Supportive counselling by public health nurses for women with postpartum depression

Abstract

Supportive counselling based on a non-directive counselling method provided by public health nurses is an effective treatment method for postpartum depression. Further research is required to assess the mothers' evaluation of the treatment and appraise methods used for management of postpartum depression in primary health care.

Gir bedre fødsels=omsorg

“…I tillegg til å berike den ansatte viser også undersøkelser at denne typen oppfølgingsprogram har god effekt for den kvinnen det gjelder (17,18). Dette gir en forebyggende effekt på ulike former for utvikling-og atferdsmessige vansker hos små barn, selv om det fortsatt er begrenset kunnskap om varigheten av de positive effektene ved ulike intervensjonstiltak.…”

Screening and Prevention of Postnatal Depression

“…In spite of growing evidence that postnatal depression can be effectively treated and possibly prevented (Brugha et al, 2011;Glavin et al, 2010aGlavin et al, , 2010bMorrell et al, 2009a), this disturbance is still undetected or untreated in many women (Dennis, 2009). Several barriers to detection and treatment are described: women lack knowledge about postnatal depression, they deny or minimize their symptoms, they assume their problems are common after giving birth, or they are not aware of the treatment options.…”

“…The training should include the nature, detection and treatment of postnatal depression. Recent studies provide evidence that health professionals can be trained to identify, prevent and treat postnatal depression in women (Brugha et al, 2011;Glavin et al, 2010aGlavin et al, , 2010bGlavin et al, , 2010cMorrell et al, 2009aMorrell et al, , 2009b. Nurses are well positioned to counsel depressed mothers about treatment options, to make recommendations and to provide referrals (Horowitz & Goodman, 2005;Wickberg & Hwang, 2003;Glavin et al, 2010b).…”

“…Some main elements were emphasized in the counselling: 1) to listen and try to understand how things were from the woman's point of view, 2) to check their own understanding of the situation with the woman if unsure, 3) to treat the woman with the utmost respect and regard, 4) to be selfaware, self-accepting, and open with the woman. If the nurse made the judgment that a woman needed further help for her depression, she was referred to the municipality's mental health team, which included psychologists who could treat women with serious depression (Glavin 2010a(Glavin , 2010b.…”

Perinatal Dyadic Psychotherapy

“…Many women are reluctant to take medication during the postpartum period, even if not breastfeeding (Goodman, 2009) and instead overwhelmingly prefer psychotherapy for PPD treatment (Appleby, Warner, Whitton, & Faragher, 1997; Dennis & Chung-Lee, 2006; Goodman & Tyer-Viola, 2010). Various psychotherapies have shown efficacy in treating PPD, including supportive, interpersonal, cognitive behavioral, and psychodynamic therapies (Appleby et al, 1997; Clark, Tluczek, & Brown, 2008; Cooper, Murray, Wilson, & Romaniuk, 2003; Cuijpers, Brannmark, & van Straten, 2008; Glavin, Smith, Sorum, & Ellefsen, 2010; Holden, 1996; Milgrom, Negri, Gemmill, McNeil, & Martin, 2005; Misri & Kendrick, 2007; O’Hara, Stuart, Gorman, & Wenzel, 2000; Sokol, Epperseon, & Barber, 2011; Stuart, 2012). For many women, however, treatment engagement in psychotherapy involves barriers such as stigma, financial barriers, and lack of time, transportation, or childcare (Goodman, 2009).…”