Preventing postpartum depression: review and recommendations

Werner, Elizabeth; Miller, Maia; Osborne, Lauren M.; Kuzava, Sierra; Monk, Catherine

doi:10.1007/s00737-014-0475-y

Cited by 176 publications

(139 citation statements)

References 93 publications

(76 reference statements)

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“…In a recent systematic review, Werner and colleagues (2014) identified 37 psychological and psychosocial intervention RCTs of which 17 were found to be effective. Of these 17 effective RCTs, 13 were conducted with at–risk populations, suggesting the importance of utilizing known PPD risk factors as inclusion criteria when targeting women for PDD preventive treatment.…”

Section: Prevention Of Ppdmentioning

confidence: 99%

“…Given the complex genetic, biological, and environmental etiology of depression, there is a need for an array of intervention and treatment options; given the specific context in which PPD occurs, it is logical to exploit the unique dyadic orientation of this period when designing new treatment strategies. It also is important to consider the reasons that PPD is significantly undertreated when developing a new prevention protocol (Werner et al 2014), e.g., time constraints during the postpartum period; reluctance to take psychotropic medications when breastfeeding (Ballestrem et al 2005; Boath et al 2004; Whitton et al 1996). …”

mentioning

confidence: 99%

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PREPP: postpartum depression prevention through the mother–infant dyad

Werner

Gustafsson

Lee

et al. 2015

Arch Womens Ment Health

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Most interventions to prevent Postpartum Depression (PPD) focus on the mother rather than the mother–infant dyad. As strong relationships between infant sleep and cry behavior and maternal postpartum mood have been demonstrated by previous research, interventions targeted at the dyad may reduce symptoms of PPD. The goal of the current study was to examine the effectiveness of Practical Resources for Effective Postpartum Parenting (PREPP). PREPP is a new PPD prevention protocol that aims to treat women at risk for PPD by promoting maternally–mediated behavioral changes in their infants, while also including mother–focused skills. Results of this randomized control trial (RCT) (n = 54) indicate that this novel, brief intervention was well–tolerated and effective in reducing maternal symptoms of anxiety and depression, particularly at 6 weeks postpartum. Additionally, this study found that infants of mothers enrolled in PREPP had fewer bouts of fussing and crying at 6 weeks postpartum than those infants whose mothers were in the Enhanced TAU group. These preliminary results indicate that PREPP has the potential to reduce the incidence of PPD in women at risk, and to directly impact the developing mother–child relationship, the mother’s view of her child, and child outcomes.

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Section: Prevention Of Ppdmentioning

confidence: 99%

mentioning

confidence: 99%

PREPP: postpartum depression prevention through the mother–infant dyad

Werner

Gustafsson

Lee

et al. 2015

Arch Womens Ment Health

Self Cite

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“…Other risk factors include sleep deprivation (Goyal, Gay, & Lee, 2009) and nutritional deficits (Werner, Miller, Osborne, Kuzava, & Monk, 2015). …”

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confidence: 99%

Patterns of Symptoms of Perinatal Depression and Stress in Late Adolescent and Young Adult Mothers

Torres¹,

Goyal²,

Burke-Aaronson³

et al. 2017

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Objective To compare symptoms of depression, maternal adjustment, and perceived stress in late adolescent and young adult mothers and to examine the patterns of these symptoms during the first 3 months after birth. Design Secondary analysis of existing longitudinal data. Setting San Francisco Bay Area with participants in their home environment Participants Ethnically diverse women who were expecting their first infants were recruited during the third trimester from childbirth education classes and antenatal clinics. The final sample included thirty-four participants in the late adolescent group (18–20 years) and 48 participants in the young adult group (21–24 years). Methods The Center for Epidemiologic Studies Depression Scale was used to assess depression symptoms; the Maternal Adjustment and Maternal Attitudes Scale was used to assess maternal adjustment; and the 10-item Perceived Stress Scale was used to assess perceived stress. Repeated measures ANOVA were used to examine changes over time in depression, maternal adjustment, and perceived stress scores. Results Compared to young adult participants, late adolescent participants had higher mean depression scores (F(1, 61) = 8.02, p = 0.006) and perceived stress scores (F(1, 62) = 9.45, p = 0.003) at all time points. Scores for maternal adjustment could not be compared because of the low internal validity of the instrument. Conclusions Results indicate that late adolescent mothers may have more symptoms of depression and stress in late pregnancy and the early postpartum period than young adult mothers. Clinicians in maternity and pediatric settings should be vigilant in screening for depression and stress in this vulnerable population during their transition to motherhood.

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“…Infant-sleep problems had association with childcare stress and increasing PPD over three months in the postpartum period [22]. A higher childcare stress scores related to infant sleep disturbance and more frequent feeding were associated with PPD, especially if those matter continued as long as four month after birth [23]. This demonstrates that childcare stress should have an important place in research aimed at contributing PPD.…”

Section: Advances In Health Science Research Volume 10mentioning

confidence: 90%

Predicting Factors of Maternal Depression During the First Three Months After Delivery Among Low- Income Family in Indonesia

Nurbaeti¹,

Deoisres²,

Hengudomsub³

2017

Proceedings of the 1st International Integrative Conference on Health, Life and Social Sciences (ICHLaS 2017)

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Abstract-Maternal depression is recognized as a significant mental health problem in postpartum circumstances, particularly, prevalence may be considerably higher among low-income. The purpose of study was to identify average maternal postpartum depression and its predicting factors among low-income family during the first three months after delivery in Indonesia mothers. A cross sectional study was carried out, of 206 mothers in the first three months postpartum with family income monthly less than 3000000 IDR (US$230) who visited maternal and child health clinic in both Public Health Center, South Tangerang District, Banten Province and South Jakarta District, Jakarta Province, Indonesia. The participants were recruited by purposive sampling. Data collection was conducted during December 2015 to May 2016 by visiting home. Structured questionnaires for data collection included general information, Edinburgh Postnatal Depression Scale (EPDS), the Dyad Adjustment Scale (DAS), the Life Events Questionnaire (LEQ), Childcare Stress Inventory (CSI), and the Postpartum Support Questionnaire (PSQ). Descriptive statistics and standard multiple regression were employed for data analysis. Sixty-nine (33.5%) mothers experienced postpartum depression. Childcare stress, marital satisfaction and stressful life events could explain 51.1% of the variance in postpartum depression among low-income family (R² = 0.511, F = 41.766, p-value < 0.001). Significant predictors were childcare stress (ß= 0.408, P-value < 0.001), followed by stressful life events (ß = 0.310, p-value < 0.001), and marital satisfaction (ß = -0.155, p-value < 0.05). Low income family mothers with higher childcare stress, less satisfied with the marital relationship, and perceived the higher level of stressful life events may be important targets for maternal postpartum depression prevention in postpartum period.

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Preventing postpartum depression: review and recommendations

Cited by 176 publications

References 93 publications

PREPP: postpartum depression prevention through the mother–infant dyad

PREPP: postpartum depression prevention through the mother–infant dyad

Patterns of Symptoms of Perinatal Depression and Stress in Late Adolescent and Young Adult Mothers

Predicting Factors of Maternal Depression During the First Three Months After Delivery Among Low- Income Family in Indonesia

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