Outcome of a postnatal depression screening programme using the Edinburgh Postnatal Depression Scale: a randomized controlled trial

Leung, Cynthia; Lam, Tai Hing; Hung, Se Fong; Chan, Ruth; Yeung, Timothy M.-H.; Miao, May Yin-King; Cheng, Suk‐Hang; Leung, Siu Ling; Lau, Andy T. Y.; Lee, Dominic T.S.

doi:10.1093/pubmed/fdq075

Cited by 81 publications

(167 citation statements)

References 21 publications

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“…An Edinburgh Postnatal Depression Scale screening programme in Hong Kong has generated benefits in that it was associated with improved mental health outcomes of postnatal women [110] . To apply such a screening program to other Westernised culture, more evidence from experimental studies conducted in a range of settings is needed.…”

Section: Impact Of Postnatal Mood Disordersmentioning

confidence: 99%

The perinatal period: A literature review from the biopsychosocial perspective

Buultjens¹,

Murphy²,

Robinson³

et al. 2013

Clinical Nursing Studies

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This review paper presents research findings relating to physical, biological, social and psychological factors as they influence maternal and child health across the perinatal period. Taking a public health perspective, the paper also identifies best opportunities for service development to improve population health. Important gaps in our research knowledge about optimal maternal and child health are identified. The review concludes by highlighting the area of social support as a highly recommended priority for service development within maternal and child health.

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Section: Impact Of Postnatal Mood Disordersmentioning

confidence: 99%

The perinatal period: A literature review from the biopsychosocial perspective

Buultjens¹,

Murphy²,

Robinson³

et al. 2013

Clinical Nursing Studies

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“…Both arms of the study had access to nondirective counseling or psychiatric team referral. Participants in the intervention arm were less likely to be above the study-established cutoff on Edinburgh Postnatal Depression Scale at 6 mo postpartum (51).…”

Section: Lessons In Maternal Depression Management To Be Learned Frommentioning

confidence: 96%

“…Several studies describe models for managing depression in maternal health care settings (42)(43)(44)(45)50,51). Miller et al, working with a largely Hispanic clientele in an urban community health center, trained providers in screening, assessment, and treatment engagement strategies, with care provided by onsite general providers and referral to a psychiatrist for only the most complicated cases (45).…”

Section: Lessons In Maternal Depression Management To Be Learned Frommentioning

confidence: 99%

“…These clinics vary in the types of providers they employ, from obstetricians to mother-only general practitioners to maternal-child clinics but all differ from the pediatric models in that the providers are already the women's providers (as opposed to her children's). Nevertheless, these models contain elements that may be useful in pediatric practices.Several studies describe models for managing depression in maternal health care settings (42)(43)(44)(45)50,51). Miller et al, working with a largely Hispanic clientele in an urban community health center, trained providers in screening, assessment, and treatment engagement strategies, with care provided by onsite general providers and referral to a psychiatrist for only the most complicated cases (45).…”

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confidence: 99%

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Beyond screening: a review of pediatric primary care models to address maternal depression

et al. 2015

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Depression is one of the most debilitating chronic disorders in the United States, affecting 15 million children in homes with depressed mothers, many of whom endure household chaos, inconsistent nurturing, inadequate safety practices, and harsh discipline. Depressed mothers are under diagnosed and undertreated, yet there is broad consensus about the importance of identifying and managing maternal depression, as reflected in recommendations by pediatric and obstetric professional organizations to routinely screen for perinatal depression. Screening was shown to be acceptable to women and most pediatric providers, and adding a screening component need not impair clinic efficiency. Screening, however, is not sufficient, and there are few models in the literature to guide medical practices in implementing successful interventions to identify, treat, and prevent maternal depression, particularly in the pediatric setting. We reviewed the literature and identified six studies that evaluated models for screening and managing mothers' depression in pediatric primary care settings. Some of these interventions have promise, but no studies characterized health outcomes of the depressed mothers and children. We discuss the components of these models, their implementation, and the practice and research needed to create effective pediatrics-based systems to reduce the negative effects of maternal depression on mothers, children, and families.D epression is one of the most debilitating chronic disorders in the United States (1), a fact experienced every day by the 15 million children being raised in homes with depressed mothers (2). Children living with depressed mothers may experience household chaos, inconsistent nurturing, inadequate safety practices, harsh discipline, and child maltreatment (3,4). Compared to nonexposed peers, children of depressed mothers are two to three times more likely to develop psychiatric disorders themselves and to do poorly in school (5-9). Moreover, recent studies suggest that remission of maternal depression is associated with significant improvement in child behavioral and mental health outcomes (10). Children's home, family, and social environments appear to explain the majority of the risk for the intergenerational transmission of depression (11), with genetics contributing less than half of the risk (10,12). It is the immediate family environment, what Bronfenbrenner refers to as "proximal processes, " that powerfully shapes children's neural, cognitive, social, and behavioral development (13). Thus, it is imperative to promote the safety and wellbeing of children living in homes with depressed mothers.According to the 2009 US National Academies of Science review of maternal depression, "Few opportunities exist to identify the vulnerable population of children living in households with one or more parents experiencing depression or to offer prevention and treatment services that can improve the care of the depressed parent in a framework that also offers services for children" (2). The pedi...

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“…El ECA analizado, Leung et al (2010) fue realizado en Hong Kong, la muestra estaba formada por 462 mujeres reclutadas a los 2 meses de posparto. Un total de 231 mujeres formaron el grupo experimental que realizó el screening mediante una batería de medidas: la Edinburgh Postnatal Depression Scale (EPDS; Lee et al, 1998); la General…”

Section: Sin Embargo Posteriormente La United States Agency For Healunclassified

PROYECTO MAMÁFELIZ: Estudio sobre la Salud Mental prenatal a través de Internet

Andreu‐Pejó¹

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AGRAÏMENTS També es mereixen el meu agraïment totes aquelles dones que han participat en l'estudi, pel seu interès i el seu temps, és per elles que tot l'esforç val la pena. Tan mateix, vull agrair a totes aquelles amigues i companyes de treball que s'han preocupat per mi durant aquest temps, que m'han escoltat, m'han donat suport i sempre han disculpat les meues absències. De manera molt especial, a Adri, gran amiga, que des del primer minut en què tot va començar ha estat sempre al meu costat, no només ajudant-me i ensenyant-me, si no també recolzant-me i transmetent-me la força i ànim que necessitava des de l'estima d'una bona amiga. De la mateixa manera vull agrair a la meua família, especialment a mon pare, ma mare i la meua germana Elia per tot el recolzament i tota l'estima que m'han oferit sempre en tot i cadascun dels projectes que he emprès al llarg dels anys i en particular, per a l'elaboració de la tesi, per ser pacients i comprensius amb mi. També a Draco que encara que ja no està entre nosaltres, m'ha acompanyat a tot arreu durant onze anys, per totes les hores d'estudi que ha estat al meu costat i tot l'amor MARCO TEÓRICO IntroducciónEl embarazo es un periodo de la vida de la mujer caracterizado por múltiples cambios físicos y emocionales que confluyen para favorecer la adaptación de la mujer a su nuevo rol de madre en un contexto sociocultural único. A medida que acontecen dichos cambios algunas mujeres experimentan ciertas dificultades que, en ocasiones, pueden propiciar la aparición de alteraciones emocionales de diversa importancia. De entre las alteraciones emocionales más prevalentes se encuentra la depresión. Las cifras de prevalencia de la depresión prenatal se sitúan entre el 6-20% (p.ej, Bennet et al., 2004a;Gavin et al., 2005;Shakeel et al., 2015). Estos datos sitúan la depresión prenatal como uno de los problemas de salud mental más importantes a nivel mundial por las importantes consecuencias sobre la salud de la propia mujer y el futuro bebé, tanto a corto como a largo plazo.A pesar de su alta prevalencia y relevancia, las alteraciones emocionales perinatales siguen pasando desapercibidas, infradiagnosticadas y, por tanto, no tratadas. Todavía hoy existen multitud de barreras de diferente índole que impiden que una atención integral óptima llegue a todas las mujeres que se encuentran en la etapa prenatal, y que hace que alrededor del 65% de las mujeres que sufren depresión durante el embarazo no sean diagnosticadas (Ko, Farr, Dietz y Robbins, 2012). 2La realidad sanitaria actual muestra un enfoque fundamentalmente biológico que consolida la concepción del embarazo como un hecho meramente médico, dejando al margen factores importantes de la vida de las mujeres como el trabajo, el nivel de estrés, sus experiencias previas, el estado emocional o el aprendizaje sociocultural, factores que pueden ser determinantes en la evolución del proceso de convertirse en madre.Una perspectiva que incluya la valoración del estado emocional de las mujeres durante su embarazo, así como los aspectos so...

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Outcome of a postnatal depression screening programme using the Edinburgh Postnatal Depression Scale: a randomized controlled trial

Abstract: A PND screening programme comprising the use of EPDS as the screening tool and the provision of follow-up care had resulted in an improvement in maternal mental health at 6 months.

Cited by 81 publications

References 21 publications

The perinatal period: A literature review from the biopsychosocial perspective

The perinatal period: A literature review from the biopsychosocial perspective

Beyond screening: a review of pediatric primary care models to address maternal depression

PROYECTO MAMÁFELIZ: Estudio sobre la Salud Mental prenatal a través de Internet

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