Peer Support for Women with Antenatal Depression

Cust, Fiona; Carter, Ruth

doi:10.15344/2394-4978/2018/288

Cited by 3 publications

(6 citation statements)

References 8 publications

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“…The results showed that after the intervention, the EPDS scores of the participants in the intervention group were lower than those in the control group. These results were maintained at 6 months (22).…”

Section: Interventions Initiated During the Postpartum Periodmentioning

confidence: 66%

“…In this scoping review, effectiveness studies represented the majority of data sources, which has somewhat limited our understanding of the holistic efficacy of home visiting programs. Only two qualitative studies presented here aimed to investigate the experiences of mothers receiving home visiting interventions to address depressive symptoms (30,32) and only three studies (14,22,24) employed mixed-methodological approaches. We contend that multiple perspectives of study design would improve the outcome of home visiting interventions necessary to broaden our understanding of how to optimize home visiting programs' design and implementation for various patient populations.…”

Section: Discussionmentioning

confidence: 99%

“…Cust (22) conducted a pilot study to determine whether peer support would aid in reducing postpartum depressive symptoms. Peers had first-hand experience with a history of mild to moderate postpartum depression but had recovered by the time they delivered the intervention.…”

Section: Interventions Initiated During the Postpartum Periodmentioning

confidence: 99%

“…There were a limited number of studies with qualitative data to report. Cust (22) conducted in-depth interviews with participants from their study's intervention and control groups and found that having the support of a peer made the participants feel understood. Horowitz et al (24) also assessed qualitative information from their participants and found that participants enjoyed the support provided by the home visits.…”

Section: Interventions Initiated During the Postpartum Periodmentioning

confidence: 99%

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Home Visiting as an Equitable Intervention for Perinatal Depression: A Scoping Review

et al. 2022

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ObjectiveMaternal mental health disorders are a leading complication of childbirth. While few systems are adequately able to identify and treat depression, people experiencing perinatal depression may benefit from the intervention of home visiting. The intent of home visiting interventions is to alleviate stressors of parenthood for people facing additional risk factors. The aim of this scoping review is to investigate the effect of home visiting on perinatal depression grounded in published studies.MethodsWe conducted a scoping review of the existing literature of studies relevant to perinatal depression and home visiting. We entered keywords in five search databases: MEDLINE, PsycInfo, CINAHL, Social Work Abstracts, and Google Scholar. All relevant literature published between January 1999–December 2019 was reviewed. Duplicates, books, and errata were excluded from the study. As a scoping review, we included all studies published in English describing the inclusion of maternal depression in home visits. We hypothesize birthing people with perinatal depression will benefit from home visiting interventions.ResultsThe results from the scoping review and describe the use of home visiting to improve perinatal mental health. An initial 12,652 records were identified in the search. After duplicates were removed, the titles of 2,140 articles were assessed for applicability, however 29 identified for full-text eligibility and were included in this analysis. The majority of the studies included in this review were quantitative (n = 23), followed by qualitative (n = 3), and mixed methods (n = 3). Nearly all studies (n = 28) using validated instruments such as the Edinburgh Postnatal Depression Scale to determine depressive symptoms.DiscussionThis review offers preliminary qualitative insights on the efficacy of home visiting for administrating perinatal depression care. Studies show that home visiting programs can provide treatment for perinatal depression and reduce the effects of depression for birthing people. Our review suggests that the efficacy of home visiting programs beginning in the postpartum period are less predictable than prenatal home visiting intervention among various populations, including people experiencing both high-risk and low-risk situations.

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Section: Interventions Initiated During the Postpartum Periodmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Interventions Initiated During the Postpartum Periodmentioning

confidence: 99%

Section: Interventions Initiated During the Postpartum Periodmentioning

confidence: 99%

See 2 more Smart Citations

Home Visiting as an Equitable Intervention for Perinatal Depression: A Scoping Review

et al. 2022

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“…There was also a substantial overlap between the mechanisms related to the use of volunteers to deliver one-to-one mental health peer support in these interventions, and those found in other forms of one-to-one volunteering in the perinatal period [93,94]. There was an unresolved tension between the desire in some interventions to train peer supporters as little as possible to avoid 'professionalising' their role or overtaxing the volunteers [55,63], and the bene ts of a more comprehensive training in active listening and support skills [93], although it was notable that there was a trend for training to be lengthened when models were replicated. This relative lack of training may have contributed to some negative theories when volunteers gave directive advice in the belief that their role was to ' x' or 'solve' the mother's problems for her, failed to validate mothers' problems, and overshared their own experiences; although most of the evidence for negative C-M-Os came from group support.…”

Section: Discussionmentioning

confidence: 99%

Community-based perinatal mental health peer support: a realist review

McLeish

Ayers

McCourt

2023

Preprint

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Background Peer support has been suggested as an alternative or complement to professional support for mothers with perinatal mental health difficulties. The aim of this realist review was to synthesise the evidence on perinatal mental health peer support programmes outside mental health services, to understand what is it about community-based perinatal mental health peer support that works, for whom, in what circumstances, in what respects, and why. Methods Applying realist methodology, an initial theoretical model was tested against evidence from empirical studies. 29 empirical studies were included, covering 22 antenatal and postnatal mental health interventions that offered one-to-one or group peer support, in person or by telephone. Data extraction identified the configurations of contexts (C), mechanisms (M) and outcomes (O) relevant to mothers’ use of peer support and to the positive and negative effects of using peer support. Results 13 C-M-O configurations explained take-up of peer support. These were based on mothers’ perceptions that peer support would offer empathetic understanding and non-judgemental acceptance outside their social circle; their relationships with primary health professionals; their cultural background and perspectives on mental health; their desire for professional support; overcoming barriers; the format of the support; and the use of volunteers. A further 13 C-M-O configurations explained positive impact on mothers. These were based on receiving empathetic listening, acceptance, affirmation and normalisation; peers sharing ideas about self-care, coping, and services; peers using therapeutic techniques; the opportunity to give support to others; meaningful social relationships with volunteers and other mothers; and other benefits of attending a group. There were 8 C-M-O configurations explaining negative impact. These were based on lack of validation; self-criticism from downward and upward social comparison; a culture of negativity; peers being judgemental or directive; not feeling heard; peer support as a stressful social relationship; and distress at endings. Conclusions Peer support works in complex ways that are affected by personal and social contexts. Applying insights from this review could enable programmes to train peer supporters to maximise the benefits and minimise potential risks, and to devise new ways of reaching mothers who do not currently engage with peer support.

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Community-based perinatal mental health peer support: a realist review

McLeish

Ayers

McCourt

2023

BMC Pregnancy Childbirth

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Background Peer support has been suggested as an alternative or complement to professional support for mothers with perinatal mental health difficulties. The aim of this realist review was to synthesise the evidence on perinatal mental health peer support programmes outside mental health services, to understand what is it about community-based perinatal mental health peer support that works, for whom, in what circumstances, in what respects, and why. Methods Applying realist methodology, an initial theoretical model was tested against evidence from empirical studies. 29 empirical studies were included, covering 22 antenatal and postnatal mental health interventions that offered one-to-one or group peer support, in person or by telephone. Data extraction identified the configurations of contexts (C), mechanisms (M) and outcomes (O) relevant to mothers’ use of peer support and to the positive and negative effects of using peer support. Results 13 C-M-O configurations explained take-up of peer support. These were based on mothers’ perceptions that peer support would offer empathetic understanding and non-judgemental acceptance outside their social circle; their relationships with primary health professionals; their cultural background and perspectives on mental health; their desire for professional support; overcoming practical barriers; the format of the support; and the use of volunteers. A further 13 C-M-O configurations explained positive impact on mothers. These were based on receiving empathetic listening, acceptance, affirmation and normalisation; peers sharing ideas about self-care, coping, and services; peers using therapeutic techniques; the opportunity to give support to others; meaningful social relationships with volunteers and other mothers; and other benefits of attending a group. There were 8 C-M-O configurations explaining negative impact. These were based on lack of validation; self-criticism from downward and upward social comparison; a culture of negativity; peers being judgemental or directive; not feeling heard; peer support as a stressful social relationship; and distress at endings. Conclusions Peer support works in complex ways that are affected by personal and social contexts. Providers, commissioners and evaluators can use this review to understand and maximise the valuable benefits of peer support, to minimise potential risks, and to devise ways of reaching mothers who do not currently engage with it.

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Peer Support for Women with Antenatal Depression

Cited by 3 publications

References 8 publications

Home Visiting as an Equitable Intervention for Perinatal Depression: A Scoping Review

Home Visiting as an Equitable Intervention for Perinatal Depression: A Scoping Review

Community-based perinatal mental health peer support: a realist review

Community-based perinatal mental health peer support: a realist review

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