Preparing for Parenthood: background and development of a risk modifying intervention to prevent postnatal depression

Wheatley, Sandra Louise.; Culverwell, Alison; Brugha, Traolach; Shapiro, DA

doi:10.1007/s007370070001

Cited by 7 publications

(2 citation statements)

References 12 publications

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“…PFP consists of six structured 2 hour long, weekly antenatal classes, preceded by an initial introductory meeting with the participant and her partner (Wheatley et al 2000). PFP ends with a post-natal reunion class when the babies are about 8 weeks old.…”

Section: Methodsmentioning

confidence: 99%

Pragmatic randomized trial of antenatal intervention to prevent post-natal depression by reducing psychosocial risk factors

et al. 2000

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Background. Social support theory and observational risk factor studies suggest that increased antenatal psychosocial support could prevent post-natal depression. We used empirical knowledge of risk and protective factors for post-natal depression not employed previously in order to develop and evaluate an antenatal preventive intervention. Methods. We conducted a pragmatic randomized controlled trial in antenatal clinics. We screened 1300 primiparous women and 400 screened positive, 69 screen-positive women were untraceable or not eligible. Of 292 women who completed baseline assessment, 209 consented to randomization, of these 190 provided outcome data 3 months post-natally. ' Preparing for Parenthood ', a structured antenatal risk factor reducing intervention designed to increase social support and problem-solving skills, was compared with routine antenatal care only. We compared the percentage depressed at 3 months after childbirth using the self-completion General Health Questionnaire Depression scale and Edinburgh Post-natal Depression Scale (EPDS), and the Schedules for Clinical Assessment in Neuropsychiatry a systematic clinical interview. Results. Assignment to the intervention group did not significantly impact on post-natal depression (odds ratio for GHQ-Depression 1n22 (95 % CI 0n63-2n39), P l 0n55) or on risk factors for depression. Forty-five per cent of the intervention group women attended sufficient sessions to be likely to benefit from intervention if effective. Attenders benefited no more than non-attenders. Conclusions. Prevention services targeting post-natal depression should not implement antenatal support programmes on these lines until further research has demonstrated the feasibility and effectiveness of such methods. The development of novel, low cost interventions effective in reducing risk factors should be completed before further trial evaluation.

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Section: Methodsmentioning

confidence: 99%

Pragmatic randomized trial of antenatal intervention to prevent post-natal depression by reducing psychosocial risk factors

et al. 2000

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“…Over the last 10 years, clinicians working in the field of perinatal psychology have called attention to the growing problem of pre-and postnatal depression (Cramer, 2000;de Tychey, 2001Beck 2006). These authors, along with Anglo-Saxon authors working in the same field (Wheatley, Culverwell, Brugha, & Shapiro, 2000;Matthey, Kavanagh, Howie, Barnett, & Charles, 2004;Mallikarjun & Oyebode, 2005), suggest the existence of a growing malaise regarding parenthood rendering the perinatal period subject to anxiety and depression. Recent studies in Western Europe estimate the frequency of prenatal depression at 20% (e.g., Manzano, Righetti, & Conne Perreard, 1997;Lighezzolo et al, 2004).…”

Section: Introduction -Objectives and Hypothesesmentioning

confidence: 99%

Perinatal Depression, Prevention Strategies, Personality, and the Importance of Therapy Acceptance

et al. 2008

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This comparative, short-term, longitudinal clinical study evaluated two depressed women during the perinatal period using multiple methodologies (interview, Rorschach, and measures of depression, coping, and quality of life). The results provide evidence for the interest and efficacy of a preventive therapeutic approach during this period. The study demonstrates that masochistic personality organization is a significant obstacle to patients’ acceptance of therapy and that a neurotic personality facilitates therapeutic acceptation. Possibilities for future research are discussed.

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Exploring and enhancing engagement to the psychosocial intervention ?Preparing for Parenthood?

Wheatley

Brugha

Shapiro

2003

Archives of Women's Mental Health

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Preparing for Parenthood: background and development of a risk modifying intervention to prevent postnatal depression

Cited by 7 publications

References 12 publications

Pragmatic randomized trial of antenatal intervention to prevent post-natal depression by reducing psychosocial risk factors

Pragmatic randomized trial of antenatal intervention to prevent post-natal depression by reducing psychosocial risk factors

Perinatal Depression, Prevention Strategies, Personality, and the Importance of Therapy Acceptance

Exploring and enhancing engagement to the psychosocial intervention ?Preparing for Parenthood?

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