scholarly journals Promoting Postpartum Mental Health in Fathers: Recommendations for Nurse Practitioners

2017 ◽  
Vol 12 (2) ◽  
pp. 221-228 ◽  
Author(s):  
Sheena V. Kumar ◽  
John L. Oliffe ◽  
Mary T. Kelly
Keyword(s):  
Mental Health ◽  
Postpartum Depression ◽  
Nurse Practitioners ◽  
Scoping Review ◽  
Postpartum Period ◽  
Postnatal Period ◽  
Learning Preferences ◽  
The Individual ◽  
First Time ◽  
Transition To Fatherhood

The transition to fatherhood can challenge the mental health of first-time fathers and heighten their risk for postpartum depression (PPD). Paternal PPD not only affects the individual, but relationships with partners and children as well. This scoping review explores paternal PPD, highlighting the factors for and impacts of paternal PPD, the experiences of first-time fathers during the postnatal period, including their knowledge gaps and learning preferences. Drawing on the scoping review findings, recommendations are made for postnatal programs to improve the inclusion of new fathers amid describing how nurse practitioners can promote men’s mental health in the postpartum period.

scholarly journals A mixed-methods feasibility study of an intervention to improve men’s mental health and wellbeing during their transition to fatherhood

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sharin Baldwin ◽  
Mary Malone ◽  
Trevor Murrells ◽  
Jane Sandall ◽  
Debra Bick
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Outcome Measures ◽  
Transition To Parenthood ◽  
Postnatal Period ◽  
Retention Rates ◽  
Health And Wellbeing ◽  
Guide System ◽  
First Time ◽  
Transition To Fatherhood

Abstract Background Many health visiting services in England use the Promotional Guide system with mothers and fathers, an intervention to support their transition to parenthood, but there is little known about its use and effectiveness, especially with fathers. The aim of this study was to test the feasibility and acceptability of the Promotional Guide system with first-time fathers and pilot potential outcome measures to assess their mental health and wellbeing. Methods A mixed methods prospective observational cohort study. Expectant first-time fathers were recruited from four London (UK) local authority boroughs. Data were collected through online pre and post intervention questionnaires, and semi-structured telephone interviews. Quantitative data were analysed using descriptive statistics and qualitative data were analysed using framework analysis. Results Eighty-six fathers were interested in participating; 7 did not meet inclusion criteria and 79 were invited to complete the baseline questionnaire. Questionnaires completed by 45 men at both timepoints were included in the final analysis. Mean and standard deviations were calculated for all outcomes, showing a slight deterioration in the scores across all measures in the postnatal period compared to the antenatal. Ten of these men were also interviewed. Six major categories were identified: 1) Experience of health visitor contact, 2) Experience of Promotional Guides, 3) Experience of perinatal health services, 4) Experience of fatherhood, 5) Fathers’ mental health and wellbeing, and 6) Experience of the research process. While antenatal and postnatal outcomes were collected from 45 first-time fathers, none had received the intervention in its entirety. This study identified major gaps in the implementation of the Promotional Guide system with fathers. Conclusion This study assessed recruitment of first-time fathers, time to complete recruitment, and retention rates and identified outcome measures that could be used in a future definitive study. While it wasn’t possible to examine the potential changes following the use of the Promotional Guide system, the study reported on the changes in the fathers’ ‘states’ in the antenatal and postnatal period. It provided a narrative on whether first-time fathers found it acceptable to be asked about their mental health and wellbeing, highlighted their specific needs during their transition to fatherhood, and how they wanted to be supported. It also identified barriers to implementation of the Promotional Guide system by health visitors, which need to be addressed prior to any future research into this intervention. These findings have a number of implications for researchers, health professionals, health service managers, commissioners, policy makers and parents.

Clinical assessment in disaster mental health: A logic of case formulation

2007 ◽  
Vol 2 (6) ◽  
pp. 297-306 ◽  
Author(s):  
O. Lee McCabe, PhD ◽  
Michael J. Kaminsky, MD, MBA ◽  
Paul R. McHugh, MD
Keyword(s):  
Mental Health ◽  
Clinical Assessment ◽  
Life Story ◽  
Mass Casualty ◽  
Disaster Medicine ◽  
Trauma Patients ◽  
Disaster Mental Health ◽  
Case Formulation ◽  
The Individual ◽  
First Time

Despite increased professional attention to the mental health aspects of disaster medicine in recent years, advances in clinical assessment of survivors of mass casualty incidents have been few. Contemporary assessment methods often yield little more than check lists of symptoms that, while they may lead to reliable DSM-IV diagnoses, provide no sense of the individual patient’s plight and so are inadequate for case formulation, treatment planning, and prognosis estimation. The authors describe a comprehensive model for assessing patients developed at the Johns Hopkins Department of Psychiatry and Behavioral Sciences. Relating it to the field of disaster mental health for the first time here, the approach uses four distinct but overlapping appraisal perspectives, each of which drives a set of exploratory propositions and leads to an understanding of the essential natures of clinical disorders and their underlying etiologies. The perspectives address the following: (a) what the individual “has” (biologically based disease and physical illness); (b) who the individual “is” (graded dimensions of temperament, disposition, traits, intelligence, etc); (c) what the individual “does” (purposeful, goal-directed, conditioned behavior, etc); and (d) what the individual “has encountered” (his/ her life story and the meaning that has been given to those experiences). Following a description of each perspective from the standpoint of its underlying logic, inquiry domain, and indicated intervention, the authors highlight the potential hueristic value of the model by illustrating numerous testable hypotheses that can be generated through the juxtaposition of the four assessment perspectives with three longitudinal considerations for the management of trauma patients, ie, the stress-related constructs of (pre-incident) resistance, (peri-incident) resilience, and (post-incident) recovery.

scholarly journals The need for additional mental health support for women in the postpartum period in the times of epidemic crisis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Magdalena Chrzan-Dętkoś ◽  
Tamara Walczak-Kozłowska ◽  
Małgorzata Lipowska
Keyword(s):  
Mental Health ◽  
Postpartum Depression ◽  
Postpartum Period ◽  
Depression Scale ◽  
Depression Symptoms ◽  
Self Assessment ◽  
Epidemic Period ◽  
Significant Difference ◽  
Mental Health Support ◽  
The Times

Abstract Background This retrospective study aimed to identify possible intensification of mental health difficulties among women seeking support in the postpartum period during the epidemic state in Poland. We assumed that the epidemic crisis, social isolation, and restrictions in hospitals which affect pregnant and postpartum women - lack of family labors, lack of the possibility to be with the newborn when he/she is hospitalized, may increase fear and reduce psychosocial resources of women, hinder their normal process of transition to motherhood and thus contribute to the intensified severity of depressive symptoms. Methods The study participants were women seeking support at the on-line platform of the project ‘Next Stop: Mum’, which is a part of the postpartum depression prevention’s program implemented by the Ministry of Health in Poland, and enables remote self-screening for the severity of the postpartum depression symptoms with the Edinburgh Postnatal Depression Scale developed by Cox and collaborators. The analyzed data in this study were obtained from 139 women: 61 filled forms from October 1 - November 10, 2019 (non-epidemic period), and 78 filled forms from February 20–March 30 (beginning of the COVID-19 epidemic), 2020. Results A statistically significant difference in the severity of postpartum depression symptoms were observed among women making a self-assessment with EPDS scale at the beginning of the COVID-19 epidemic in Poland (M = 15.71; SD = 6.23), compared to the pre-epidemic neutral period (M = 13.56; SD = 6.46). Conclusions The results of this study indicate that the epidemic crisis may be associated with an increased need for additional caution and support of women’s mental health in the postpartum period. We believe that recommendations for medical staff, policy, and families of women struggling with postpartum depression symptoms during crisis should be widespread as the second wave of COVID-19 disease may develop in the autumn-winter 2020 and spring 2021.

scholarly journals Stressful Life Events and Women's Mental Health During Pregnancy and Postpartum Period

2017 ◽  
Vol 27 (66) ◽  
pp. 51-59 ◽  
Author(s):  
Patrícia Alvarenga ◽  
Giana Bitencourt Frizzo
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Postpartum Depression ◽  
Life Events ◽  
Postpartum Period ◽  
Stressful Life Events ◽  
Common Mental Disorders ◽  
Stressful Life ◽  
Women's Mental Health ◽  
Pregnancy And Postpartum

Abstract: Stressful events can affect the mental health of women during pregnancy and the postpartum period. This study investigated the relationship between sociodemographic variables, stressors during pregnancy and women's mental health during pregnancy and postpartum. Seventy-nine pregnant women responded to the Self Reporting Questionnaire (SRQ-20) and, in the first month of the baby's life, to the Stressful Life Events Inventory and the Beck Depression Inventory (BDI-I). Regression analysis revealed that: (a) the score of common mental disorders in pregnancy was the only significant predictor of postpartum depression; (b) when the effects of postpartum depression on the perception of stressful life events were controlled, the impact of stressful life events on the variance in common mental disorders during pregnancy disappeared, and only the income remained as a significant predictor. These findings indicate the stability of the symptoms of mental disorders from pregnancy to the postpartum period.

School Organization and the Mental Health Consultation Process

1963 ◽  
Vol 12 (3) ◽  
pp. 671-676 ◽  
Author(s):  
Martin R. Gluck
Keyword(s):  
Mental Health ◽  
School System ◽  
School Personnel ◽  
School Organization ◽  
Point Of View ◽  
Mental Health Consultation ◽  
Consultation Process ◽  
Vice Principals ◽  
The Individual ◽  
First Time

Many psychologists who undertake consultation activities for the first time may ignore, or not even be aware of, the “administrative” or sociological aspects of the situation in which the consultation process takes place. The point of view presented here is that the structure of a school system using a mental health consultant is intimately related to how the consultant operates and what he does in his role as consultant. The Superintendent, Principals and Vice-Principals all determine the areas in which the consultant can work, the types of problems with which he will be asked to help, and the possible range of activities school personnel themselves can undertake to deal with the pupil problems confronting them. Specific examples of the interactions between the consultant's role and the authority-responsibility level of the individual consultees are presented. The consultant's knowledge of any organization's structure can aid him in planning for consultative activities that are appropriate to the personnel with whom he is working.

scholarly journals The impact of migration on women’s mental health in the postpartum period

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Lígia Moreira Almeida ◽  
Cristina Costa-Santos ◽  
José Peixoto Caldas ◽  
Sónia Dias ◽  
Diogo Ayres-de-Campos
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Postpartum Depression ◽  
Perceived Stress ◽  
Psychological Health ◽  
Postpartum Period ◽  
Depression Scale ◽  
Public Hospitals ◽  
Increased Risk ◽  
The Impact

ABSTRACT OBJECTIVE To assess the influence of I mmigration on the psychological health of women after childbirth. METHODS In this cross-sectional study, immigrant and Portuguese-native women delivering in the four public hospitals of the metropolitan area of Porto, Portugal, were contacted by telephone between February and December 2012 during the first postpartum month to schedule a home visit and fill in a questionnaire. Most immigrant (76.1%) and Portuguese mothers (80.0%) agreed to participate and with the visits, thus a total of 89 immigrants and 188 Portuguese women were included in the study. The questionnaire included the application of four validated scales: Mental Health Inventory-5, Edinburgh Postpartum Depression Scale, Perceived Stress Scale, and Scale of Satisfaction with Social Support. Statistical analysis included t-test and Chi-square or Fisher’s test, and logistic regression models. RESULTS Immigrants had an increased risk of postpartum depression (OR = 6.444, 95%CI 1.858–22.344), and of low satisfaction with social support (OR = 6.118, 95%CI 1.991–18.798). We did not perceive any associations between migrant state, perceived stress, and impoverished mental health. CONCLUSIONS Immigrant mothers have increased vulnerabilities in the postpartum period, resulting in an increased risk of postpartum depression and lesser satisfaction with the received social support.

scholarly journals A qualitative exploratory study of UK first-time fathers’ experiences, mental health and wellbeing needs during their transition to fatherhood

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e030792 ◽  
Author(s):  
Sharin Baldwin ◽  
Mary Malone ◽  
Jane Sandall ◽  
Debra Bick
Keyword(s):  
Mental Health ◽  
Service Providers ◽  
Early Years ◽  
Mental Illnesses ◽  
Current Evidence ◽  
Full Time ◽  
Perceived Needs ◽  
Health And Wellbeing ◽  
First Time ◽  
Transition To Fatherhood

ObjectivesTo develop an understanding of men’s experiences of first-time fatherhood, their mental health and wellbeing needs.DesignA qualitative study using semi-structured interviews. Data were analysed using framework analysis.SettingTwo large National Health Service integrated care trusts covering four London (UK) local authority boroughs.ParticipantsFirst-time fathers with children under 12 months of age were included. Maximum variation sampling was used, with 21 fathers recruited. Ten of these men described their ethnic background as Indian, seven as White British, one as Spanish, one as Black African, one as Black Caribbean and one as Pakistani. Participants’ ages ranged from 20 to over 60 years; completion of full-time education ranged from high school certificate to doctorate level; and annual income ranged from £15 000 to over £61 000. Non-English speaking fathers, those experiencing bereavement following neonatal death, stillbirth, pregnancy loss, sudden infant death, and fathers with existing severe mental illnesses were excluded.ResultsNine major categories were identified: ‘preparation for fatherhood’, ‘rollercoaster of feelings’, ‘new identity’, ‘challenges and impact’, ‘changed relationship: we’re in a different place’, ‘coping and support’, ‘health professionals and services: experience, provision and support’, ‘barriers to accessing support’, and ‘men’s perceived needs: what fathers want’. Resident (residing with their partner and baby) and non-resident fathers in this study highlighted broadly similar needs, as did fathers for whom English was their first language and those for whom it was not. A key finding of this study relates to men’s own perceived needs and how they would like to be supported during the perinatal period, contributing to the current evidence.ConclusionsThis study provides insight into first-time fathers’ experiences during their transition to fatherhood, with important implications for healthcare policy makers, service providers and professionals for how perinatal and early years services are planned and provided for both new parents.

scholarly journals Utopia as social psychotherapy

2019 ◽  
Vol 72 ◽  
pp. 03021
Author(s):  
Michail Ingerlab ◽  
Taisiya Paniotova
Keyword(s):  
Mental Health ◽  
Information Technology ◽  
Social Movements ◽  
Individual Psychology ◽  
Multidisciplinary Research ◽  
Cultural Phenomenon ◽  
Mass Consciousness ◽  
The Future ◽  
The Individual ◽  
First Time

The article considers the approach to modern utopian works as a means of social psychotherapy. This context is currently poorly developed, although for the first time “psychological utopia”, as a society of perfect mental health, was mentioned by A. Maslow. Utopia, remaining the object of multidisciplinary research, in the era of digitalization and information technology acquires the ability to quicker than before be reflected in the mass consciousness, to acquire the significance of a cultural phenomenon, to determine the values and meanings of the activities of its adherents. The authors analyze the significance of utopian ideas of rational individualism, techno-utopianism, trans-humanism as ideologies of social movements. The emerging phenomenon of socio-medial psychotherapy is presented for discussion. The authors conclude that the psychotherapeutic meaning of utopias consists in their openness to the future, the denial of the negative present and the ability to construct socially significant ideals reflected in the individual psychology of contemporaries.

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