scholarly journals Male callers to an Australian perinatal depression and anxiety help line—Understanding issues and concerns

2019 ◽  
Vol 41 (1) ◽  
pp. 145-157 ◽  
Author(s):  
Richard Fletcher ◽  
Jennifer StGeorge ◽  
Louise Newman ◽  
Jaime Wroe
Keyword(s):  
Perinatal Depression ◽  
Depression And Anxiety ◽  
Help Line

scholarly journals Study protocol: a clinical trial for improving mental health screening for Aboriginal and Torres Strait Islander pregnant women and mothers of young children using the Kimberley Mum's Mood Scale

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Emma Carlin ◽  
Sarah J. Blondell ◽  
Yvonne Cadet-James ◽  
Sandra Campbell ◽  
Melissa Williams ◽  
...  
Keyword(s):  
Public Health ◽  
Clinical Trial ◽  
Qualitative Methods ◽  
Real World ◽  
Torres Strait Islander ◽  
Perinatal Depression ◽  
Depression And Anxiety ◽  
Important Public Health ◽  
Torres Strait ◽  
Mood Scale

Abstract Background Improving the rates of, and instruments used in, screening for perinatal depression and anxiety among Aboriginal and Torres Strait Islander women are important public health priorities. The Kimberley Mum’s Mood Scale (KMMS) was developed and later validated as an effective and acceptable perinatal depression and anxiety screening tool for the Kimberley region under research conditions. Other regions have expressed interest in using the KMMS with perinatal Aboriginal and Torres Strait Islander women. It is, however, important to re-evaluate the KMMS in a larger Kimberley sample via a real world implementation study, and to test for applicability in other remote and regional environments before recommendations for wider use can be made. This paper outlines the protocol for evaluating the process of implementation and establishing the ‘real world’ validity and acceptability of the KMMS in the Kimberley, Pilbara and Far North Queensland in northern Australia. Methods The study will use a range of quantitative and qualitative methods across all sites. KMMS validation/revalidation internal consistency of Part 1 will be determined using Cronbach’s alpha. Equivalence for identifying risk of depression and anxiety compared to a standard reference assessment will be determined from receiver operating characteristic curves. Sensitivity and specificity will be determined based on these cut-points. Qualitative methods of phenomenology will be used to explore concepts of KMMS user acceptability (women and health professionals). Additional process evaluation methods will collate, assess and report on KMMS quality review data, consultations with health service administrators and management, field notes, and other documentation from the research team. This information will be reported on using the Dynamic Sustainability Framework. Discussion This project is contributing to the important public health priority of screening Aboriginal and Torres Strait Islander women for perinatal depression and anxiety with tools that are meaningful and responsive to cultural and clinical needs. Identifying and addressing barriers to implementation contributes to our understanding of the complexity of improving routine clinical practie. Trial registration The study was registered retrospectively on 15/05/2019 with the Australian and New Zealand Clinical Trial registry (ACTRN12619000580178).

scholarly journals Social Support—A Protective Factor for Depressed Perinatal Women?

2019 ◽  
Vol 16 (8) ◽  
pp. 1426 ◽  
Author(s):  
Jeannette Milgrom ◽  
Yafit Hirshler ◽  
John Reece ◽  
Charlene Holt ◽  
Alan W. Gemmill
Keyword(s):  
Social Support ◽  
Child Development ◽  
Protective Factor ◽  
Perinatal Depression ◽  
Psychological Treatment ◽  
Controlled Trial ◽  
Late Pregnancy ◽  
Antenatal Depression ◽  
Depression And Anxiety ◽  
Perinatal Women

Social support before and after childbirth is a possible protective factor for perinatal depression. Currently, there is a lack of longitudinal studies beyond the first year postpartum exploring the relationship of social support with depression and anxiety. Social support is also a possible protective factor for adverse child development, which is a known consequence of perinatal depression. The present study followed up a cohort of depressed women (n = 54) from a randomised controlled trial of psychological treatment for antenatal depression. We examined the trajectory of the relationships between perceived social support (Social Provisions Scale), depression (Beck Depression Inventory), and anxiety (Beck Anxiety Inventory) twice in pregnancy and twice postpartum up to two years. The influence of social support on child development and parenting-related stress was also explored. Two aspects of social support, Reassurance of Worth and Reliable Alliance, were strongly related to perinatal depression and anxiety, particularly when predicting symptoms in late pregnancy. However, the effect of postnatal depression on child development at 9 and 24 months post-birth was not mediated by social support. These results suggest the importance of adjusting current interventions for depressed perinatal women to focus on social support in late pregnancy and the first six months postpartum.

scholarly journals ‘Having a Quiet Word’: Yarning with Aboriginal Women in the Pilbara Region of Western Australia about Mental Health and Mental Health Screening during the Perinatal Period

2019 ◽  
Vol 16 (21) ◽  
pp. 4253 ◽  
Author(s):  
Emma Carlin ◽  
David Atkinson ◽  
Julia V Marley
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Western Australia ◽  
Perinatal Depression ◽  
Perinatal Period ◽  
Screening Tools ◽  
Depression And Anxiety ◽  
Aboriginal Women ◽  
Anxiety Screening ◽  
Mood Scale

Despite high rates of perinatal depression and anxiety, little is known about how Aboriginal women in Australia experience these disorders and the acceptability of current clinical screening tools. In a 2014 study, the Kimberley Mum’s Mood Scale (KMMS) was validated as an acceptable perinatal depression and anxiety screening tool for Aboriginal women in the Kimberley region of Western Australia. In the current study, we explored if it was appropriate to trial and validate the KMMS with Aboriginal women in the Pilbara. Yarning as a methodology was used to guide interviews with 15 Aboriginal women in the Pilbara who had received maternal and child health care within the last three years. Data were analysed thematically, the results revealing that this cohort of participants shared similar experiences of stress and hardship during the perinatal period. Participants valued the KMMS for its narrative-based approach to screening that explored the individual’s risk and protective factors. While support for the KMMS was apparent, particular qualities of the administering health care professional were viewed as critical to the tool being well received and culturally safe. Building on these findings, we will work with our partner health services in the Pilbara to validate the KMMS with Pilbara Aboriginal women.

Perinatal Depression and Anxiety — Implementing Screening and Response Protocols [6N]

2017 ◽  
Vol 129 ◽  
pp. S144 ◽  
Author(s):  
John Keats ◽  
Sue Kendig ◽  
Tiffany Moore Simas ◽  
Nancy Byatt ◽  
Camille Hoffman ◽  
...  
Keyword(s):  
Perinatal Depression ◽  
Depression And Anxiety

scholarly journals New Fathers’ Perinatal Depression and Anxiety—Treatment Options: An Integrative Review

2016 ◽  
Vol 11 (4) ◽  
pp. 863-876 ◽  
Author(s):  
Anthony P. O’Brien ◽  
Karen A. McNeil ◽  
Richard Fletcher ◽  
Agatha Conrad ◽  
Amanda J. Wilson ◽  
...  
Keyword(s):  
Family Relationships ◽  
Help Seeking ◽  
Perinatal Depression ◽  
Mental Health Problems ◽  
Negative Impact ◽  
Behavioral Therapy ◽  
Therapy Group ◽  
Treatment Options ◽  
Future Research ◽  
Depression And Anxiety

More than 10% of fathers experience depression and anxiety during the perinatal period, but paternal perinatal depression (PPND) and anxiety have received less attention than maternal perinatal mental health problems. Few mainstream treatment options are available for men with PPND and anxiety. The aim of this literature review was to summarize the current understanding of PPND and the treatment programs specifically designed for fathers with perinatal depression. Eight electronic databases were searched using a predefined strategy, and reference lists were also hand searched. PPND and anxiety were identified to have a negative impact on family relationships, as well as the health of mothers and children. Evidence suggests a lack of support and tailored treatment options for men having trouble adjusting to the transition to fatherhood. Of the limited options available, cognitive behavioral therapy, group work, and blended delivery programs, including e-support approaches appear to be most effective in helping fathers with perinatal depression and anxiety. The review findings have important implications for the understanding of PPND and anxiety. Future research is needed to address the adoption of father-inclusive and father-specific models of care to encourage fathers’ help-seeking behavior. Inclusion of male-specific requirements into support and treatment options can improve the ability of services to engage new fathers. Psychotherapeutic intervention could assist to address the cognitive differences and dissonance for men adjusting to the role of father, including male identity and role expectations.

Study on Dimensional Facets of Personality as Putative Mediating Factors for Perinatal Depression and Anxiety in Women who Gave Birth in Timis County

2017 ◽  
Vol 41 (S1) ◽  
pp. S143-S143
Author(s):  
V.R. Enatescu ◽  
M. Craina ◽  
I. Papava ◽  
R.S. Romosan ◽  
O. Balazs ◽  
...  
Keyword(s):  
Postnatal Depression ◽  
Perinatal Depression ◽  
Factor Model ◽  
Five Factor Model ◽  
Depression Scale ◽  
Perinatal Period ◽  
Depression And Anxiety ◽  
Antepartum Depression ◽  
Perinatal Anxiety ◽  
Trait And State Anxiety

IntroductionAntepartum depression has garnered wide recognition from the scientific community in recent years. This has led to the replacement of the term postpartum with perinatal in the 5th edition of the DSM with regards to pregnancy associated depression. Personality may play a significant role in the susceptibility for developing perinatal depression.ObjectivesThe current research aimed to analyze the role of different facets of personality in mediating the occurrence of both, perinatal depression and perinatal anxiety, in women who gave birth in our region.MethodsA prospective survey was conducted at “Bega” Clinic Timisoara in 118 women being monitored during their antepartum period. Of these, 80 women attended to the second assessment between 6 to 8 weeks of their postpartum period. Postnatal depression was assessed by the Edinburgh Postnatal Depression Scale using a cut-off > 13. Personality was assessed by using the NEO-FFI Inventory that is five-factor model based.ResultsThe presence of antepartum depression was identified in 28 (23.7%) of pregnant women while postpartum depression was detected in 7 new mothers (8.8%). Among the NEO-FFI Inventory factors only Neuroticism had significant higher mean scores in both antepartum and postpartum depressive women (P = 0.003 and P = 0.016 respectively). There were also significant correlations between Neuroticism and antepartum and postpartum levels of both trait and state anxiety.ConclusionsIn the psychological management and approach of delivering women Neuroticism should be taken into account as a possible mediating factor for both depression and anxiety during their perinatal period.

scholarly journals Mobile Health for Perinatal Depression and Anxiety: Scoping Review (Preprint)

2019 ◽  
Author(s):  
Neesha Hussain-Shamsy ◽  
Amika Shah ◽  
Simone N Vigod ◽  
Juveria Zaheer ◽  
Emily Seto
Keyword(s):  
Peer Support ◽  
Mobile Phones ◽  
Mobile Health ◽  
Scoping Review ◽  
Perinatal Depression ◽  
Perinatal Period ◽  
Psychological Therapy ◽  
Stepped Care ◽  
Depression And Anxiety ◽  
Future Work

BACKGROUND The perinatal period is a vulnerable time during which depression and anxiety commonly occur. If left untreated or undertreated, there may be significant adverse effects; therefore, access to rapid, effective treatment is essential. Treatments for mild-to-moderate symptoms according to a stepped-care approach involve psychoeducation, peer support, and psychological therapy, all of which have been shown to be efficaciously delivered through digital means. Women experience significant barriers to care because of system- and individual-level factors, such as cost, accessibility, and availability of childcare. The use of mobile phones is widespread in this population, and the delivery of mental health services via mobile phones has been suggested as a means of reducing barriers. OBJECTIVE This study aimed to understand the extent, range, and nature of mobile health (mHealth) tools for prevention, screening, and treatment of perinatal depression and anxiety in order to identify gaps and inform opportunities for future work. METHODS Using a scoping review framework, 4 databases were searched for terms related to mobile phones, perinatal period, and either depression or anxiety. A total of 477 unique records were retrieved, 81 of which were reviewed by full text. Peer-reviewed publications were included if they described the population as women pregnant or up to 1 year postpartum and a tool explicitly delivered via a mobile phone for preventing, screening, or treating depression or anxiety. Studies published in 2007 or earlier, not in English, or as case reports were excluded. RESULTS A total of 26 publications describing 22 unique studies were included (77% published after 2017). mHealth apps were slightly more common than texting-based interventions (12/22, 54% vs 10/22, 45%). Most tools were for either depression (12/22, 54%) or anxiety and depression (9/22, 41%); 1 tool was for anxiety only (1/22, 4%). Interventions starting in pregnancy and continuing into the postpartum period were rare (2/22, 9%). Tools were for prevention (10/22, 45%), screening (6/22, 27%), and treatment (6/22, 27%). Interventions delivered included psychoeducation (16/22, 73%), peer support (4/22, 18%), and psychological therapy (4/22, 18%). Cost was measured in 14% (3/22) studies. CONCLUSIONS Future work in this growing area should incorporate active psychological treatment, address continuity of care across the perinatal period, and consider clinical sustainability to realize the potential of mHealth. CLINICALTRIAL

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