Perinatal mental health around the world: priorities for research and service development in Norway

Høivik, Magnhild Singstad; Eberhard‐Gran, Malin; Wang, Catharina Elisabeth Arfwedson; Dørheim, Signe Karen

doi:10.1192/bji.2021.2

Cited by 8 publications

(7 citation statements)

References 3 publications

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“…Et flertall undersøkelser tyder på at andelen spedbarnsmødre med symptomer på depresjon kan ha økt gradvis siden begynnelsen av 2000-tallet (19). En ny rapport antyder også at oppfølgingen av spedbarnsmødres psykiske helse var mangelfull allerede før pandemien (20). Nasjonale retningslinjer anbefaler at helsepersonell skal spørre gravide om psykisk helse (13) (22), samtidig som tiden e er hjemkomst har vaert preget av isolasjon for mange spedbarnsmødre (21).…”

Section: Diskusjonunclassified

Depressive symptomer og fødselsopplevelse hos spedbarnsmødre under covid-19-pandemien

Eberhard‐Gran¹,

Engelsen²,

Al-Zirqi³

et al. 2022

Tidsskriftet

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Nasjonalt senter for kvinnehelseforskning Kvinneklinikken Oslo universitetssykehus og Klinikk for helsetjenesteforskning og psykiatri Institu for klinisk medisin Universitetet i Oslo Hun har bidra med idé, utforming og design, datainnsamling, analyse og tolkning av data, li eratursøk og utarbeiding og revisjon av manus. Malin Eberhard-Gran er spesialist i samfunnsmedisin, seniorforsker og professor. Forfa eren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter.Landsforeningen 1001 dager Hun har bidra med idé, utforming og design, datainnsamling og revisjon av manus. Lena Yri Engelsen er master i kommunikasjon og ledelse og generalsekretaer i Landsforeningen 1001 dager. Forfa eren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter.Nasjonalt senter for kvinnehelseforskning Kvinneklinikken Oslo universitetssykehus Hun har bidra med analyse og tolkning av data, li eratursøk og revisjon av manus. Iqbal Al-Zirqi er spesialist i fødselshjelp og kvinnesykdommer, forsker og overlege. Forfa eren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. Nasjonalt senter for kvinnehelseforskning Kvinneklinikken Oslo universitetssykehus og Institu for klinisk medisin Depressive symptomer og fødselsopplevelse hos spedbarnsmødre under covid-19-pandemien | Tidsskrift for Den norske legeforening

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Section: Diskusjonunclassified

Depressive symptomer og fødselsopplevelse hos spedbarnsmødre under covid-19-pandemien

Eberhard‐Gran¹,

Engelsen²,

Al-Zirqi³

et al. 2022

Tidsskriftet

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“…These centres offer both individual and group-based support for families, and may have access to psychologists (not mandatory) for early prevention and treatment for perinatal mental disorders. 27 Based on the above and our own results, we cannot exclude the possibility that the reduced mental health care utilization at specialist care level may be counterbalanced by a greater uptake at the maternal and child health centres, which are more easily accessible and have no waiting time. Yet, psychologist and perinatal mental health specialists may not always be available at the centres.…”

Section: Discussionmentioning

confidence: 84%

“…Sixth, in Norway, the waiting time to have a consultation with specialists in public service (i.e., outpatient clinics) or with a contract specialists is considerably long (maximum allowed waiting time can be up to 14 weeks after referral of GPs), and patients may need to seek for care with private psychiatric specialists with a potential shorter waiting time. 27 However, the activities of private psychiatric specialists were not covered in KUHR and NPR. Last but not least, the ITSA is robust to measure the potential impact of pregnancy on the patterns of outcome measures but the assumption of fixed interruption points did not provide us with the best fitted models for the actual data.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Antidepressant and mental health care utilization in pregnant women with depression and/or anxiety: an interrupted time-series analysis

Trinh

Nordeng

Bandoli

et al. 2021

Preprint

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Objectives To assess mental health care utilization patterns during and after pregnancy in women with depression and/or anxiety in Norway according to antidepressant fill trajectories in pregnancy. Method We conducted a registry-linkage cohort study of pregnancies within women having outpatient visit for depression and/or anxiety and antidepressant fills in the six months prior to pregnancy identified from four national registries of Norway (2009-2018). Number of consultations for depression/anxiety per 100 pregnancies as proxy of mental health care utilization were modelled using interrupted time-series analysis with first month into pregnancy and first month after delivery as interruption points. We investigated the time window including six months prior to pregnancy, eight months into pregnancy and one year postpartum. Antidepressant fill trajectories in the corresponding time window were identified using longitudinal k-means trajectory modelling. Results The cohort included 8,460 pregnancies within 8,062 women with depression/anxiety. We observed reduced mental health care utilization when pregnant women entered the course of pregnancy (negative slopes during pregnancy for all psychiatric specialists and psychologists). The declines were observed for all antidepressant fill trajectories (i.e., discontinuers and continuers) except interrupters (i.e., discontinued then resumed treatment). We found increased mental health care utilization in the postpartum year, notably in interrupters (positive slopes in consultation rates with specialists of outpatient clinics and public-contracted psychiatrists).. Conclusions Pregnancy was associated with reduced mental health care utilization regardless of whether antidepressant treatment was maintained during pregnancy or not. Increases in mental health care utilization were observed in the postpartum year, especially in interrupters.

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“…The lack of specialised perinatal mental health services, referral pathways and standardised screening procedures in the two countries may hinder efficient access to treatment for women's perinatal mental health disorders. 20 , 21 Although in Norway, there are specific clinical practice guidelines for perinatal depression management, there are no such guidelines in Portugal. 17 This latter difference could possibly influence how women with perinatal depressive symptoms are treated.…”

Section: Two Countriesmentioning

confidence: 99%

Treatment options and their uptake among women with symptoms of perinatal depression: exploratory study in Norway and Portugal

et al. 2023

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Background Perinatal depression is the most undertreated clinical condition during the perinatal period. Knowledge about women's decision-making in seeking and receiving treatment is scarce. Aims To investigate and compare treatment option uptake in perinatal women with depressive symptoms in Portugal and Norway, and to identify sociodemographic and health-related factors associated with treatment uptake. Method Participants were women resident in Portugal or Norway (≥18 years) who were pregnant or had given birth in the past 12 months, who presented with active depressive symptoms (Edinburgh Postnatal Depression Scale score ≥10). In an electronic questionnaire, women reported treatment received and sociodemographic and health-related factors. Results The sample included 416 women from Portugal and 169 from Norway, of which 79.8% and 53.9%, respectively, were not receiving any treatment. Most Portuguese women were receiving psychological treatment, either alone (45.2%) or combined with pharmacological treatment (21.4%). Most Norwegian participants were receiving only pharmacological (36.5%) or combined treatment (35.4%). Compared with the Portuguese sample, a higher proportion of Norwegian women started treatment before pregnancy (P < 0.001). In Portugal, lower depressive symptoms and self-reported psychopathology were significantly associated with higher likelihood of receiving treatment. Conclusions We found that, in both Norway and Portugal, a substantial number of perinatal women with depressive symptoms do not receive any treatment. Differences exist regarding the chosen treatment option and timing of treatment initiation in the two countries. Only mental health-related factors were associated with treatment uptake for perinatal depression in Portugal. Our results highlight the importance of implementing strategies aimed to improve help-seeking behaviours.

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Perinatal mental health around the world: priorities for research and service development in Norway

Cited by 8 publications

References 3 publications

Depressive symptomer og fødselsopplevelse hos spedbarnsmødre under covid-19-pandemien

Depressive symptomer og fødselsopplevelse hos spedbarnsmødre under covid-19-pandemien

Antidepressant and mental health care utilization in pregnant women with depression and/or anxiety: an interrupted time-series analysis

Treatment options and their uptake among women with symptoms of perinatal depression: exploratory study in Norway and Portugal

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