors. This is the first study to address this gap as both PND and breastfeeding may be affected by COVID‐19, and have important long‐term effects on women's and infant's health. A cross‐sectional internet‐based survey was conducted with 3253 post‐natal women from five countries: Brazil, South Korea, Taiwan, Thailand, and the United Kingdom from July to November 2021. The results showed that women who intended to breastfeed during pregnancy had lower odds of having PND than women who did not intend to. Women who had no breastfeeding intention but actually breastfed had greater odds (AOR 1.75) of having PND than women who intended to breastfeed and actually breastfed. While there was no statistical significance in expressed breast milk feeding in multivariable logistic regression models, women who had shorter duration of breastfeeding directly on breast than they planned had greater odds (AOR 1.58) of having PND than those who breastfed longer than they planned even after adjusting for covariates including COVID‐19‐related variables. These findings suggested the importance of working with women on their breastfeeding intention. Tailored support is required to ensure women's breastfeeding needs are met and at the same time care for maternal mental health during and beyond the pandemic. Key messages: This study identified independent associations of breastfeeding intention and actual breastfeeding practices with PND after adjustment for COVID‐19‐related covariates.Although women who intended to breastfeed during pregnancy were less likely to have PND, those who did not intend to breastfeed but did breastfeed were more likely to have PND than those who intended to breastfeed and breastfed.Women with shorter (vs. longer) than planned duration of breastfeeding on breast were more likely to have PND.Health care providers and policymakers should ensure tailored support is available for women's infant feeding plans and mental health. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
7. A journey following childbirth trauma.
- Author
-
Pitchford, Claire
- Abstract
Back in 2015 I gave birth to my first child and had a complicated birth and postnatal experience. I suffered birth trauma and I was diagnosed with post-traumatic stress disorder (PTSD) when my baby was eight months old. Whilst I mostly dealt with the mental and physical difficulties of PTSD with therapy, what I was not prepared for nor do I think I'll fully get over, was the effect the investigation report into my birth had on my mental well-being. Writing became part of my therapy. In fact, my therapist prescribed it as 'homework' at the time. I had not written creatively prior to this and I didn't understand how writing would benefit my well-being positively. What I learned along the course of my therapy was the power the written word has in healing a hurt and damaged soul. I maintained a blog and could see my healing progress as time moved on. Therapy for me has since finished but I still try to write when I can. I do this often around my child's birthday as I struggle most with memories from the time of birth. I write when I feel emotionally overwhelmed and I feel a release in this process. Whilst I do not think my pieces are award winning, each holds a period of time when my emotions ran high and to me, they have become precious notes capturing the rawness unique to my experiences and where others may also find some comfort in that they're not alone. I will share some of these pieces with you. Dedicated to anyone who has suffered birth trauma or from the effects of poor communication and lack of acknowledgement around psychological harm, this is for you. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
8. Associations between breastfeeding intention, breastfeeding practices and post‐natal depression during the COVID‐19 pandemic: A multi‐country cross‐sectional study
- Author
-
Yan‐Shing Chang, Kan M. C. Li, Li‐Yin Chien, Eun Y. Lee, Seo A. Hong, and Kelly P. Coca
- Subjects
breastfeeding ,breastfeeding duration ,breastfeeding intention ,COVID‐19 ,infant feeding behaviour ,post‐natal depression ,Pediatrics ,RJ1-570 ,Gynecology and obstetrics ,RG1-991 ,Nutritional diseases. Deficiency diseases ,RC620-627 - Abstract
Abstract Associations between breastfeeding intention, duration and post‐natal depression (PND) have been shown in pre‐COVID‐19 studies. However, studies during COVID‐19 have not examined the associations between breastfeeding intention, breastfeeding practices, and PND in an international sample of post‐natal women, taking into consideration COVID‐19 related factors. This is the first study to address this gap as both PND and breastfeeding may be affected by COVID‐19, and have important long‐term effects on women's and infant's health. A cross‐sectional internet‐based survey was conducted with 3253 post‐natal women from five countries: Brazil, South Korea, Taiwan, Thailand, and the United Kingdom from July to November 2021. The results showed that women who intended to breastfeed during pregnancy had lower odds of having PND than women who did not intend to. Women who had no breastfeeding intention but actually breastfed had greater odds (AOR 1.75) of having PND than women who intended to breastfeed and actually breastfed. While there was no statistical significance in expressed breast milk feeding in multivariable logistic regression models, women who had shorter duration of breastfeeding directly on breast than they planned had greater odds (AOR 1.58) of having PND than those who breastfed longer than they planned even after adjusting for covariates including COVID‐19‐related variables. These findings suggested the importance of working with women on their breastfeeding intention. Tailored support is required to ensure women's breastfeeding needs are met and at the same time care for maternal mental health during and beyond the pandemic.
- Published
- 2023
- Full Text
- View/download PDF
9. La Depressione Perinatale: una possibile via verso l’individuazione. Clinical Evidence .
- Author
-
Sergio, Bianca Straniero
- Abstract
In this article the author considers the symptom of the post-natal depression as a crisis which bears a meaning and has a direction, and which can represent an opportunity to start up a process of awareness about the complexes that have emerged. Through a detailed description of a clinical case she shows, moreover, the usefulness of dream exploration and the crucial importance of the relation between the analyst and the patient. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
10. The Relationship Between Maternal Depression and Stunting in Children: A Systematic Review.
- Author
-
Alifariki, La Ode, Susanty, Sri, Sukurni, Sukurni, and Siagian, Heriviyatno J.
- Subjects
ONLINE information services ,MEDICAL databases ,POSTPARTUM depression ,PSYCHOLOGY of mothers ,SYSTEMATIC reviews ,RISK assessment ,MOTHERHOOD ,PARENTING ,CHILDREN of people with mental illness ,MEDLINE ,GROWTH disorders ,DISEASE risk factors ,CHILDREN - Abstract
Background: Maternal health is essential for the growth and development of the child. Mothers' depression can cause great harm to their children. Many studies have investigated stunting in children and its relationship with maternal depression. However, these studies have yielded different results. This systematic review aims to answer the question of "what is the relationship between maternal depression and stunting in children" in published articles. Methods: This study used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The databases used included ScienceDirect, PubMed, ProQuest, and Cochrane Library setting the publication period between 2010 and 2021. The studies with observational designs, measuring maternal depression at any stage after childbirth, and examining child (under five) stunting status, using z-score or percentile were included. The quality of the studies was assessed using the Downs and Black tool, and the risk of bias was evaluated by the Cochrane Collaboration's Risk of Bias Tool. Two authors extracted the data independently and the findings were synthesized qualitatively. Results: The literature search yielded 611 articles, and only 14 articles were found to meet the inclusion criteria after removing duplicates, dissertations, editorials, comments, not full texts, and case reports. A total of eight articles showed a significant relationship between maternal depression and stunting. In contrast, the remaining six studies did not show an association between these variables. It seems that the tools for measuring depression and the age difference of children participating in the studies were important factors that affected the outcome of the relationship between maternal depression and children's stunting. Also, episodic maternal depression does not appear to be associated with stunting. Conclusion: The findings suggest that to prevent childhood stunting, initiatives may be needed to identify and support mothers with chronic depression. Future systematic reviews are suggested to investigate the relationship between maternal depression and children's stunting in urban and rural communities or in high- and low-income countries in a broader time frame. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
11. Michelle Walker in conversation with Jerome Carson
- Author
-
Walker, Michelle and Carson, Jerome
- Published
- 2019
- Full Text
- View/download PDF
12. Effect of a Brief Supportive and Educational Intervention on the Psychological Well-Being of Mothers with Babies in Neonatal Wards of a Tertiary Hospital in Ibadan, Nigeria.
- Author
-
Oyekunle, Olufemi O, Bella-Awusah, Tolulope, Ayede, Adejumoke I, Omigbodun, Olayinka O, and Ani, Cornelius C
- Subjects
- *
PREVENTION of psychological stress , *MOTHERS , *RESEARCH , *NEONATAL intensive care , *SPECIALTY hospitals , *CLINICAL trials , *RESEARCH methodology , *NEONATAL intensive care units , *MEDICAL cooperation , *EVALUATION research , *COMPARATIVE studies , *PARENTS , *EDINBURGH Postnatal Depression Scale - Abstract
Objective: To assess the effect of a supportive educational intervention on the psychological wellbeing of mothers whose babies were admitted to Neonatal Care Unit (NCU) in Nigeria.Methods: Controlled trial involving 41 mothers whose babies were consecutively admitted into two NCUs (21 in the intervention group and 19 controls). The intervention group received two group-based sessions which included psychological coping strategies, and familiarity with NCU environment, equipment, personnel and procedures. The control group received usual care. Outcome measures were depressive symptoms (Edinburg Postnatal Depression Scale-EPDS), stress-related to NCU (Parental Stressor Scale: Neonatal Intensive Care Unit-PSS: NICU) and post-traumatic symptoms (Impact Event Scale-Revised-IES-R).Results: Difference-in-Differences (DiD) analysis showed a difference of -4.70 in PSS: NICU score in favour of the intervention group which was statistically significant [F(3, 75) = 9.47, p < 0.0001, R2 = 0.28]. The differences in EPDS (0.91) and IES-R (2.55) were not statistically significant [F(3, 75) = 10.10, p = 0.74] and [F(3, 75) = 10.13, p = 0.73], respectively. All the mothers in the treatment group expressed satisfaction with the intervention.Conclusion: This brief group-based supportive educational intervention for mothers with babies in NCU was feasible, acceptable and helpful in reducing stress related to NCU. Larger controlled trials are recommended to establish the generalizability of these findings in this region.Lay Summary: Babies born too early and or with complications require admission to special hospital called Neonatal Care Unit (NCU) to help them to survive. However, parents whose babies are admitted to NCU can find the experience frightening. We examined how to reduce the fear and stress mothers in Nigeria experience when their babies are admitted to NCU.We had two groups of mothers. The first group made up of 21 mothers was taught how to cope with the stress of having a baby in NCU. They were also shown how the various equipment in the NCU work, what the staff in NCU do and what types of things need to be done to help their babies. The second group of 19 mothers received usual care but did not have the extra teaching the first group received. After 2 weeks, we checked the level of depression and stress the mothers in both groups had compared with the level before the first group received the extra teaching.We found that mothers in the first group who received the extra teaching were less stressed about having their babies in the NCU compared with the mothers that did not receive the teaching. [ABSTRACT FROM AUTHOR]- Published
- 2021
- Full Text
- View/download PDF
13. A Cross-Sectional Study on Prevalence of Post-Natal Depression and its Associates among Women in a Rural Community in Hooghly District, West Bengal.
- Author
-
Das, Souvik, Pal, Dipak, Sadhukhan, Sanjoy Kumar, Haque, Hasibur Zaman, and Datta, Mousumi
- Subjects
- *
POSTPARTUM depression , *RURAL women , *MEDICAL personnel , *PRIMARY health care , *LOW-income countries - Abstract
Background:Post-natal depression, aserious mental health problem experienced by mothers 4 to 6 weeks after delivery. Patients suffering from post-natal depression are at higher risk of developing major depressive illness in future life. Objectives: To assess the prevalence of post-natal depression and its associates among women in a rural community in Hooghly district, West Bengal. Methodology: A crosssectional study was conducted among 83 post-natal mothers (period of 6th to 10th week after delivery) in a rural community in Hooghly district, West Bengal, selected by simple random sampling technique from the list of mothers attending the immunization clinic in a health centreduring the period of April 2019 to September 2019. Data was collected by face-to-face interview and review of records by house to house visits. Depression was assessed by Edinburgh post-natal depression scale (EPDS). Statistical analysis was done using Microsoft Excel and SPSS version 16. Results: Prevalence of post-natal depression among study participants came out to be 28.9%. Poor socio-economic status (p=0.000). Unplanned pregnancy (p=0.025), Pre-term delivery (p=0.011) and increase in number of parity (p=0.025) were found to be statistically significantly associated with post-natal depression. Conclusion: Post-natal depression is a major public health problem which should be dealt with great concern while making policy for betterment of maternal and child health especially in low income countries like India. This can be detected early by health care providers in primary health care set up using simple screening tools. Special care and counselling should be provided to them. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
14. A conversation analysis of communicative changes in a time-limited psychotherapy group for mothers with post-natal depression.
- Author
-
McVittie, Chris, Craig, Slavka, and Temple, Margaret
- Subjects
- *
BRIEF psychotherapy , *POSTPARTUM depression , *CONVERSATION analysis , *GROUP psychotherapy , *MOTHERS , *POINT set theory - Abstract
Objective: To examine qualitatively changes occurring in discussions within a time-limited psychotherapy group for mothers with post-natal depression. Method: Discussions occurring in a group that comprised five mothers and a therapist were recorded over the course of six one-hour therapeutic sessions. Participants had been referred or had self-referred to the group on the basis of having post-natal depression. The recorded discussions were transcribed and then analysed in accordance with principles of conversation analysis. Results: Analysis of early and later group discussions showed changes in group members' alignment with the topics that were introduced, in turn-allocation and turn-taking, and in the co-construction of accounts of experience. In contrast to early discussions, in later discussions participants aligned with topics relating to personal emotions, self-selected as next speakers in the discussions, and collaboratively worked up accounts that made sense of their experiences of childbirth and of being diagnosed as having post-natal depression. Conclusions: Interactional changes over the duration of the group point to the benefits for mothers with post-natal depression of participating in a time-limited psychotherapy group. Fine-grained analysis of group discussions potentially offers a way of examining changes over time in psychotherapeutic groups more generally. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
15. PRogram In Support of Moms (PRISM): a pilot group randomized controlled trial of two approaches to improving depression among perinatal women
- Author
-
Nancy Byatt, Tiffany A. Moore Simas, Kathleen Biebel, Padma Sankaran, Lori Pbert, Linda Weinreb, Douglas Ziedonis, and Jeroan Allison
- Subjects
maternal depression ,obstetrics ,perinatal metal health ,post-natal depression ,mental health ,Gynecology and obstetrics ,RG1-991 - Abstract
Purpose: This pilot study was designed to inform a larger effectiveness trial by: (1) assessing the feasibility of the PRogram In Support of Moms (PRISM) and our study procedures; and, (2) determining the extent to which PRISM as compared to an active comparison group, the Massachusetts Child Access Psychiatry Program (MCPAP) for Moms alone, improves depression among perinatal women. Methods: Four practices were randomized to either PRISM or MCPAP for Moms alone, a state-wide telephonic perinatal psychiatry program. PRISM includes MCPAP for Moms plus implementation assistance with local champions, training, and implementation of office prompts and procedures to enhance depression screening, assessment and treatment. Patients with Edinburgh Postnatal Depression Scales (EPDS) ≥ 10 were recruited during pregnancy, and completed the EPDS and a structured interview at baseline and 3–12 weeks’ postpartum. Results: Among MCPAP for Moms alone practices, patients’ (n = 9) EPDS scores improved from 15.22 to 10.11 (p = 0.010), whereas in PRISM practices patients’ (n = 21) EPDS scores improved from 13.57 to 6.19 (p = 0.001); the between groups difference-of-differences was 2.27 (p = 0.341). Conclusions: PRISM was beneficial for patients, clinicians, and support staff. Both PRISM and MCPAP for Moms alone improve depression symptom severity and the percentage of women with an EPDS >10. The improvement difference between groups was not statistically significant due to limited power associated with small sample size.
- Published
- 2018
- Full Text
- View/download PDF
16. Cognitive-Behavioural therapy and interpersonal psychotherapy for the treatment of post-natal depression: a narrative review
- Author
-
George Stamou, Azucena García-Palacios, and Cristina Botella
- Subjects
Post-natal depression ,Psychological treatments ,Virtual reality ,Narrative review ,Psychology ,BF1-990 - Abstract
Abstract Background Post-natal Depression (PND) is a depressive disorder that causes significant distress or impairment on different levels in the individual’s life and their families. There is already evidence of the efficacy of psychological treatments for PND. We conducted a narrative review and researched the literature for identifying systematic reviews and studies for the best psychological treatments of PND, and examined what parameters made those treatments successful. Methods We searched 4 electronic databases. We included reviews and randomised controlled clinical trials for our research. We excluded other types of studies such as case studies and cohort studies. We followed a specific search strategy with specific terms and a selection process. We identified risk of bias in reviews and studies, and identified their limitations. We synthesized the data based on particular information, including: name of the authors, location, research type, target, population, delivery, outcome measures, participants, control groups, types of intervention, components of treatments, providers, experimental conditions amongst others. Results We found 6 reviews and 15 studies which met our inclusion criteria focusing on Cognitive Behavioural Therapy (CBT) for PND. Among the main findings we found that CBT can be delivered on an individual basis or within a group. It can be effective in the short-term, or up to six months post-intervention. CBT can be delivered by professionals or experts, but can also be practiced by non-experts. We found 7 components of CBT, including psychoeducation, cognitive restructuring, and goal setting. We also researched whether virtual reality (VR) has ever been used for the treatment of PND, and found that it has not. Conclusion From our review, we have concluded that CBT is an effective treatment for PND. We have explored the utility of VR as a possible therapeutic modality for PND and have decided to run a pilot feasibility study as a next step, which will act as the foundational guide for a clinical trial at a later stage.
- Published
- 2018
- Full Text
- View/download PDF
17. The relationship between negative interpersonal interactions and postpartum mood
- Author
-
O'Sullivan, Joanna L.
- Subjects
150 ,Depression ,Post-natal depression - Published
- 1999
18. From Here to Maternity: Becoming a Mother
- Author
-
Oakley, Ann, author and Oakley, Ann
- Published
- 2018
- Full Text
- View/download PDF
19. PRogram In Support of Moms (PRISM): a pilot group randomized controlled trial of two approaches to improving depression among perinatal women.
- Author
-
Byatt, Nancy, Moore Simas, Tiffany A., Biebel, Kathleen, Sankaran, Padma, Pbert, Lori, Weinreb, Linda, Ziedonis, Douglas, and Allison, Jeroan
- Subjects
- *
MOTHERS , *PRISMS , *POSTPARTUM depression , *CHILD psychiatry , *WOMEN - Abstract
Purpose: This pilot study was designed to inform a larger effectiveness trial by: (1) assessing the feasibility of the PRogram In Support of Moms (PRISM) and our study procedures; and, (2) determining the extent to which PRISM as compared to an active comparison group, the Massachusetts Child Access Psychiatry Program (MCPAP) for Moms alone, improves depression among perinatal women.Methods: Four practices were randomized to either PRISM or MCPAP for Moms alone, a state-wide telephonic perinatal psychiatry program. PRISM includes MCPAP for Moms plus implementation assistance with local champions, training, and implementation of office prompts and procedures to enhance depression screening, assessment and treatment. Patients with Edinburgh Postnatal Depression Scales (EPDS) ≥ 10 were recruited during pregnancy, and completed the EPDS and a structured interview at baseline and 3-12 weeks' postpartum.Results: Among MCPAP for Moms alone practices, patients' (n = 9) EPDS scores improved from 15.22 to 10.11 (p = 0.010), whereas in PRISM practices patients' (n = 21) EPDS scores improved from 13.57 to 6.19 (p = 0.001); the between groups difference-of-differences was 2.27 (p = 0.341).Conclusions: PRISM was beneficial for patients, clinicians, and support staff. Both PRISM and MCPAP for Moms alone improve depression symptom severity and the percentage of women with an EPDS >10. The improvement difference between groups was not statistically significant due to limited power associated with small sample size. [ABSTRACT FROM AUTHOR]- Published
- 2018
- Full Text
- View/download PDF
20. Post-Natal Depression
- Author
-
Hadjicosta, Rania D., Anastassiou-Hadjicharalambous, Xenia, Goldstein, Sam, editor, and Naglieri, Jack A., editor
- Published
- 2011
- Full Text
- View/download PDF
21. Evaluating the Impact of Sling Provision and Training upon Maternal Wellbeing and Parenting: A Randomised Feasibility Trial
- Author
-
Wigglesworth, Helen
- Subjects
infant carrier ,post-natal ,postnatal ,postnatal depression ,babywearing ,mother ,post-natal depression ,psychology ,maternal ,wellbeing ,parenting ,sling ,mental health ,feasibility - Abstract
This randomised feasibility study investigates whether using an infant carrier leads to reduction in postnatal depression scores, increased wellbeing scores, and changes in parenting experiences. Maternal attachment style is examined as a potential moderator of this effect. Mothers of infants aged 0-6 weeks will be randomised to receive sling training and free sling hire, either immediately, or after a waitlist period of 12 weeks (control group). This study aims to collect information regarding the feasibility of recruitment and administering the intervention for future Randomised Control Trials.
- Published
- 2022
- Full Text
- View/download PDF
22. ‘Post-natal’ depression in fathers, or Early Fatherhood Depression.
- Author
-
Sarkar, Sameer P.
- Subjects
- *
POSTPARTUM depression , *FATHERHOOD , *PSYCHOLOGY of fathers , *SEX distribution , *THERAPEUTICS - Abstract
Both men and women are known to suffer from post-natal depression. However, there has been little attention paid to the psychodynamic genesis of post-natal depression in fathers. In this paper, I describe case histories of post-natal depression in two first time fathers and offer a formulation for understanding post-natal depression in such cases. I suggest a range of reasons for the failure to recognize this condition; and possible therapeutic interventions. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
23. The social return on investment in community befriending
- Author
-
Arvidson, Malin, Battye, Fraser, and Salisbury, David
- Published
- 2014
- Full Text
- View/download PDF
24. Discrete category of mother-to-infant bonding disorder and its identification by the Mother-to-Infant Bonding Scale: A study in Japanese mothers of a 1-month-old.
- Author
-
Matsunaga, Asami, Kitamura, Toshinori, Takauma, Fumie, and Tada, Katsuhiko
- Subjects
- *
MATERNAL love , *POSTPARTUM depression , *COMPARATIVE studies , *RESEARCH methodology , *MEDICAL cooperation , *MOTHER-child relationship , *PSYCHOANALYTIC interpretation , *RESEARCH , *PSYCHOLOGICAL stress , *EVALUATION research , *PSYCHOLOGICAL factors - Abstract
Background: Difficulty of maternal bonding towards a baby is widely recognised. It is unclear whether this phenomenon is dimensional or categorical. If categorical, an optimal cut-off score of a screening instrument is needed in clinical settings.Aims: In this study, we investigated whether maternal bonding is dimensional or categorical phenomenon and try to set optimal cut-off score of screening instruments.Methods: Self-report questionnaire studies were conducted in a general hospital and four antenatal clinics. Two-step cluster analysis was conducted for the Mother-to-Infant Bonding Scale (MIBS) subscale scores in 723 mothers of neonates. ROC curves and optimal cut-off points of the MIBS scores were calculated based on cluster-analysis derived groups.Results: A 2-cluster structure appeared: "normal" (n=619) vs. "pathological maternal bonding" (n=104). Mothers of the latter category scored significantly higher in terms of postnatal depression and neonatal abuse than those of the former category. AUC of the ROC curve by the total MIBS scores both 5days and 1month after childbirth were >0.9. The optimal cut off scores were 3/4 at 5days, and 4/5 at 1month, after childbirth.Conclusions: There was a group of mothers with high MIBS scores discretely different from those with low MIBS scores. MIBS may be a useful tool to identify mothers with a severe bonding disorder that needs clinical intervention. [ABSTRACT FROM AUTHOR]- Published
- 2017
- Full Text
- View/download PDF
25. Parenting Stress, Mental Health, Dyadic Adjustment: A Structural Equation Model.
- Author
-
Rollè, Luca, Prino, Laura E., Sechi, Cristina, Vismara, Laura, Neri, Erica, Polizzi, Concetta, Trovato, Annamaria, Volpi, Barbara, Molgora, Sara, Fenaroli, Valentina, Ierardi, Elena, Ferro, Valentino, Lucarelli, Loredana, Agostini, Francesca, Tambelli, Renata, Saita, Emanuela, Crugnola, Cristina Riva, and Brustia, Piera
- Subjects
CHILD psychology ,MENTAL health ,DYADIC communication ,PARENTING ,STRESS management ,COGNITIVE ability - Published
- 2017
- Full Text
- View/download PDF
26. Recognition and management of perinatal depression and anxiety by general practitioners: a systematic review.
- Author
-
Ford, Elizabeth, Shakespeare, Judy, Elias, Fatin, and Ayers, Susan
- Subjects
- *
FAMILY medicine , *DEPRESSION in children , *DIAGNOSIS of anxiety in children , *ANXIETY in children , *TREATMENT of depression in children , *SYSTEMATIC reviews , *THERAPEUTICS , *ANXIETY diagnosis , *ANTIDEPRESSANTS , *MENTAL depression , *DIAGNOSIS of mental depression , *TRANQUILIZING drugs , *POSTPARTUM depression diagnosis , *ANXIETY , *CLINICAL competence , *HEALTH attitudes , *MEDICAL referrals , *POSTPARTUM depression , *PREGNANCY complications , *DIAGNOSIS - Abstract
Background: Perinatal anxiety and depression are widespread, with up to 20% of women affected during pregnancy and after birth. In the UK, management of perinatal mental health falls under the remit of general practitioners (GPs). We reviewed the literature on GPs' routine recognition, diagnosis and management of anxiety and depression in the perinatal period.Method: A systematic search of Embase, Medline, PsycInfo, Pubmed, Scopus and Web of Science was conducted. Studies were eligible if they reported quantitative measures of GPs' or Family Physicians' assessment, recognition and management of anxiety or depression in pregnancy or post-partum.Results: Thirteen papers, reporting 10 studies, were identified from the United States, Australia, UK, Netherlands and Canada. All reported on depression; two included anxiety disorders. Reported awareness and ability to diagnose perinatal depression among GPs was high. GPs knew about and used screening tools in the UK but less so in US settings. Antidepressants were the first line of treatment, with various SSRIs considered safest. Counseling by GPs and referrals to specialists were common in the post-natal period, less so in pregnancy. Treatment choices were determined by resources, attitudes, knowledge and training.Conclusions: Data on GPs' awareness and management of perinatal depression were sparse and unlikely to be generalizable. Future directions for research are proposed; such as exploring the management of anxiety disorders which are largely missing from the literature, and understanding more about barriers to disclosure and recognition in primary care. More standardized training could help to improve recognition and management practices. [ABSTRACT FROM AUTHOR]- Published
- 2017
- Full Text
- View/download PDF
27. Effect of Attachment and Child Health (ATTACHTM) Parenting Program on Parent-Infant Attachment, Parental Reflective Function, and Parental Depression
- Author
-
Lubna Anis, Kharah Ross, Henry Ntanda, Martha Hart, and Nicole Letourneau
- Subjects
Health, Toxicology and Mutagenesis ,Public Health, Environmental and Occupational Health ,ATTACHTM ,parenting intervention ,parental reflective function ,parent-child attachment ,post-natal depression - Abstract
High-risk families exposed to toxic stressors such as family violence, depression, addiction, and poverty, have shown greater difficulty in parenting young children. In this study, we examined the effectiveness of ATTACHTM, a 10–12 session manualized one-on-one parental Reflective Function (RF)-based parenting program designed for high-risk families. Outcomes of parent-child attachment and parental RF were assessed via the Strange Situation Procedure (SSP) and Reflective Function Scale (RFS), respectively. The protective role of ATTACHTM on parental depression was also assessed. Data were available from caregivers and their children < 6 years of age who participated in five pilot randomized control trials (RCTs) and quasi-experimental studies (QES; n = 40). Compared with the control group, caregivers who received the ATTACHTM-program demonstrated a greater likelihood of secure attachment with their children (p = 0.004) and higher parental RF [self (p = 0.004), child (p = 0.001), overall (p = 0.002)] in RCTs. A significant improvement in parental RF (p = 0.000) was also observed in the QES within ATTACHTM group analysis. As attachment security increased, receiving the ATTACHTM program may be protective for depressed caregivers. Results demonstrated the promise of ATTACHTM for high-risk parents and their young children.
- Published
- 2022
28. Effect of a Brief Supportive and Educational Intervention on the Psychological Well-Being of Mothers with Babies in Neonatal Wards of a Tertiary Hospital in Ibadan, Nigeria
- Author
-
Tolulope Bella-Awusah, Olufemi O Oyekunle, Olayinka Omigbodun, Adejumoke I. Ayede, and Cornelius Ani
- Subjects
Parents ,Postpartum depression ,medicine.medical_specialty ,030231 tropical medicine ,post-natal depression ,Mothers ,Nigeria ,parental stress ,Pediatrics ,law.invention ,Tertiary Care Centers ,Treatment and control groups ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,Intensive Care Units, Neonatal ,Tropical Medicine ,Intensive care ,Intervention (counseling) ,medicine ,Humans ,030212 general & internal medicine ,SCALE ,Depression (differential diagnoses) ,Original Paper ,Science & Technology ,business.industry ,Stressor ,Infant, Newborn ,Infant ,CARE ,medicine.disease ,FAMILY ,Infectious Diseases ,educational intervention ,Family medicine ,Psychological well-being ,Pediatrics, Perinatology and Child Health ,1114 Paediatrics and Reproductive Medicine ,Female ,AcademicSubjects/MED00670 ,neonatal intensive care unit (NCU) ,business ,Life Sciences & Biomedicine ,Stress, Psychological ,supportive counselling - Abstract
OBJECTIVE To assess the effect of a supportive educational intervention on the psychological wellbeing of mothers whose babies were admitted to Neonatal Care Unit (NCU) in Nigeria. METHODS Controlled trial involving 41 mothers whose babies were consecutively admitted into two NCUs (21 in the intervention group and 19 controls). The intervention group received two group-based sessions which included psychological coping strategies, and familiarity with NCU environment, equipment, personnel and procedures. The control group received usual care. Outcome measures were depressive symptoms (Edinburg Postnatal Depression Scale—EPDS), stress-related to NCU (Parental Stressor Scale: Neonatal Intensive Care Unit—PSS: NICU) and post-traumatic symptoms (Impact Event Scale-Revised—IES-R). RESULTS Difference-in-Differences (DiD) analysis showed a difference of −4.70 in PSS: NICU score in favour of the intervention group which was statistically significant [F(3, 75) = 9.47, p CONCLUSION This brief group-based supportive educational intervention for mothers with babies in NCU was feasible, acceptable and helpful in reducing stress related to NCU. Larger controlled trials are recommended to establish the generalizability of these findings in this region. LAY SUMMARY Babies born too early and or with complications require admission to special hospital called Neonatal Care Unit (NCU) to help them to survive. However, parents whose babies are admitted to NCU can find the experience frightening. We examined how to reduce the fear and stress mothers in Nigeria experience when their babies are admitted to NCU. We had two groups of mothers. The first group made up of 21 mothers was taught how to cope with the stress of having a baby in NCU. They were also shown how the various equipment in the NCU work, what the staff in NCU do and what types of things need to be done to help their babies. The second group of 19 mothers received usual care but did not have the extra teaching the first group received. After 2 weeks, we checked the level of depression and stress the mothers in both groups had compared with the level before the first group received the extra teaching. We found that mothers in the first group who received the extra teaching were less stressed about having their babies in the NCU compared with the mothers that did not receive the teaching.
- Published
- 2021
29. Association between maternal depressive symptoms in the early post-natal period and responsiveness in feeding at child age 2 years.
- Author
-
Mallan, Kimberley M., Daniels, Lynne A., Wilson, Jacinda L., Jansen, Elena, and Nicholson, Jan M.
- Subjects
- *
CONFIDENCE intervals , *STATISTICAL correlation , *INFANT nutrition , *LONGITUDINAL method , *PSYCHOLOGY of mothers , *POSTPARTUM depression , *PUERPERIUM , *QUESTIONNAIRES , *REGRESSION analysis , *STATISTICAL sampling , *SELF-evaluation , *TEMPERAMENT in children , *EDINBURGH Postnatal Depression Scale , *EFFECT sizes (Statistics) , *BODY mass index , *RANDOMIZED controlled trials , *RELATIVE medical risk , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Maternal depression is a known risk factor for poor outcomes for children. Pathways to these poor outcomes relate to reduced maternal responsiveness or sensitivity to the child. Impaired responsiveness potentially impacts the feeding relationship and thus may be a risk factor for inappropriate feeding practices. The aim of this study was to examine the longitudinal relationships between self‐reported maternal post‐natal depressive symptoms at child age 4 months and feeding practices at child age 2 years in a community sample. Participants were Australian first‐time mothers allocated to the control group of the NOURISH randomized controlled trial when infants were 4 months old. Complete data from 211 mothers (of 346 allocated) followed up when their children were 2 years of age (51% girls) were available for analysis. The relationship between Edinburgh Postnatal Depression Scale (EPDS) score (child age 4 months) and child feeding practices (child age 2 years) was tested using hierarchical linear regression analysis adjusted for maternal and child characteristics. Higher EPDS score was associated with less responsive feeding practices at child age 2 years: greater pressure [β = 0.18, 95% confidence interval (CI): 0.04–0.32, P = 0.01], restriction (β = 0.14, 95% CI: 0.001–0.28, P = 0.05), instrumental (β = 0.14, 95% CI: 0.005–0.27, P = 0.04) and emotional (β = 0.15, 95% CI: 0.01–0.29, P = 0.03) feeding practices (ΔR2 values: 0.02–0.03, P < 0.05). This study provides evidence for the proposed link between maternal post‐natal depressive symptoms and lower responsiveness in child feeding. These findings suggest that the provision of support to mothers experiencing some levels of depressive symptomatology in the early post‐natal period may improve responsiveness in the child feeding relationship. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
30. Predictors of post-natal depression are shaped distinctly by the measure of ‘depression’.
- Author
-
Parker, Gordon B., Hegarty, Bronwyn, Paterson, Amelia, Hadzi-Pavlovic, Dusan, Granville-Smith, Isabelle, and Gokiert, Aniela
- Subjects
- *
POSTPARTUM depression , *MENTAL depression , *THERAPEUTICS , *PSYCHOSOCIAL factors , *PREGNANCY & psychology , *AFFECTIVE disorders , *EDINBURGH Postnatal Depression Scale - Abstract
Background Many variables have been proposed as predictive of post-natal depression (PND). Aims To investigate and refine PND risk variables. Method We recruited a large sample and employed two measures of PND (the dimensional Edinburgh Postnatal Depression Scale or EPDS, and DSM-defined major depression). Results High levels of stress in the post-natal period, previous depression and higher depression scores during pregnancy were the only consistent predictors across measures. Those exceeding the EPDS cut-off had additional psychosocial risk factors while those meeting criteria for major depression were strongly predicted by a past history of depression as well as higher pre-natal state depression scores. Limitations The EPDS has been used with variable cut off scores across multiple studies. We used only nine of the 10 EPDS items, electing to exclude the self-harm related question, but preserving the recommended EPDS cut-off score, and which might have impacted on predictions. Conclusions Study results generated a refined set of predictors of PND but, more importantly, identified that predictors of PND status are distinctly influenced by the measure of PND. Such inconsistencies are intrinsically noteworthy and of potential key importance in shaping intervention strategies. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
31. Virtual Reality Therapy for the Enhancement of Traditional Therapies for post-natal depression
- Author
-
George Stamou, Botella, Cristina, García-Palacios, Azucena, and Universitat Jaume I. Escola de Doctorat
- Subjects
Literature review ,Psychotherapist ,Post-natal depression ,Virtual reality ,Virtual reality therapy ,159.9 ,616.89 ,Cognitive-behavioural therapy ,Single-case studies trial ,Psychology ,Salut i serveis socials ,Depression (differential diagnoses) ,Pilot study - Abstract
The overall objective of this research project was to explore the combination of a traditional treatment for postnatal depression (PND), such as cognitive behavioral therapy (CBT), with the use of virtual reality (VR) technology. This project set out to respond to five objectives 1) to study which treatments were the most effective and frequent for the treatment of PND, 2) to identify which components of CBT were used most frequently for the treatment of PND, 3) to identify whether VR had ever been used for the treatment of PND, and whether VR could be combined with traditional therapy and implemented in a clinical setting, 4) to study the feasibility and acceptance of this CBT plus VR intervention protocol 5) to explore the preliminary efficacy of the combination of CBT with VR for the treatment of PND. El objetivo general de este proyecto de investigación era explorar la combinación de un tratamiento tradicional para la depresión postnatal (DPN), como la terapia cognitivo-conductual (TCC), con el uso de la tecnología de realidad virtual (RV). Este proyecto se propuso responder a cinco objetivos. 1) estudiar qué tratamientos eran los más eficaces y frecuentes para el tratamiento del DPN. 2) para identificar qué componentes de la TCC se utilizaban con más frecuencia para el tratamiento del DPN. 3) para identificar si la RV se había utilizado alguna vez para el tratamiento del DPN, y si la RV podía combinarse con una terapia tradicional e implementarse en un entorno clínico. 4) estudiar la viabilidad y aceptación de este protocolo de intervención de CBT más RV, es decir, identificar si la combinación de la TCC con la tecnología de RV era factible y aceptable. 5) explorar la eficacia preliminar de la combinación de la TCC con la RV para el tratamiento del DPN. Programa de Doctorat en Psicologia
- Published
- 2021
- Full Text
- View/download PDF
32. Maternal expectations and postpartum emotional adjustment in first-time mothers: results of a questionnaire survey.
- Author
-
Henshaw, Erin J., Fried, Rachel, Teeters, Jenni Beth, and Siskind, Emily E.
- Subjects
- *
PREGNANT women , *POSTPARTUM depression , *HOSPITALS , *PARENTHOOD , *DELIVERY (Obstetrics) , *MENTAL health - Abstract
Objective: Several predictors of postpartum mood have been identified in the literature, but the role of maternal expectations in postpartum mental health remains unclear. The aim of this study was to identify whether maternal expectations during the postpartum hospital stay predict adjustment and depressive symptoms at 6 weeks postpartum. Methods: The sample included 233 first-time mothers recruited from the postpartum unit of a Midwestern hospital. Participants completed measures of maternal expectations and depressive symptoms (EPDS) at Time 1 (2 d postpartum) and completed EPDS and an Emotional Adjustment Scale (BaM-13) at Time 2 (6 weeks postpartum). Results: A conditional relationship between the expectation that an infant's behavior will reflect maternal skill and Time 2 outcomes (BaM-13 and EPDS) was found, such that endorsing this belief predicted increased depression and poorer adjustment in those with higher (but not lower) Time 1 EPDS scores. Time 2 BaM-13 scores were also negatively predicted by expectations of self-sacrifice and positively predicted by expectations that parenthood would be naturally fulfilling. Conclusions: The expectations that new mothers hold about parenting soon after delivery are predictive of emotional adjustment in the early postpartum period, suggesting a role for discussion of expectations in future preventive strategies. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
33. PRIME: impact of previous mental health problems on health-related quality of life in women with childbirth trauma.
- Author
-
Turkstra, E., Gamble, J., Creedy, D. K., Fenwick, J., Barclay, L., Buist, A., Ryding, EL., and Scuffham, P. A.
- Subjects
- *
QUALITY of life , *CHI-squared test , *CHILDBIRTH , *COGNITIVE therapy , *CONFIDENCE intervals , *COUNSELING , *EPIDEMIOLOGY , *LONGITUDINAL method , *EVALUATION of medical care , *MENTAL illness , *THIRD trimester of pregnancy , *PUERPERIUM , *QUESTIONNAIRES , *RESEARCH funding , *PSYCHOLOGICAL resilience , *WOUNDS & injuries , *DATA analysis , *SOCIAL support , *RANDOMIZED controlled trials , *REPEATED measures design , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
We investigated the impact of pre-existing mental ill health on postpartum maternal outcomes. Women reporting childbirth trauma received counselling (Promoting Resilience in Mothers' Emotions; n = 137) or parenting support ( n = 125) at birth and 6 weeks. The EuroQol Five dimensional (EQ-5D)-measured health-related quality of life at 6 weeks, 6 and 12 months. At 12 months, EQ-5D was better for women without mental health problems receiving PRIME (mean difference (MD) 0.06; 95 % confidence interval (CI) 0.02 to 0.10) or parenting support (MD 0.08; 95 % CI 0.01 to 0.14). Pre-existing mental health conditions influence quality of life in women with childbirth trauma. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
34. Cognitive-Behavioural therapy and interpersonal psychotherapy for the treatment of post-natal depression: a narrative review
- Author
-
Azucena García-Palacios, George Stamou, Cristina Botella, and We would like to thank Professor Holger Regenbrecht from the University of Otago, New Zealand for his support, and guidance on VR matters.
- Subjects
Adult ,narrative review ,Post-natal depression ,medicine.medical_treatment ,Population ,lcsh:BF1-990 ,post-natal depression ,Review ,Virtual reality ,Depression, Postpartum ,03 medical and health sciences ,0302 clinical medicine ,mental disorders ,medicine ,Psychoeducation ,Humans ,Interpersonal Relations ,030212 general & internal medicine ,education ,General Psychology ,education.field_of_study ,Psychological treatments ,Cognitive Behavioral Therapy ,Psychological research ,Cognitive restructuring ,General Medicine ,030227 psychiatry ,Clinical trial ,psychological treatments ,Distress ,Systematic review ,lcsh:Psychology ,Interpersonal psychotherapy ,Psychotherapy, Brief ,virtual reality ,Female ,Psychology ,Clinical psychology ,Narrative review - Abstract
BACKGROUND: Post-natal Depression (PND) is a depressive disorder that causes significant distress or impairment on different levels in the individual's life and their families. There is already evidence of the efficacy of psychological treatments for PND. We conducted a narrative review and researched the literature for identifying systematic reviews and studies for the best psychological treatments of PND, and examined what parameters made those treatments successful. METHODS: We searched 4 electronic databases. We included reviews and randomised controlled clinical trials for our research. We excluded other types of studies such as case studies and cohort studies. We followed a specific search strategy with specific terms and a selection process. We identified risk of bias in reviews and studies, and identified their limitations. We synthesized the data based on particular information, including: name of the authors, location, research type, target, population, delivery, outcome measures, participants, control groups, types of intervention, components of treatments, providers, experimental conditions amongst others. RESULTS: We found 6 reviews and 15 studies which met our inclusion criteria focusing on Cognitive Behavioural Therapy (CBT) for PND. Among the main findings we found that CBT can be delivered on an individual basis or within a group. It can be effective in the short-term, or up to six months post-intervention. CBT can be delivered by professionals or experts, but can also be practiced by non-experts. We found 7 components of CBT, including psychoeducation, cognitive restructuring, and goal setting. We also researched whether virtual reality (VR) has ever been used for the treatment of PND, and found that it has not. CONCLUSION: From our review, we have concluded that CBT is an effective treatment for PND. We have explored the utility of VR as a possible therapeutic modality for PND and have decided to run a pilot feasibility study as a next step, which will act as the foundational guide for a clinical trial at a later stage.
- Published
- 2018
35. Thyroid peroxidase antibodies during early gestation and the subsequent risk of first-onset postpartum depression: A prospective cohort study
- Author
-
Richard Wesseloo, Veerle Bergink, Astrid M. Kamperman, Victor J M Pop, Psychiatry, and Medical and Clinical Psychology
- Subjects
Postpartum depression ,Adult ,medicine.medical_specialty ,endocrine system ,DISORDERS ,PERIOD ,Gestational Age ,Gestation period ,Autoantigens ,Iodide Peroxidase ,EDS ,Depression, Postpartum ,03 medical and health sciences ,0302 clinical medicine ,Thyroid peroxidase ,Risk Factors ,POST-NATAL DEPRESSION ,Medicine ,Humans ,030212 general & internal medicine ,Prospective Studies ,Prospective cohort study ,Depression (differential diagnoses) ,reproductive and urinary physiology ,SCALE ,TPO-ab ,Gynecology ,biology ,business.industry ,Obstetrics ,Postpartum Period ,Thyroid dysfunction ,medicine.disease ,Thyroid Diseases ,DYSFUNCTION ,Psychiatry and Mental health ,Clinical Psychology ,PREGNANCY ,Onset timing ,biology.protein ,Antenatal depression ,Female ,AUTOANTIBODIES ,Thyroid function ,business ,030217 neurology & neurosurgery ,Postpartum period - Abstract
BackgroundDuring the postpartum period, women are at risk for the new onset of both auto-immune thyroid disorders and depression. The presence of thyroid peroxidase antibodies (TPO-ab) during early gestation is predictive for postpartum auto-immune thyroid dysfunction. The aim of this study was to investigate the association between TPO-ab status during early gestation and first-onset postpartum depression.MethodsProspective cohort study (n = 1075) with follow-up during pregnancy up to one year postpartum. Thyroid function and TPO-ab status were measured during early gestation. Depressive symptomatology was assessed during each trimester and at four time points postpartum with the Edinburgh Depression Scale (EDS). Women with antenatal depression were not eligible for inclusion. Self-reported postpartum depression was defined with an EDS cut-off of ≥ 13.ResultsThe cumulative incidence of self-reported first-onset depression in the first postpartum year was 6.3%. A positive TPO-ab status was associated with an increased risk for self-reported first-onset depression at four months postpartum (adjusted OR 3.8; 95% CI 1.3–11.6), but not at other postpartum time points. Prevalence rates of self-reported postpartum depression declined after four months postpartum in the TPO-ab positive group, but remained constant in the TPO-ab negative group.LimitationsDepression was defined with a self-rating questionnaire (EDS).ConclusionsWomen with an increased TPO-ab titer during early gestation are at increased risk for self-reported first-onset depression. The longitudinal pattern of self-reported postpartum depression in the TPO-ab positive group was similar to the typical course of postpartum TPO-ab titers changes. This suggests overlap in the etiology of first-onset postpartum depression and auto-immune thyroid dysfunction. Thyroid function should be evaluated in women with first-onset postpartum depression.
- Published
- 2018
36. The effect of post-natal mental distress amongst Indian and Pakistani mothers living in England on children's behavioural outcomes.
- Author
-
Prady, S. L. and Kiernan, K. E.
- Subjects
- *
BEHAVIOR disorders in children , *CHI-squared test , *ETHNOPSYCHOLOGY , *INTERVIEWING , *PSYCHOLOGY of mothers , *PARENTING , *POSTPARTUM depression , *PROBABILITY theory , *PSYCHOLOGICAL tests , *PUERPERIUM , *QUESTIONNAIRES , *RESEARCH funding , *STATISTICS , *T-test (Statistics) , *MULTIPLE regression analysis , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Background Low socio-economic status ( SES), post-natal mental distress and parenting impact child mental health and future well-being. There are unexplained differences in child mental health between South Asian ethnic minority groups living in the UK that may be due to variation in, and differential mediation of, these factors. Methods We used multivariate multiple regression analysis of the effect of symptoms of mental distress, socio-demographic variables and warmth of parenting on child internalizing and externalizing scores at age seven (measured in 2010) in a population cohort of English children whose mothers were of Indian ( n = 211) and Pakistani ( n = 260) origin. Results In the fully adjusted models the legacy of mental distress was visible for both internalizing (β coefficient 1.52, P = 0.04) and externalizing (1.68, P = 0.01) behaviour in the Pakistani children, and on the Indian children's internalizing (2.08, P = 0.008) but not externalizing (0.84, P = 0.204) behaviour. Lower SES was associated with worse behavioural scores for the Pakistani children, and warmth of parenting on Indian children's externalizing scores. Conclusions Symptoms of post-natal mental distress are associated with Indian and Pakistani child outcomes at age seven. The finding that warmth of parenting had a stronger association on Indian children's externalizing scores than mental distress might be explained by differences in the expression of SES on family characteristics and functioning between the two ethnic groups. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
37. Effect of Attachment and Child Health (ATTACH TM ) Parenting Program on Parent-Infant Attachment, Parental Reflective Function, and Parental Depression.
- Author
-
Anis L, Ross K, Ntanda H, Hart M, and Letourneau N
- Subjects
- Caregivers, Child, Child Health, Child, Preschool, Depression, Humans, Infant, Parent-Child Relations, Object Attachment, Parenting
- Abstract
High-risk families exposed to toxic stressors such as family violence, depression, addiction, and poverty, have shown greater difficulty in parenting young children. In this study, we examined the effectiveness of ATTACHTM, a 10−12 session manualized one-on-one parental Reflective Function (RF)-based parenting program designed for high-risk families. Outcomes of parent-child attachment and parental RF were assessed via the Strange Situation Procedure (SSP) and Reflective Function Scale (RFS), respectively. The protective role of ATTACHTM on parental depression was also assessed. Data were available from caregivers and their children < 6 years of age who participated in five pilot randomized control trials (RCTs) and quasi-experimental studies (QES; n = 40). Compared with the control group, caregivers who received the ATTACHTM-program demonstrated a greater likelihood of secure attachment with their children (p = 0.004) and higher parental RF [self (p = 0.004), child (p = 0.001), overall (p = 0.002)] in RCTs. A significant improvement in parental RF (p = 0.000) was also observed in the QES within ATTACHTM group analysis. As attachment security increased, receiving the ATTACHTM program may be protective for depressed caregivers. Results demonstrated the promise of ATTACHTM for high-risk parents and their young children.
- Published
- 2022
- Full Text
- View/download PDF
38. The enigma of post-natal depression: an update.
- Author
-
WYLIE, L., HOLLINS MARTIN, C. J., MARLAND, G., MARTIN, C. R., and RANKIN, J.
- Subjects
- *
POSTPARTUM depression diagnosis , *EXERCISE , *HORMONE therapy , *PROGNOSIS , *POSTPARTUM depression , *WOMEN'S health , *PREVENTION , *THERAPEUTICS - Abstract
This paper aims to provide a critical analysis of key concepts associated with post-natal depression (PND) to facilitate healthcare professionals with improving standards of care. Post-natal depression is often inadequately understood by healthcare professionals. The objective was to clarify and present understandings of PND. Post-natal depression may result in referral to Community Mental Health Teams and although initial contact and management is usually through Primary Care, increasingly there is involvement of liaison mental health nurses. A literature review and synthesis of research papers on PND was conducted. Using the keywords post-natal depression, post-partum, puerperium, perinatal, therapy, trial, review, systematic, 135 articles were yielded and limited to 57, which were critically reviewed and categorized into key concepts and themes. Synthesis of literature in relation to PND has facilitated construction of an evidence-based contemporary picture of clinical manifestation, aetiology, methods of screening, preventing, treating and managing PND. The veracity of the evidence surrounding the aetiology and treatment of PND is variable. Interventions are often ineffective and a vacuum in the evidence base exists leaving a dynamic environment for researchers to identify more successful ways of predicting, detecting, treating and managing PND. [ABSTRACT FROM AUTHOR]
- Published
- 2011
- Full Text
- View/download PDF
39. Common mental disorders during pregnancy and adverse obstetric outcomes.
- Author
-
Faisal-Cury, Alexandre, Araya, Ricardo, Zugaib, Marcelo, and Menezes, Paulo R.
- Subjects
- *
OBSTETRICS , *PREGNANCY & psychology , *MENTAL health , *POSTPARTUM depression , *MENTAL illness , *PREGNANCY in women with mental illness , *SOMATOFORM disorders - Abstract
Objective. To estimate the association between common mental disorders (CMD) during pregnancy and risk of low birth weight (LBW) or preterm birth (PTB). Methods. A prospective cohort study was conducted with 831 pregnant women from antenatal clinics in primary healthcare in São Paulo, Brazil. The clinical interview schedule-revised and demographic questionnaires were administered between the 20th and 30th weeks of gestation. Information on infant weight and gestational age at birth were obtained from hospital records. Univariate analyses were used to examine the association between the main exposure and main outcomes. Statistical associations were examined with χ2 tests. Adjusted odds ratios (OR) and 95% confidence intervals (CI) for the main outcomes were obtained using a multivariable logistic regression model. Results. The prevalence of CMD during gestation was 33.6 (95% CI: 30.4-36.9). The follow-up rate was 99.5%. Sixty three (7.6%) newborns were classified as LBW and 56 (6.9%) were classified as PTB. CMD during pregnancy was not associated with risk of PTB (adjusted OR:1.03, 95% CI: 0.57-1.88) or LBW (adjusted OR:1.09, 95% CI: 0.62-1.91). Conclusions. CMD prevalence is high among low-income and low-risk pregnant women attended by public health services in a middle-income country, but not confer an increased risk for adverse obstetric outcome. [ABSTRACT FROM AUTHOR]
- Published
- 2010
- Full Text
- View/download PDF
40. The Portuguese version of the postpartum depression screening scale.
- Author
-
Pereira, Ana Telma, Bos, Sandra, Marques, Mariana, Maia, Berta Rodrigues, Soares, Maria João, Valente, José, Gomes, Ana Allen, Macedo, António, and Azevedo, Maria Helena
- Subjects
- *
DEPRESSION in women , *MEDICAL screening , *POSTPARTUM depression , *EPIDEMIOLOGY , *WOMEN'S health , *PSYCHOTHERAPY patients - Abstract
The aim of the present study was to analyse whether the Portuguese version of the Postpartum Depression Screening Scale (PDSS) was a valid instrument for screening postpartum depression. For this purpose the following objectives were delineated: (1) to analyse PDSS psychometric properties; (2) to determine PDSS cut-off points and associated conditional probabilities for screening depression according to DSM-IV and ICD-10 criteria; and (3) to compare the performance of PDSS with the Beck Depression Inventory-II (BDI-II) in screening for postpartum depression. Four hundred eighty-six 3-months-postpartum women completed both questionnaires and were interviewed with the Portuguese version of Diagnostic Interview for Genetic Studies (DIGS). The Portuguese version of the operational criteria checklist for psychotic illness (OPCRIT) was used to obtain DSM-IV and ICD-10 diagnoses of depression, our gold standards for caseness. PDSS reliability and validity were very good and equivalent to those reported in other versions, including the original. PDSS was an accurate screening instrument for postpartum depression, showing satisfactory combination of sensitivity and specificity (>80%). Compared to BDI-II it has the advantage of being more specific for the motherhood context. PDSS could be very useful for clinical and epidemiological purposes. [ABSTRACT FROM AUTHOR]
- Published
- 2010
- Full Text
- View/download PDF
41. Instruments to identify post-natal depression: Which methods have been the most extensively validated, in what setting and in which language?
- Author
-
Hewitt, Catherine E., Gilbody, Simon M., Mann, Rachel, and Brealey, Stephen
- Subjects
- *
POSTPARTUM depression , *PERINATAL mood & anxiety disorders , *MENTAL depression , *PUERPERAL disorders , *AFFECTIVE disorders - Abstract
Objectives. To investigate which methods to identify post-natal depression are the most extensively validated, in what setting and in what language. Methods. A systematic search of the literature was undertaken to retrieve English and non-English language articles available until February 2007. This included searching 16 electronic databases, forward citation searching, personal communication with authors and inspection of reference lists. Results. A total of 60 studies (published in 64 articles) met the inclusion criteria. Four PND specific measures and nine generic depression (and sometimes anxiety) measures were found to have been validated against a diagnostic reference standard in pregnant or post-natal populations. The Edinburgh Post-natal Depression Scale (EPDS) was the most frequently validated method to identify women with PND. The EPDS has been translated and validated in 20 different languages. The majority of studies were undertaken at ante-natal clinics ( n=15), after the birth in post-natal wards ( n=12) or during post-natal visits or follow-up clinics ( n=16). Conclusions. The EPDS is the most frequently researched method to identify PND and has been translated and validated in multiple different languages. [ABSTRACT FROM AUTHOR]
- Published
- 2010
- Full Text
- View/download PDF
42. The effect of post-natal symptoms of post-traumatic stress and depression on the couple's relationship and parent-baby bond.
- Author
-
Parfitt, YlvaM. and Ayers, Susan
- Subjects
- *
POST-traumatic stress disorder , *POSTPARTUM depression , *CHILDBIRTH & psychology , *MAN-woman relationships -- Psychological aspects , *PARENT-child relationships , *PATHOLOGICAL psychology - Abstract
Objectives: Research has shown that between 1 and 3% of women may suffer from post-traumatic stress disorder (PTSD) following childbirth. However, the potential effect of childbirth on fathers, and the implications of post-natal symptoms of PTSD for family relationships, have received little attention. The current study therefore examined the potential effects of PTSD symptoms on the couple's relationship and parent-baby bond. Design: Internet-based questionnaire study. Methods: One hundred and fifty-two parents (126 women and 26 men) completed questionnaire measures of PTSD, depression, quality of the couple's relationship, and the parent-baby bond. Results: Symptoms of PTSD and depression were significantly correlated with the couples' relationship and parent-baby bond. Structural equation modelling found the model that best fitted the data was one where PTSD symptoms had a direct effect on the parent-baby bond, but the effect of PTSD on the couples' relationship was mediated by depression. Conclusions: The results indicate the importance of examining the psychological reactions of men and women after birth; and suggest that symptoms of PTSD have an effect on the parent-baby bond. However, methodological considerations mean further research is needed to replicate and extend this study before firm conclusions can be drawn. [ABSTRACT FROM AUTHOR]
- Published
- 2009
- Full Text
- View/download PDF
43. The influence of maternal depression, caregiving, and socioeconomic status in the post-natal year on children's language development.
- Author
-
Stein, A., Malmberg, L.‐E., Sylva, K., Barnes, J., and Leach, P.
- Subjects
- *
CHILDREN'S language , *PARENTING , *MOTHER-child relationship , *POSTPARTUM depression , *SOCIAL status , *CHILD development - Abstract
Background Post-natal depression is common and has been associated with adverse effects on children's later emotional and behavioural development. The evidence for effects on children's cognitive development is unclear but this could potentially be a major public health issue. The aim was to examine whether maternal depression and maternal caregiving during the first year of life are associated with children's subsequent language development. Methods One thousand two hundred and one women were recruited from antenatal and post-natal baby clinics in two areas in England, and followed up until their babies were 3 years. Mothers and children were assessed by questionnaire, interview and home observation; 999 children's language was assessed at 36 months, although 55 were excluded principally because they had been exposed to insufficient English. Results In bivariate analyses maternal depressive symptomatology in the post-natal year but not at 36 months was associated with poorer child language at 36 months; maternal caregiving, was positively associated with language. Structural Equation Modelling revealed that depression was associated with poorer caregiving but was not independently associated with language. Higher quality caregiving at 10 months was associated with better language. When the sample was split by socioeconomic factors the effects of depression on caregiving were stronger in the less advantaged group. In both groups poorer quality early caregiving predicted lower language outcome. Conclusions Post-natal depression had a negative effect on caregiving, which in turn affected language; post-natal depression did not have an additional direct effect on language. Socioeconomic factors moderated the effects of depression on caregiving. When targeting interventions at mothers with post-natal depression, it may be strategic to focus on lower socioeconomic groups at higher risk. [ABSTRACT FROM AUTHOR]
- Published
- 2008
- Full Text
- View/download PDF
44. Psychological and social aspects of maternity blues
- Author
-
Kennerley, H. A.
- Subjects
150 ,Post-natal depression - Published
- 1985
45. Predictors of postnatal depression in a community sample.
- Author
-
Milne, Lisa C., Greenway, Philip, and Hansen, Lara
- Abstract
The aim of this study was to determine the relationship between postnatal depression and adult attachment style; maternal attachment style; and infant social-emotional behaviour. The sample comprised 139 mothers and 139 infants aged between three and twenty-four months. All respondents completed the ages and Stages Questionnaire, adult attachment Scale and Maternal attachment Scale as part of a battery of questionnaires. Results supported a relationship between a mother's adult attachment style, maternal attachment style, certain infant behaviours and postnatal depression. Along with major adjustments following childbirth and consequent hormonal fluctuations, women need to adapt to their new role as mothers, and reorganise marital and family relationships. These changes are generally positive, but they can predispose women to psychiatric disorders. although many women experience feelings of sadness after giving birth, an estimated 10-20% experience postnatal depression, a major depressive episode with the onset in the postnatal phase. Epidemiological studies define the postnatal phase as ranging from birth to six months after delivery 7. [ABSTRACT FROM AUTHOR]
- Published
- 2007
46. Post-partum depression and infant growth in a South African peri-urban settlement.
- Author
-
Tomlinson, M., Cooper, P. J., Stein, A., Swartz, L., and Molteno, C.
- Subjects
- *
POSTPARTUM depression , *MENTAL depression , *PERINATAL mood & anxiety disorders , *PREGNANT women , *INFANT growth , *INFANT development , *BIRTH weight , *PREGNANCY - Abstract
Aim To examine the association between maternal post-natal depression and infant growth. Background Infant growth has recently been shown, in two studies from South Asia, to be adversely affected by maternal depression in the early post-partum period. It is uncertain whether a similar association obtains in developing countries outside Asia. Method A sample of 147 mother–infant dyads was recruited from a peri-urban settlement outside Cape Town and seen at 2 and 18 months post partum. Results No clear effect of post-partum depression on infant growth was found. Although maternal depression at 2 months was found to be associated with lower infant weight at 18 months, when birthweight was considered this effect disappeared. Conclusions Possible explanations for the non-replication of the South Asian findings are considered. [ABSTRACT FROM AUTHOR]
- Published
- 2006
- Full Text
- View/download PDF
47. Mothers' mental health and infant growth: a case-control study from Rawalpindi, Pakistan.
- Author
-
Rahman, A., Lovel, H., Bunn, J., Iqbal, Z., and Harrington, R.
- Subjects
- *
MOTHERS , *MENTAL health , *MENTAL depression , *AFFECTIVE disorders - Abstract
Background Epidemiological studies in Pakistan show high rates of depression in women, while rates of malnutrition in children are also high. This study aimed to determine whether poor maternal mental health is associated with an increased risk of infant undernutrition. Methods Clinic-based case-control study. A total of 172 consecutive infants and their mothers attending for 9-month measles immunization were recruited over a 3-month period. Eighty-two undernourished infants [weight for age below the National Centre for Health Statistics (NCHS)/World Health Organization (WHO) third centile] were matched to 90 controls (weight for age above 10th centile), and their mothers interviewed for mental distress using the Self-Reporting Questionnaire (WHO SRQ-20, a psychiatric screening instrument). Infants' exposure to maternal distress (score ≥ 10 on SRQ-20) and other potential risk or protective biological, social, socio-economic and family factors were measured. Results Mental distress determined by WHO SRQ-20 was associated with increased risk of undernutrition in infants (odds ratio 3.91, 95% confidence interval 1.95-7.86). This association remained significant after controlling for birthweight and social factors. Conclusion Exposure to maternal mental distress is associated with undernutrition in 9-month infants in urban Pakistan. These mothers may represent a group whose children are at higher risk of ill health, and potentially be a specific target for advice on infant care. Early recognition and treatment of mental health problems in mothers may help reduce morbidity and mortality rates in children. [ABSTRACT FROM AUTHOR]
- Published
- 2004
- Full Text
- View/download PDF
48. Listening to mothers: qualitative studies on motherhood and depression from Goa, India
- Author
-
Rodrigues, Merlyn, Patel, Vikram, Jaswal, Surinder, and de Souza, Nandita
- Subjects
- *
MENTAL depression , *MOTHERHOOD , *PATHOLOGICAL psychology , *NEUROSES , *AFFECTIVE disorders - Abstract
There is little qualitative research on depression in motherhood from non-Western societies. The objective of the study described in this paper was to use qualitative methods to investigate the cultural validity of the construct of post-natal depression (PND) and its social and cultural contexts. The study was nested in a cohort of mothers recruited to study the risk factors and outcome of PND in Goa, India. In-depth interviews were carried out with 39 mothers (19 of whom were found to be suffering from PND as defined by a cut-off score on the Edinburgh PND scale) and their husbands purposively recruited from the cohort. An illness narrative was conducted with mothers who were categorized as suffering from PND and their husbands to elicit their explanatory models. The two groups (PND and non-PND) of mothers were comparable in terms of socio-demographic characteristics. PND mothers had lower levels of practical help and emotional support. The symptoms reported by PND mothers were similar to those recorded in studies with women in other cultures suggesting a universal clinical presentation of PND. Causal attributions for the experience of depression focused on economic difficulties and poor marital relationship. All mothers expressed the need for more practical help and support during the period after childbirth; husbands in both groups were often disengaged from baby care or supporting the mother. The study provides validity for the construct of PND in an Indian setting, but also shows that the emotional distress is interpreted from the context of social adversity, poor marital relationships and cultural attitudes towards gender rather than a biomedical psychiatric category. Contrary to the assumption that socio-cultural contexts associated with childbirth in non-Western societies protect mothers from depression, factors unique to the culture such as gender preference and the low involvement of husbands in child-care are major causes of stress to mothers. [Copyright &y& Elsevier]
- Published
- 2003
- Full Text
- View/download PDF
49. Early childhood nurse-delivered cognitive behavioural counselling for post-natal depression.
- Author
-
Prendergast, Joanna and Austin, Marie-Paule
- Subjects
- *
NURSE training , *BEHAVIOR therapy , *POSTPARTUM depression , *THERAPEUTICS - Abstract
Objective: The aims were (1) to establish whether Early Childhood Nurses (ECNs) can be trained in a modified Cognitive Behavioural Therapy (CBT) for Post-natal Depression (PND), and (2) to compare the outcome of women treated with this therapy with ‘ideal standard care’ using non-specific counselling by ECNs with no additional training. Method: Five ECNs were trained in CBT and supervised weekly. Women were screened post-natally using the Edinburgh PND Scale (EPDS) and diagnostically assessed by a research registrar. Women with DSM-IV major or minor depression (n=37) were then randomized into either ‘ideal standard care’ (n=20) or CBT (n=17) for six weekly sessions. Two stages of follow-up were undertaken: research registrar interview immediately post-treatment and a postal follow-up at six months. Results: The training package was evaluated both by ECN completed questionnaires and analysis of taped therapy sessions. These evaluations indicated that ECNs could deliver modified CBT. There was a very high rate of recovery at initial follow-up with 70–80% recovered (EPDS < 10) in both groups. Six month follow-up showed a trend towards CBT being more effective in the longer term. Conclusions: ECNs can effectively provide a modified CBT intervention in the treatment of PND. For the majority of this sample with mild-moderate depression, perceived support from their ECN (forming an integral part of both the baseline assessment interview and control condition) appeared to be as effective as modified CBT. [ABSTRACT FROM AUTHOR]
- Published
- 2001
- Full Text
- View/download PDF
50. Thinking about and working with depressed mothers in the early months of their infant's life.
- Author
-
Tracey, Norma
- Subjects
- *
POSTPARTUM depression , *MOTHER-infant relationship , *CHILDBIRTH & psychology - Abstract
This paper illustrates how my work has developed over the years and informed my thinking about, and work with, depressed mothers. It also describes the work of the Parent Infant Foundation in Sydney where pregnant women and mothers with infants and toddlers are seen in groups and individually through home visits. The relevance of the support of a peer group when doing such difficult work is described. The paper draws on a central theme: the depressed mother, returning to her own infant beginnings through pregnancy and birth, confronts a dead mother-dead infant dyad. Trauma from the mother's own infancy is seen to have created an internal, autistic, deadened, psychic space. It is argued that behind this deadness lies the primeval pain of abandonment and loss. The associated rage, previously repressed but now awakened by her alive infant and his powerful primitive demands, invade the mother's psyche. The internal deadness freezes her alive processes as mother to her baby. Unbearable pain is awakened - and she may be in terror and unable to move, or she may experience herself as drowning in something catastrophic. SUMMARY This paper illustrates how my work has developed over the. [ABSTRACT FROM AUTHOR]
- Published
- 2000
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.