scholarly journals Research protocol for the exploration of experiences of Aboriginal Australian mothers and healthcare professionals when using the Edinburgh Postnatal Depression Scale: a process-oriented validation study using triangulated participatory mixed methods

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e022273 ◽  
Author(s):  
Ai Wen Chan ◽  
Petra Skeffington ◽  
Corinne Reid ◽  
Rhonda Marriott
Keyword(s):  
Mixed Methods ◽  
Postnatal Depression ◽  
Mixed Methods Research ◽  
Edinburgh Postnatal Depression Scale ◽  
Healthcare Professionals ◽  
Depression Scale ◽  
Well Being ◽  
Ethics Committee ◽  
Research Protocol ◽  
Process Oriented

IntroductionAdopting a process-oriented framework for test validation can help to establish whether this tool has the potential to be an acceptable, valid and reliable indicator of depression for mothers and mothers-to-be. This mixed-methods research protocol seeks to explore the views and experiences of Aboriginal mothers and healthcare professionals in relation to the Edinburgh Postnatal Depression Scale (EPDS), and is intended to highlight potential barriers in perinatal mental health conceptualisation, engagement and response style.Methods and analysisThematic analysis will be applied to interview transcripts of Aboriginal Australian mothers (n=6+) and healthcare professionals (n=6+) to identify key themes. The process-focused validation model will use narratives about experiences of using the EPDS as the priority point of analysis. Item-level data and process-level (experience) data are key phenomenological data. The interview-based narratives will be then compared with EPDS scores to check for points of congruence and divergence. This will be done at two time points, antenatally and postnatally, to assess changes in assessment processes and perceptions. Bridging evidence-based research with clinical practice in an Aboriginal Australian context will be facilitated by an investigation of the perceived cultural relevance and likely clinical effectiveness of EPDS. Such evidence is critical to understanding whether the EPDS fulfils its intended purpose. The guiding principles in designing this research protocol is to benefit the well-being of young Aboriginal families and communities through partnership with Aboriginal women.Ethics and disseminationEthics approval was obtained from Human Research Ethics Committee of Murdoch University and from Western Australian Aboriginal Health Ethics Committee (WAAHEC). Participating healthcare sites and services have provided letters of support. Results of this study will be submitted for publication in a peer-reviewed journal.

The Dynamics of Eudaimonic Well-Being in the Transition to Parenthood: Differences Between Fathers and Mothers

2018 ◽  
Vol 39 (9) ◽  
pp. 2572-2589 ◽  
Author(s):  
Martina Brandel ◽  
Erika Melchiorri ◽  
Chiara Ruini
Keyword(s):  
Gender Differences ◽  
Depressive Symptoms ◽  
Postnatal Depression ◽  
Transition To Parenthood ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Well Being ◽  
And Gender ◽  
Age Range ◽  
Study Hypothesis

Little is known about changes in existential dimensions of well-being (i.e., eudaimonic well-being) when becoming a parent, particularly in men. This study examined eudaimonic well-being during the transition to parenthood, considering depressive symptoms and gender differences. Fifty pregnant couples ( n = 50 fathers-to-be; n = 50 mothers-to-be; age range 24-53 years) enrolled in maternity units during pregnancy ordinary check-ups, participated in the study. Ratings of eudaimonic well-being (Ryff’s Psychological Well-Being Scales) and depressive symptoms (Edinburgh Postnatal Depression Scale) were collected prenatally and postnatally. In line with the study hypothesis, the results showed that having a child increased well-being in both parents. Surprisingly, well-being in fathers improved more than in mothers. Gender differences accounted for 4.6% of the variance in postnatal eudaimonic well-being, while prenatal levels of eudaimonic well-being accounted for 70%. Becoming a parent has important implications for eudaimonic well-being especially in fathers. Clinical and sociological implications of the findings are discussed.

scholarly journals DETERMINANTS OF POSTNATAL DEPRESSION IN WOMEN WITH INTRAUTERINE FETAL DEMISE

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Sabaha Nausheen ◽  
K Srinivas ◽  
Prashanth N.R
Keyword(s):  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Past History ◽  
Depression Scale ◽  
Well Being ◽  
Intrauterine Fetal Death ◽  
P Value ◽  
Fetal Demise ◽  
Medical College ◽  
Intrauterine Fetal Demise

Intrauterine fetal death (IUFD) is a serious complication of pregnancy that influences a woman’s short-term psychological well-being and increases the risk of anxiety and depression during the following few months. This study aimed to assess the occurrence of postnatal depression in women with Intrauterine Fetal Demise and the obstetric, psychosocial and emotional determinants of postnatal depression in them. A prospective observational study was conducted at Bangalore Medical College and Research Institute,(BMCRI) among 75 women diagnosed with Intrauterine Fetal Demise(IUFD). They were interviewed postnatally  with a semi structured questionnaire which included the Edinburgh Postnatal Depression Scale for screening postnatal depression. It was found that mothers who had past history of abortions and Intrauterine Fetal Demise had higher mean scores on Edinburgh Postnatal Depression Scale and was found to be statistically significant (P value 0.001 and 0.007 respectively). Women  who did  not  perceive  to  have  social  support  following the diagnosis of Intrauterine  Fetal  Demise  also had higher mean scores on  Edinburgh Postnatal Depression  scores with P value 0.017. On enquiring regarding the mother’s wishes towards the deceased baby, it was found that 92% wished to see the baby, of which 61.3% saw the baby.73.3% of them wished to hold the baby and among them only 14.7% spent time with it.76% wished to keep mementos in its memory and 50.7% wished they be isolated in a separate ward where there are no mothers with healthy neonates during their hospital stay. Keywords: Intrauterine fetal demise (IUFD), Postnatal Depression, Edinburgh Postnatal Depression Scale (EPDS),mother’s wishes towards deceased baby.

Predictors of postpartum depression in first-time fathers

2020 ◽  
Vol 28 (5) ◽  
pp. 552-554
Author(s):  
Anne M Howarth ◽  
Nicola R Swain
Keyword(s):  
Mental Health ◽  
Life Satisfaction ◽  
Postpartum Depression ◽  
Family Life ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Well Being ◽  
Pregnancy Anxiety ◽  
First Time

Objective: A significant number of men suffer from paternal postpartum depression (PPPD). This is detrimental to family and personal well-being. This study aims to report rates of PPPD in first-time fathers in New Zealand. It also aims to find predictors of PPPD. Methods: Data from 116 men were analysed. Men completed questionnaires at 24 weeks gestation, 36 weeks gestation, post-birth and 6 months after the baby was born. The outcome of interest was scores on the Edinburgh Postnatal Depression Scale 6 months after the baby was born. Results: Twelve percent of the participants met criteria for PPPD. Factors that predicted PPPD were: earlier depression, family life satisfaction, expectations, birth interventions, pain management for their partner and pregnancy anxiety. Conclusions: It is important that PPPD is recognised and treated. More research is needed on the mental health of fathers.

scholarly journals Postpartum depressive symptoms during the COVID-19 pandemic in Japan: The first quantitative evidence

2020 ◽  
Author(s):  
Midori Matsushima ◽  
Hanna Horiguchi
Keyword(s):  
Postnatal Depression ◽  
Online Survey ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Well Being ◽  
Negative Association ◽  
Economic Recovery ◽  
Quantitative Evidence ◽  
Postpartum Depressive Symptoms ◽  
Mental Well Being

Abstract Purpose: This study explores postpartum depression during the COVID-19 pandemic in Japan.Methods: An online survey was conducted from May 31 to June 6, 2020 and obtained 2,878 responses from mothers with infants less than 12 months. Results: The point prevalence of the Edinburgh Postnatal Depression Scale score of ≥ 9 was 26.96%. Logistic regression analysis indicated a negative association between the COVID-19 pandemic and mental well-being. Conclusion: In particular, our results indicate the importance of social support and economic recovery in ameliorating mental health of mothers in the postpartum period.

1035325 Analisis Faktor Penyebab Terjadinya Post Partum Blues dengan Skrining Edinburgh Postnatal Depression Scale (EPDS)

2019 ◽  
Vol 9 (2) ◽  
pp. 126-136
Author(s):  
Adriani
Keyword(s):  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Post Partum ◽  
Depression Scale ◽  
Cross Sectional ◽  
Postpartum Blues

Abstrak Perubahan peran seorang wanita menjadi seorang ibu tidaklah selalu berupa hal yang menyenangkan saja bagi pasangan suami istri, kadang kala terjadi terjadi konflik baik didalam diri wanita tersebut maupun konflik dengan suami. Jika perhatian terhadap keadaan psikologis ibu post partum kurang maka dapat menyebabkan ibu akan cenderung untuk mencoba mengatasi permasalahannya atau ketidaknyamanannya tersebut sendiri, keadaan ini jika dibiarkan saja dapat menyebabkan ibu post partum mengalami postpartum blues. Di Indonesia, diperkirakan terdapat 50-70% ibu pasca melahirkan mengalami postpartum blues pada hari 4-10. Penelitian ini menggunakan survey analitik dengan desain penelitian cross sectional, dengan jumlah sampel sebanyak 160 orang. Data diambil menggunakan kuesioner yang ditampilkan dalam analisa univariat dan bivariat menggunakan sistem komputerisasi SPSS. Hasil penelitian yaitu ada hubungan antara pendidikan ibu (p 0,013), pekerjaan ibu (p 0,013), dukungan suami (p 0,021), pendapatan keluarga dengan kejadian post partum blues (p 0,000) dan tidak ada hubungan antara paritas ibu (p 0,199), umur ibu (p 0,391), dan riwayat PMS (p 0,087) dengan kejadian post partum blues. Diharapkan bagi peneliti untuk dapat melanjutkan penelitian dengan variabel yang lebih bergam dan diharapkan bagi para tenaga kesehatan agar dapat meningkatkan pelayanan terutama dalam pemberian dukungan pada ibu masa post partum, sehingga mengurangi resiko ibu mengalami postpartum blues. Kata kunci : Postpartum blues, pendidikan, pekerjaan, dukungan suami, riwayat PMS

scholarly journals A clinical study of postpartum depression and its association with postnatal factors

2018 ◽  
Vol 7 (6) ◽  
pp. 2120
Author(s):  
Poonam Mathur ◽  
Rahul Mathur ◽  
Archana Singh
Keyword(s):  
Postpartum Depression ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Physical Change ◽  
Perinatal Factors ◽  
Adverse Perinatal Outcome ◽  
Multiple Factors ◽  
Poor Concentration ◽  
Postnatal Factors

Background: The postpartum period is a time of tremendous emotional and physical change for most women as they adapt to new roles and alteration in their physiology. Postpartum depression has seen its rise lately. Multiple factors might be responsible for causation. Symptoms include depression, tearfulness, emotional liability, guilt, anorexia, sleep disorders, feeling inadequate, detachment from the baby, poor concentration, forgetfulness, fatigue, and irritability.Methods: We have conducted a study in 225 postpartum females and assessed them for depression and associated postnatal depression. The 10-question Edinburgh Postnatal Depression Scale (EPDS) was used for assessing depression.Results: Depression was evaluated as 6%. It was also found that 2% mothers with IUD babies developed postnatal depression. 1.33% cases with babies having congenital anomaly developed postnatal depression. 1.33% cases with babies having nursery admission developed postnatal depression.  This has been correlated with many other studies.Conclusions: It is found that perinatal factors do affect postnatal depression as it is found in mothers who have an adverse perinatal outcome. Further research is implicated in this field.

scholarly journals Depressão pós-parto e percepção de suporte social durante a gestação

2011 ◽  
Vol 33 (2) ◽  
pp. 76-79 ◽  
Author(s):  
Caroline Elizabeth Konradt ◽  
Ricardo Azevedo da Silva ◽  
Karen Jansen ◽  
Daniela Martins Vianna ◽  
Luciana de Avila Quevedo ◽  
...  
Keyword(s):  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale

OBJETIVO: Verificar o impacto da percepção de baixo suporte social durante a gestação como fator de risco para a depressão no período de 30 a 60 dias pós-parto. MÉTODO: Este estudo de coorte teve como população-alvo gestantes atendidas no Sistema Único de Saúde na cidade de Pelotas (RS). Para avaliar depressão pós-parto, foi utilizada a Edinburgh Postnatal Depression Scale (EPDS). Foram consideradas deprimidas as parturientes que atingiram ≥ 13 pontos na escala. RESULTADOS: Das 1.019 mulheres avaliadas, 168 (16,5%) apresentaram depressão pós-parto. Aquelas que não receberam suporte do companheiro (p = 0,000), de familiares (p = 0,000) e de amigos (p = 0,000) demonstraram maior risco de ter depressão pós-parto. CONCLUSÃO: Nossos achados sugerem que a percepção de suporte social durante a gravidez pode ser um fator protetor para a depressão pós-parto.

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