``It's about focusing on the mother's mental health'': Screening for postnatal depression seen from the health visitors' perspective — a qualitative study

Vik, Kari; Aass, Inger Margrete; Willumsen, Anne Britt; Hafting, Marit

doi:10.1177/1403494808100275

Cited by 19 publications

(31 citation statements)

References 22 publications

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“…Administrative support was described as a desire to have additional supervision for the screening process. Research findings from Swedish and Norwegian studies find that staff are most comfortable screening when regular supervision is offered [21,22]. Future studies are needed to examine the specific role of supervision in facilitation depression screening among low-income perinatal women.…”

Section: Discussionmentioning

confidence: 91%

Perinatal depression screening in a Women, Infants, and Children (WIC) program: perception of feasibility and acceptability among a multidisciplinary staff

Tabb

Choi

Piñeros-Leaño

et al. 2015

General Hospital Psychiatry

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Section: Discussionmentioning

confidence: 91%

Perinatal depression screening in a Women, Infants, and Children (WIC) program: perception of feasibility and acceptability among a multidisciplinary staff

Tabb

Choi

Piñeros-Leaño

et al. 2015

General Hospital Psychiatry

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“…The EPDS was created to identify post-partum depression among mothers [17] and is a useful tool to address mental health issues in health promotion and preventive work with mothers [26]. Whether the EPDS is an appropriate scale for detecting post-partum depressive symptoms among men is debatable.…”

Section: Main Findingsmentioning

confidence: 99%

Association between mothers’ and fathers’ depressive symptoms, sense of coherence and perception of their child’s temperament in early parenthood in Sweden

Kerstis

Engström

Edlund

et al. 2013

Scand J Public Health

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“…Many of these problems co-exist and are closely associated resulting in intervention studies overlapping. Available evidence indicates that child abuse is a risk factor for intimate partner violence (IPV), depression is one of the most common sequelae of IPV [13,14], and PND occurs at a rate of 13% in new mothers during the early months post delivery; some of which can be related to IPV [8,15]. …”

Section: The Ethics Of Incorporating Screening In Intervention Studiesmentioning

confidence: 99%

Ethical complexities of screening for depression and intimate partner violence (IPV) in intervention studies

2011

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BackgroundIntervention studies for depression and intimate partner violence (IPV) commonly incorporate screening to identify eligible participants. The challenge is that current ethical evaluation is largely informed by the four principle approach applying principles of beneficence, non-maleficence, and respect for justice and autonomy. We examine three intervention studies for IPV, postnatal depression (PND) and depression that used screening from the perspective of principlism, followed by the perspective of a narrative and relational approach. We suggest that a narrative and relational approach to ethics brings to light concerns that principlism can overlook.DiscussionThe justification most commonly used to incorporate screening is that the potential benefits of identifying intervention efficacy balance the risk of individual harm. However, considerable risks do exist. The discovery of new information may result in further depression or worries, people might feel burdened, open to further risk, unsure of whether to disclose information to family members and disappointed if they are allocated to a control group. This raises questions about study design and whether the principle of equipoise remains an adequate justification in studies with vulnerable groups. In addition, autonomy is said to be respected because participants give informed consent to participate. However, the context of where recruitment is undertaken has been shown to influence how people make decisions.SummaryThe four principles have been subjected to criticisms in recent years but they remain prominent in public health and medical research. We provide a set of simple, interrogative questions that are narrative and relationally driven which may assist to further evaluate the potential impacts of using screening to identify eligible research participants in intervention studies. A narrative and relational based approach requires seeing people as situated within their social and cultural contexts, and as existing within relationships that are likely to be affected by the results of screening information.

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``It's about focusing on the mother's mental health'': Screening for postnatal depression seen from the health visitors' perspective — a qualitative study

Abstract: Our study shows that acceptability for routine screening with EPDS amongst health visitors is possible to achieve.

Cited by 19 publications

References 22 publications

Perinatal depression screening in a Women, Infants, and Children (WIC) program: perception of feasibility and acceptability among a multidisciplinary staff

Perinatal depression screening in a Women, Infants, and Children (WIC) program: perception of feasibility and acceptability among a multidisciplinary staff

Association between mothers’ and fathers’ depressive symptoms, sense of coherence and perception of their child’s temperament in early parenthood in Sweden

Ethical complexities of screening for depression and intimate partner violence (IPV) in intervention studies

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