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Scott Stuart - One of the best experts on this subject based on the ideXlab platform.
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Interpersonal psychotherapy for Postpartum Depression.
Clinical psychology & psychotherapy, 2012Co-Authors: Scott StuartAbstract:Perinatal Depression is prevalent and has a great impact on both mother and infant. There are empirically validated treatments for both Postpartum Depression and Depression during pregnancy. Primary among these is Interpersonal Psychotherapy, which has been shown to be effective for Postpartum women across the spectrum from mild to severe Depression. At present, Interpersonal Psychotherapy is the best validated treatment for Postpartum Depression and should be considered first-line treatment, especially for depressed breastfeeding women. Copyright © 2012 John Wiley & Sons, Ltd. Key Practitioner Message IPT is a first-line evidence-based treatment for Postpartum Depression. IPT can be easily modified for Postpartum Depression. Partners can be included in IPT for Postpartum Depression. Group IPT for Postpartum Depression is effective for Depression.
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the prevention and psychotherapeutic treatment of Postpartum Depression
Archives of Womens Mental Health, 2003Co-Authors: Scott Stuart, Michael W Ohara, Laura L GormanAbstract:¶The efficacy of psychotherapeutic interventions for the acute treatment of Postpartum Depression is strongly supported by empirical data, which suggest that counseling is of benefit as a stand-alone treatment for Postpartum Depression. Given the paucity of treatment trials using medication for Postpartum Depression, and the fact that psychotherapeutic interventions do not confer any “exposure” risks to breastfeeding infants, the data also suggest that psychotherapy should be considered a first-line treatment, rather than as an adjunct to medication treatment. There is also some data supporting the use of psychotherapy as a means of preventing Postpartum Depression, though research is still needed regarding the type of interventions to be used and the types of patients towards whom the interventions should be directed.
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Interpersonal psychotherapy for Postpartum Depression : a treatment program.
The Journal of psychotherapy practice and research, 1995Co-Authors: Scott Stuart, Michael W. O'haraAbstract:Postpartum Depression is a frequent complication of childbirth. Postpartum Depression is associated with disruptions in interpersonal relationships, and the puerperium is a period of major role transition. In contrast to other subtypes of Depression, however, Postpartum Depression often is not treated with medication, which is relatively contraindicated for women who are breastfeeding. Interpersonal psychotherapy (IPT) focuses specifically on the effects of Depression on interpersonal functioning; this focus renders IPT a potentially useful psychosocial treatment for Postpartum Depression. The authors describe the use of IPT for the treatment of women with Postpartum Depression and present preliminary results from an open treatment trial of IPT.
Cheryl Tatano Beck - One of the best experts on this subject based on the ideXlab platform.
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Postpartum Depression: it isn't just the blues.
The American journal of nursing, 2006Co-Authors: Cheryl Tatano BeckAbstract:Postpartum Depression is a crippling mood disorder, historically neglected in health care, leaving mothers to suffer in fear, confusion, and silence. Undiagnosed it can adversely affect the mother-infant relationship and lead to long-term emotional problems for the child. This article differentiates Postpartum Depression from other Postpartum mood and anxiety disorders and addresses these aspects of Postpartum Depression: symptoms, prevalence, risk factors, interventions, and the effects on relationships and child development. Instruments available to screen for Postpartum Depression are also reviewed.
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Screening for Postpartum Depression in military women with the Postpartum Depression Screening Scale.
Military medicine, 2006Co-Authors: Jacqueline Rychnovsky, Cheryl Tatano BeckAbstract:ABSTRACT Each year, ∼16,000 women on active duty in the U.S. military experience the birth of a child. A descriptive, longitudinal, prospective design was used to gather data with the Postpartum Depression Screening Scale. Depression was measured after delivery but before hospital discharge (time 1), 2 weeks after delivery (time 2), and 6 to 8 weeks after delivery (time 3). Mothers were found to be experiencing the greatest severity of symptoms in the category of sleeping and eating disturbances. Almost one-half of the mothers in this study scored either significant Postpartum depressive symptoms or positive screening for Postpartum Depression after delivery. This number remained virtually unchanged at time 2. By time 3, 40% of women still reported depressive symptoms. At 2 weeks and 6 weeks after delivery, 13% and 11% of mothers, respectively, had positive screening for Postpartum Depression, consistent with the national average of 10 to 15%. Future research is needed to examine issues surrounding postpa...
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The Many Faces of Postpartum Depression
Journal of obstetric gynecologic and neonatal nursing : JOGNN, 2005Co-Authors: Cheryl Tatano Beck, Pec IndmanAbstract:Objective To provide a profile of women suffering from major Postpartum Depression as assessed by the Postpartum Depression Screening Scale (PDSS). Design A secondary analysis conducted on a portion of the data collected from an earlier psychometric testing of the PDSS. Setting Private practice in the San Francisco Bay Area of a marriage and family therapist specializing in perinatal mood disorders. Participants One hundred thirty-three women who were diagnosed with major Postpartum Depression. Intervention Each mother completed the PDSS followed by a Diagnostic and Statistical Manual of Mental Disorders (4th ed.) diagnostic interview. Main Outcome Measure Seven dimensions of Postpartum Depression: sleeping/eating disturbances, anxiety/insecurity, emotional lability, mental confusion, loss of self, guilt/shame, and suicidal thoughts as measured by the PDSS. Results Scores on all seven dimensions of the PDSS were elevated. The three top dimensions were emotional lability, mental confusion, and anxiety/insecurity. The mean total PDSS score of 120 was well beyond the recommended cutoff score of 80 for a positive screen for major Postpartum Depression. Conclusion Clinicians who come in contact with new mothers need to be alert to the range of possible symptoms that Postpartum depressed mothers may experience so that these women are not left to suffer in silence.
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Postpartum Depression: A Metasynthesis
Qualitative health research, 2002Co-Authors: Cheryl Tatano BeckAbstract:Postpartum Depression has been described as a dangerous thief that robs mothers of the love and happiness they expected to feel toward their newborn babies. Even though the number of qualitative studies on Postpartum Depression is increasing, knowledge development will be impeded unless the rich understandings gleaned from these studies are synthesized. Using Noblit and Hare's 1988 approach, the author conducted a metasynthesis of 18 qualitative studies on Postpartum Depression. Four overarching themes emerged that reflected four perspectives involved in Postpartum Depression: (a) incongruity between expectations and the reality of motherhood, (b) spiraling downward, (c) pervasive loss, and (d) making gains. Implications for clinical practice and theory development are addressed.
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Theoretical perspectives of Postpartum Depression and their treatment implications.
MCN. The American journal of maternal child nursing, 2002Co-Authors: Cheryl Tatano BeckAbstract:Approximately 13% of new mothers experience Postpartum Depression. This crippling mood disorder wreaks havoc not only on the mothers themselves but also on their entire families. Between 25% and 50% of mothers with Postpartum Depression have episodes lasting 6 months or longer. The most significant factor in the duration of the Postpartum Depression is the length of delay to adequate treatment. The purpose of this article is to describe five different theoretical perspectives of Postpartum Depression and the interventions for treatment derived from each: the medical model, feminist theory, attachment theory, interpersonal theory, and self-labeling theory. Crucial to clinicians' choice of treatment of Postpartum Depression is the theoretical lens they use to view this devastating mood disorder. Nursing implications derived from these theoretical perspectives are addressed.
Michael W Ohara - One of the best experts on this subject based on the ideXlab platform.
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the prevention and psychotherapeutic treatment of Postpartum Depression
Archives of Womens Mental Health, 2003Co-Authors: Scott Stuart, Michael W Ohara, Laura L GormanAbstract:¶The efficacy of psychotherapeutic interventions for the acute treatment of Postpartum Depression is strongly supported by empirical data, which suggest that counseling is of benefit as a stand-alone treatment for Postpartum Depression. Given the paucity of treatment trials using medication for Postpartum Depression, and the fact that psychotherapeutic interventions do not confer any “exposure” risks to breastfeeding infants, the data also suggest that psychotherapy should be considered a first-line treatment, rather than as an adjunct to medication treatment. There is also some data supporting the use of psychotherapy as a means of preventing Postpartum Depression, though research is still needed regarding the type of interventions to be used and the types of patients towards whom the interventions should be directed.
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rates and risk of Postpartum Depression a meta analysis
International Review of Psychiatry, 1996Co-Authors: Michael W Ohara, Annette SwainAbstract:The average prevalence rate of non-psychotic Postpartum Depression based on the results of a large number of studies is 13%. Prevalence estimates are affected by the nature of the assessment method (larger estimates in studies using self-report measures) and by the length of the Postpartum period under evaluation (longer periods predict high prevalences). A meta-analysis was undertaken to determine the sizes of the effects of a number of putative risk factors, measured during pregnancy, for Postpartum Depression. The strongest predictors of Postpartum Depression were past history of psychopathology and psychological disturbance during pregnancy, poor marital relationship and low social support, and stressful life events. Finally, indicators of low social status showed a small but significant predictive relation to Postpartum Depression. In sum, these findings generally mirror the conclusions from earlier qualitative reviews of Postpartum Depression risk factors.
Victoria Hendrick - One of the best experts on this subject based on the ideXlab platform.
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Etiology and treatment of Postpartum Depression
Current psychiatry reports, 2002Co-Authors: Deborah Flores, Victoria HendrickAbstract:This article reviews the risk factors, pathogenesis, treatment, and prevention of Postpartum Depression. Postpartum Depression is common and occurs in up to 18% of newly delivered mothers. Though the hormonal changes occurring after childbirth are believed to play a role in Postpartum Depression, no hormonal etiology has been identified. Estrogen appears somewhat helpful for Postpartum Depression, but its use is limited by problematic medical sequelae. Several antidepressants are effective for Postpartum Depression and appear safe for use by breastfeeding women. Psychosocial interventions and cultural rituals, which may prevent or ameliorate Postpartum Depression, have also been employed.
Laura L Gorman - One of the best experts on this subject based on the ideXlab platform.
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the prevention and psychotherapeutic treatment of Postpartum Depression
Archives of Womens Mental Health, 2003Co-Authors: Scott Stuart, Michael W Ohara, Laura L GormanAbstract:¶The efficacy of psychotherapeutic interventions for the acute treatment of Postpartum Depression is strongly supported by empirical data, which suggest that counseling is of benefit as a stand-alone treatment for Postpartum Depression. Given the paucity of treatment trials using medication for Postpartum Depression, and the fact that psychotherapeutic interventions do not confer any “exposure” risks to breastfeeding infants, the data also suggest that psychotherapy should be considered a first-line treatment, rather than as an adjunct to medication treatment. There is also some data supporting the use of psychotherapy as a means of preventing Postpartum Depression, though research is still needed regarding the type of interventions to be used and the types of patients towards whom the interventions should be directed.