Group therapy and its barriers for women suffering from postpartum depression

Ugarriza, Doris Noel

doi:10.1053/j.apnu.2004.01.002

Cited by 53 publications

(49 citation statements)

References 19 publications

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“…Systems based variables also play a role and include infrequent follow-up visits for mothers, lack of objective, proactive monitoring of recovery, and separation of primary care and mental health services. 75 In addition, mothers of infants may experience barriers that are unique to the postpartum or early child-rearing period, such as need for childcare during mental health visits, 78 concern about medication effects on nursing infants, 79 and fear of judgment and referral to child protection. 80 Despite these numerous barriers, the opportunities afforded by postpartum depression screening and treatment are potentially vast and include not only improving the signs and symptoms of postpartum depression, but also enhancing the new mother's ability to parent, and her ability to continue to actively participate in a marriage or relationship.…”

Section: Barriers and Opportunitiesmentioning

confidence: 99%

Postpartum Depression Screening: Importance, Methods, Barriers, and Recommendations for Practice

Gjerdingen¹,

Yawn²

2007

The Journal of the American Board of Family Medicine

261

185

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Background: Postpartum depression occurs in 10% to 20% of women who have recently given birth, but fewer than half of cases are recognized. The purpose of this review is to discuss the potential benefit of mass screening for improving postpartum depression recognition and outcomes.Methods: A review of the literature was conducted by searching MEDLINE, using the key words "depression," "postpartum depression," and "mass screening." The Cochrane database was also searched for reviews on depression and postpartum depression.Results: Opportunities for routine postpartum depression screening include mothers' postpartum office visits and their infants' well-child visits. Although several depression screens have been used in postpartum women, additional studies using large representative samples are needed to identify the ideal screening tool. Depression screening plus "high-risk" feedback to providers improves the recognition of depression. However, for screening to positively impact clinical outcomes, it needs to be combined with systems-based enhanced depression care that provides accurate diagnoses, strong collaborative relationships between primary care and mental health providers, and longitudinal case management, to assure appropriate treatment and follow-up. Depression is common and costly, particularly for women in their childbearing years. The World Health Organization has identified major depression as the fourth leading cause of burden among all diseases, and the leading cause of years lived with disability. Conclusions: Postpartum depression screening improves recognition of the disorder, but improvement in clinical outcomes1 It is estimated that depression costs the United States $30 billion to $50 billion in lost productivity and direct medical costs each year.2 By 2020, depressive illness is expected to be the second leading cause of disability in the world.3 The burden is greatest for women, with a lifetime risk for major depressive disorder of 20% to 25%, approximately twice the 7% to 12% rate seen with men. 4 In the first 3 months after childbirth, 14.5% of women have a new episode of major or minor depression, 5 and 10% to 20% of mothers are believed to suffer with depression sometime during their postpartum course, 6 making postpartum depression the most common serious postpartum disorder.There is some controversy about whether rates of depression increase after delivery, and whether postpartum depression is a distinct entity from nonpostpartum depression. A British case-control study of mothers from 4 general practices found a 3-fold higher incidence of depression within 5 weeks after childbirth.7 Similarly, a Norwegian study comparing postpartum with nonpostpartum women found a 1.8-fold greater risk for depression in postpartum women.8 However, other researchers have not found the risk of depression to be an higher in postpartum women, compared with other young women, suggesting that postpartum depression may not be a distinct condition but merely major depression recognized at a time of potentia...

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Section: Barriers and Opportunitiesmentioning

confidence: 99%

Postpartum Depression Screening: Importance, Methods, Barriers, and Recommendations for Practice

Gjerdingen¹,

Yawn²

2007

The Journal of the American Board of Family Medicine

261

185

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“…Constituye un recurso para trabajar con mujeres con problemas de desplazamiento, IntervencIones psIcológIcas perInatales en depresIón materna para intervenciones con recursos limitados y para asegurar el contacto, considerando además las dificultades en la adherencia a los tratamientos y grupos de apoyo psicológico, reportadas en las intervenciones dirigidas a mujeres depresivas (Henshaw, 2004;Ugarriza, 2004;Whitton, Warner y Appleby, 1996).…”

Section: Análisis Y Discusión De Los Resultadosunclassified

“…el modelo cognitivo-conductual es el utilizado con mayor frecuencia en las intervenciones exitosas dirigidas a reducir la depresión materna, considerando principalmente modalidades grupales y visitas domiciliarias (Austin et al, 2008;Lara, navarro y navarrete, 2010;Crockett, Zlotnick, davis, Payne y Washington , 2008;meager y milgrom, 1996;muñoz et al, 2007;Rahman, malik, Sikander, Roberts y Creed, 2008;Tandon, Perry, mendelson, Kemp y Leis, 2011;Ugarriza, 2004). Incluyen en sus contenidos la entrega de información sobre depresión perinatal, la promoción de pensamientos positivos, el desarrollo de actividades placenteras, así como la activación de redes de apoyo.…”

Section: Intervenciones Psicológicas Perinatales En Depresión Maternaunclassified

Intervenciones psicológicas perinatales en depresión materna y vínculo madre-bebé: una revisión sistemática

et al. 2013

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ResumenLa depresión perinatal constituye un trastorno de alta prevalencia con repercusiones negativas en la madre y en el bebé. A partir de estos antecedentes se revisa la literatura existente sobre intervenciones psicológicas focalizadas en reducir la depresión y/o favorecer un vínculo madre-infante positivo desde el embarazo hasta los dos años del niño/a. Se consideran 27 estudios publicados entre los años 1996 y 2012, que incluyen grupos experimental y control. Los resultados muestran que un mayor número de intervenciones se focalizan en la depresión perinatal como variable, distinguiendo entre intervenciones en el embarazo y postparto. Un menor número de estudios se dirige a la calidad del vínculo madre-infante y a ambas variables. Las intervenciones reportadas como exitosas, incluyen intervenciones grupales e individuales dirigidas a favorecer la sensibilidad materna y técnicas corporales. Palabras clave: Intervenciones perinatales, depresión materna, vínculo madre-bebé. AbstractPerinatal depression constitutes a high prevalence disorder, with negative repercussions in the mother and the baby. From these precedents, this article reviews different psychological interventions developed to reduce depression and/or to promote a mother-infant bond-quality, from pregnancy to children's second year of life. There are considered 27 studies published between 1996 and 2012, with inclusion of experimental and control groups. Results show that most of the interventions are focused in perinatal depression as a variable, differentiating between interventions during pregnancy and at postpartum. A minor number of studies focused on the mother-baby bond quality and to modify both variables in a simultaneous way. Interventions that were reported to be successful considered group and individual interventions focused on promoting maternal sensitivity and corporal techniques.

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“…En cuanto al rechazo a participar en el programa, un 42,3% de las embarazadas contactadas que cumplían con los criterios de inclusión rechazó participar, lo que resulta congruente con las dificultades en la adherencia a tratamientos en este grupo, descrita por otros autores (Ugarriza, 2004;Whitton, Warner & Appleby, 1996).…”

Section: Procedimientounclassified

Intervención Grupal en Embarazadas: Respuestas Diferenciales de Acuerdo al Tipo de Depresión y Patrón de Apego

2017

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A partir de la alta prevalencia de trastornos depresivos en embarazadas, se describió y analizó la variabilidad en los resultados ante una intervención psicoeducativa grupal. Para ello se consideraron los tipos de depresión (DEQ) propuestos por Blatt (2004) y su asociación con el patrón de apego materno (ECR-S), analizando la respuesta a la intervención en sintomatología depresiva (BDI) y sensibilidad materna (CARE-Index). Se utilizó un diseño cuasi experimental (grupos experimental y control), longitudinal, descriptivo y comparativo, con una muestra intencional de 112 embarazadas con sintomatología depresiva, atendidas en 5 centros de salud pública de Santiago, Chile. Tras los análisis de varianza, los resultados mostraron que la intervención grupal resultó eficaz, reduciendo la sintomatología depresiva y favoreciendo adecuados niveles de sensibilidad materna. Sin embargo, las participantes con depresión introyectiva no disminuyeron su sintomatología depresiva, pero sí mostraron adecuados niveles de sensibilidad materna. Los resultados relevan la importancia de ofrecer otras modalidades de tratamiento para la depresión durante el embarazo, además de la grupal, considerando aspectos individuales. Se requieren estudios con muestras de mayor tamaño para confirmar estos hallazgos.Palabras clave: embarazo, depresión, intervención grupal, sensibilidad materna, patrón de apego Given the high prevalence of depressive disorders in pregnant women, this study described and analyzed the variability observed in the results of a group psychoeducational intervention. In order to do this, the types of depression (DEQ) proposed by Blatt (2004) and their association with maternal attachment pattern (ECR-S) were considered, analyzing the participants' response to the intervention in terms of depressive symptoms (BDI) and maternal sensitivity (CARE-Index). A quasi-experimental (experimental and control groups), longitudinal, descriptive, and comparative design was used to examine a purposive sample of 112 pregnant women with depressive symptomatology, treated in 5 public health centers in Santiago, Chile. After the analysis of variance, the results showed that the group intervention was effective in reducing depressive symptoms and promoting appropriate levels of maternal sensitivity. However, symptoms in participants with introjective depression did not decrease after the intervention, although adequate levels of maternal sensitivity were observed. Results highlight the importance of providing alternatives other than group treatment in cases of depression during pregnancy, taking individual aspects into account. Studies with larger samples are needed to confirm these findings.

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Group therapy and its barriers for women suffering from postpartum depression

Cited by 53 publications

References 19 publications

Postpartum Depression Screening: Importance, Methods, Barriers, and Recommendations for Practice

Postpartum Depression Screening: Importance, Methods, Barriers, and Recommendations for Practice

Intervenciones psicológicas perinatales en depresión materna y vínculo madre-bebé: una revisión sistemática

Intervención Grupal en Embarazadas: Respuestas Diferenciales de Acuerdo al Tipo de Depresión y Patrón de Apego

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