Editorial

Geia, Lynore; West, Roianne; Power, Tamara

doi:10.5172/conu.2013.46.1.70

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…Psychosocial tools are designed to explore more about the woman’s individual life story to better assist the health care professional in determining a woman’s overall risk of perinatal mental health disorders and the optimal pathways for treatment and support. Given concerns around the suitability of the EPDS with Aboriginal women [8,20,21,22] and the current rates of under screening [4,23], psychosocial screening represents a new and perhaps better way for health care professionals to engage with Aboriginal women around their perinatal mental health [20].…”

Section: Introductionmentioning

confidence: 99%

‘Having a Quiet Word’: Yarning with Aboriginal Women in the Pilbara Region of Western Australia about Mental Health and Mental Health Screening during the Perinatal Period

Carlin

Atkinson

Marley

2019

IJERPH

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Despite high rates of perinatal depression and anxiety, little is known about how Aboriginal women in Australia experience these disorders and the acceptability of current clinical screening tools. In a 2014 study, the Kimberley Mum’s Mood Scale (KMMS) was validated as an acceptable perinatal depression and anxiety screening tool for Aboriginal women in the Kimberley region of Western Australia. In the current study, we explored if it was appropriate to trial and validate the KMMS with Aboriginal women in the Pilbara. Yarning as a methodology was used to guide interviews with 15 Aboriginal women in the Pilbara who had received maternal and child health care within the last three years. Data were analysed thematically, the results revealing that this cohort of participants shared similar experiences of stress and hardship during the perinatal period. Participants valued the KMMS for its narrative-based approach to screening that explored the individual’s risk and protective factors. While support for the KMMS was apparent, particular qualities of the administering health care professional were viewed as critical to the tool being well received and culturally safe. Building on these findings, we will work with our partner health services in the Pilbara to validate the KMMS with Pilbara Aboriginal women.

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Section: Introductionmentioning

confidence: 99%

‘Having a Quiet Word’: Yarning with Aboriginal Women in the Pilbara Region of Western Australia about Mental Health and Mental Health Screening during the Perinatal Period

Carlin

Atkinson

Marley

2019

IJERPH

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“…Originally developed and validated with a sample of postnatal women in Scotland, the use of EPDS has gained widespread acceptance and extensive use over the ensuing 30 years evidenced by its ubiquitous translation and validation (Alvarado et al 2015;Cox et al 2014;Department of Health, Government of Western Australia 2006;Hewitt et al 2010;Joshi et al 2020;Rhee et al 2018;Shrestha et al 2016). However, in recent years, there has been emerging discussion around the limitations of the EPDS, including questioning of the cultural suitability and validity when applied in Indigenous or cross-cultural contexts (Black et al 2018;Gausia et al 2013;Geia et al 2013;State of Queensland 2014). A recent systematic review reported a lack of research investigating the effectiveness of the standard EPDS with Indigenous Australian women, providing neither psychometric properties nor qualitative validation of the standard EPDS (Kotz et al 2020).…”

Section: Introductionmentioning

confidence: 99%

A systematic review of EPDS cultural suitability with Indigenous mothers: a global perspective

Chan

Reid

Skeffington

et al. 2020

Arch Womens Ment Health

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The Edinburgh Postnatal Depression Scale (EPDS) is used extensively as the “gold standard” perinatal depression and anxiety screening tool. This study contributes to an emerging discussion about the tool’s shortcomings, specifically around cultural suitability for use with Indigenous women. A systematic search was conducted in ProQuest, PsycINFO, MEDLINE (Web of Science), PubMed, Scopus, Informit, and CINAHL research databases, and grey literature. The quality of the body of evidence was assessed using the NHMRC Level of Evidence framework. Three studies supported the cultural validation of the EPDS with Indigenous groups in Canada (n = 2) and the USA (n = 1). The remaining eleven Australian studies demonstrated that cultural concerns were suggested by either Indigenous mothers, healthcare professionals (Indigenous and non-Indigenous), or both, though cultural concerns were more weighted from the perspectives of healthcare professionals. The quality of the evidence was not strong, and thus, there is a critical and urgent need for targeted research in this area. This review identified and recommended Indigenous-specific methodologies that can be adopted for more trustworthy, culturally safe, and effective research in this area. Given that the EPDS is currently considered gold standard in routine perinatal mental health screening practice in countries around the world, these findings raise significant concerns. Using culturally relevant research methodologies, such as the use of mixed-methods design, could lay stronger groundwork for further investigation of the broader utility and cultural relevance of the tool.

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Top end perinatal mental health consultation service: evaluation of services, patient demographics and psychosocial contributors to mental ill-health

Noel-Gough,

Kanakkahewa,

Mitchell

2024

Australas Psychiatry

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Objectives To understand the key descriptors of the Top End Mental Health Service, Northern Territory’s, perinatal mental health consultation service (PMHCS). Method A retrospective cross-sectional review of all referrals to the PMHCS in the 12 months period 1 January to 31 December 2021 inclusive was undertaken. The study was descriptive in nature. Results From January 2021 to December 2021, there were 266 women referred to the service. There was a large proportion of Aboriginal and Torres Strait Islanders. Mean age was 28.8 (SD = 6.04) years. A statistically significant difference was identified between the average age of the Aboriginal and Torres Strait Islander women ( n = 53, M = 24.6 years, SD = 6.31) which was significantly less than Caucasian women ( n = 161, M = 29.4037, SD = 4.982) and women of other cultural backgrounds ( n = 52, M = 31.154, SD = 6.792), p < .00,001. Sixty two percent of patients managed had a history of trauma with significantly more service contact. Conclusion This data gives insight into a unique population group. It also highlights the impact that trauma has on patient care and management.

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Editorial

Cited by 3 publications

References 14 publications

‘Having a Quiet Word’: Yarning with Aboriginal Women in the Pilbara Region of Western Australia about Mental Health and Mental Health Screening during the Perinatal Period

‘Having a Quiet Word’: Yarning with Aboriginal Women in the Pilbara Region of Western Australia about Mental Health and Mental Health Screening during the Perinatal Period

A systematic review of EPDS cultural suitability with Indigenous mothers: a global perspective

Top end perinatal mental health consultation service: evaluation of services, patient demographics and psychosocial contributors to mental ill-health

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