Guest guest Posted April 24, 2002 Report Share Posted April 24, 2002 If I can be of help do contact me again and I'll give you my email address so that we dont 'block' Senate time. Ruth Depressed mums. > > > > Dear All > > > > Well, here is something we can all get our teeth into? > > Do any of you have close contacts with the NCT? > > > > Chris. > > > > " Depressed mothers ignored " > > > > > > >Only a minority of women with post-natal depression are diagnosed and > > treated, new UK research reveals. Market research company Datamonitor says > > that GPs are " reluctant " to prescribe anti-depressants because of fears > that > > the medication can be transferred to infants through breast milk. The > > company says that post-natal depression is under-researched, and > > representatives of the National Childbirth Trust are calling for a > > " non-invasive, either biochemical or psychological " test to identify > at-risk > > women. > > > > (The Daily Telegraph 27/08/02; p.9) > > > > http://www.telegraph.co.uk > > > > © Health Media Ltd 2002 > > http://www.health-news.co.uk< > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2002 Report Share Posted April 24, 2002 , I especially endorse the bit about fathers and PND. This is particularly true of young fathers. If you relate the findings of my study which showed 42% of young men aged 18-25 experiencing very negative feelings - then add the stress of altered relationship with their partner and the financial responsibility to say nothing of a crying baby. It is no wonder that problems arise. Ruth Depressed mums. > > > > > >>Dear All > >> > >>Well, here is something we can all get our teeth into? > >>Do any of you have close contacts with the NCT? > >> > >>Chris. > >> > >> " Depressed mothers ignored " > >> > >> > >>>Only a minority of women with post-natal depression are diagnosed and > >>> > >>treated, new UK research reveals. Market research company Datamonitor says > >>that GPs are " reluctant " to prescribe anti-depressants because of fears > >> > >that > > > >>the medication can be transferred to infants through breast milk. The > >>company says that post-natal depression is under-researched, and > >>representatives of the National Childbirth Trust are calling for a > >> " non-invasive, either biochemical or psychological " test to identify > >> > >at-risk > > > >>women. > >> > >>(The Daily Telegraph 27/08/02; p.9) > >> > >>http://www.telegraph.co.uk > >> > >>© Health Media Ltd 2002 > >>http://www.health-news.co.uk< > >> > >> > >> > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2002 Report Share Posted April 24, 2002 Agreed, my thoughts too Liz Ruth Depressed mums. > > >>Dear All >> >>Well, here is something we can all get our teeth into? >>Do any of you have close contacts with the NCT? >> >>Chris. >> >> " Depressed mothers ignored " >> >> >>>Only a minority of women with post-natal depression are diagnosed and >>> >>treated, new UK research reveals. Market research company Datamonitor says >>that GPs are " reluctant " to prescribe anti-depressants because of fears >> >that > >>the medication can be transferred to infants through breast milk. The >>company says that post-natal depression is under-researched, and >>representatives of the National Childbirth Trust are calling for a >> " non-invasive, either biochemical or psychological " test to identify >> >at-risk > >>women. >> >>(The Daily Telegraph 27/08/02; p.9) >> >>http://www.telegraph.co.uk >> >>© Health Media Ltd 2002 >>http://www.health-news.co.uk< >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2002 Report Share Posted April 24, 2002 My private email address is ruth_grant@... and my work email address is ruth.grant@... Regards, Ruth Depressed mums. > > > > > > > Dear All > > > > > > Well, here is something we can all get our teeth into? > > > Do any of you have close contacts with the NCT? > > > > > > Chris. > > > > > > " Depressed mothers ignored " > > > > > > > > > >Only a minority of women with post-natal depression are diagnosed and > > > treated, new UK research reveals. Market research company Datamonitor > says > > > that GPs are " reluctant " to prescribe anti-depressants because of fears > > that > > > the medication can be transferred to infants through breast milk. The > > > company says that post-natal depression is under-researched, and > > > representatives of the National Childbirth Trust are calling for a > > > " non-invasive, either biochemical or psychological " test to identify > > at-risk > > > women. > > > > > > (The Daily Telegraph 27/08/02; p.9) > > > > > > http://www.telegraph.co.uk > > > > > > © Health Media Ltd 2002 > > > http://www.health-news.co.uk< > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2002 Report Share Posted April 24, 2002 Sally, What does 'enable the family as a whole' mean? Ruth RE: Depressed mums. > We carried out a small scale pilot study (n=85) in 1998 (unpublished to my > shame) which looked at the relationship between family dynamics and > postnatal depression. We found a positive correlation (Spearman's Rho 0.9, > p< 0.000) between higher EPND scores (over 10) on one dimesnion on the > Family Dynamics Measure (Lasky 1985) this being individuation-enmeshment. > Deciphering the US terminology, this basically means that in family's where > mothers show signs of depression, they are less likely to be able to make > decisions independently and to have a sense of self within the family. I > have long felt since we conducted this peice of work that this has > important implications for the family as a whole during the perinatal > period. For example, could HVs be more involved in strategies which enable > the family as a whole during the antenatal period, based on theories of > family dynamics? I would like to carry out a larger study to confirm or > refute the findings if anyone is interested. Incidentally, I am also > working with one of my postgrad students on a systematic review of HV > interventions for postnatal depression - I can't find any evidence that > this has already been done through Cochrane or have I missed it? any recent > research or systematic reviews would be welcomed. > > THanks. > > Sally > > Sally Kendall > Director of CRIPACC, > Professor of Nursing > Faculty of Health and Human Sciences > University of Hertfordshire > College Lane > Hatfield > Herts. AL10 9AB > > Tel: +44 01707 286380 > Fax: +44 01707 285995 > E-mail: s.kendall@... > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2002 Report Share Posted April 24, 2002 Interesting, , Social capital presumably can be negative equity too? Which I why I was questioning the 'enabling of families' earlier. Often, in my experience, the depressed mother had unresolved emotional problems antenatally and many of these were family originated. An unsupportive family postnatally, for whatever reason, is a significant deficit for any new mother. Regards, Ruth Re: Depressed mums. > Sounds like a fascinating study, Sally. I am so pleased that I am not > the only one to have interesting results that still need writing up, but > please do get it into the public domain somehow! I would be delighted > to join with you in a larger study. > > A proposal I am working on has taken me towards the home visiting > literature in a big way and a wonderful student nurse (what would we do > without students?!) has summarised outcomes of home visiting identified > in the literature for me. I found this (attached) simple list helpful; > as we probably all know, there were slightly significant positive > results on a whole range of measures, but the number of home visits were > variable and generally far greater than the number carried out by health > visitors in this country. By and large professional rather than > non-professional visitors achieved better results and the content of the > visits was poorly specified. Whilst this was sometimes (sensibly) > deliberate, to retain practitioner flexibility and responsiveness, it > weakens the study design. > > The sources used for this list were mainly the 'Future of children' > update on home visiting in 1999 (which includes Hawaii's Healthy Start > programme, that measured maternal mental health and numerous others that > didn't!) and the Elkan et al systematic review (which found 15 studies > reporting on mothers psychological health and self-esteem). There is > some overlap between these and some other studies still to be > integrated. He is now looking at the Australian 'Good beginnings' > project, which is a bit like Sure Start but (made me sit up!) one > evaluation looked at the impact on social capital. I am interested in > social capital, having just completed an HDA project about social > capital; as part of that we developed a theoretical framework from > which to devise defendible instruments for measuring some aspects of it. > > I am convinced it (social capital) has a lot to offer health visiting as > a global explanatory theory of the way they work. Family dynamics would > fit into our framework as resources that contribute to a wider picture > across neighbourhoods or communities, which explains why health visitors > spend so much time working with families as a way of enhancing health > (and social capital) across a local area. > best wishes > > > > > Sally Kendall wrote: > > >We carried out a small scale pilot study (n=85) in 1998 (unpublished to my > >shame) which looked at the relationship between family dynamics and > >postnatal depression. We found a positive correlation (Spearman's Rho 0.9, > >p< 0.000) between higher EPND scores (over 10) on one dimesnion on the > >Family Dynamics Measure (Lasky 1985) this being individuation-enmeshment. > >Deciphering the US terminology, this basically means that in family's where > >mothers show signs of depression, they are less likely to be able to make > >decisions independently and to have a sense of self within the family. I > >have long felt since we conducted this peice of work that this has > >important implications for the family as a whole during the perinatal > >period. For example, could HVs be more involved in strategies which enable > >the family as a whole during the antenatal period, based on theories of > >family dynamics? I would like to carry out a larger study to confirm or > >refute the findings if anyone is interested. Incidentally, I am also > >working with one of my postgrad students on a systematic review of HV > >interventions for postnatal depression - I can't find any evidence that > >this has already been done through Cochrane or have I missed it? any recent > >research or systematic reviews would be welcomed. > > > >THanks. > > > >Sally > > > >Sally Kendall > >Director of CRIPACC, > >Professor of Nursing > >Faculty of Health and Human Sciences > >University of Hertfordshire > >College Lane > >Hatfield > >Herts. AL10 9AB > > > >Tel: +44 01707 286380 > >Fax: +44 01707 285995 > >E-mail: s.kendall@... > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2002 Report Share Posted April 24, 2002 , My research is not yet published so I cannot give a reference. Ruth Depressed mums. > > > > > > > > >>Dear All > > >> > > >>Well, here is something we can all get our teeth into? > > >>Do any of you have close contacts with the NCT? > > >> > > >>Chris. > > >> > > >> " Depressed mothers ignored " > > >> > > >> > > >>>Only a minority of women with post-natal depression are diagnosed > and > > >>> > > >>treated, new UK research reveals. Market research company > Datamonitor > says > > >>that GPs are " reluctant " to prescribe anti-depressants because of > fears > > >> > > >that > > > > > >>the medication can be transferred to infants through breast milk. > The > > >>company says that post-natal depression is under-researched, and > > >>representatives of the National Childbirth Trust are calling for a > > >> " non-invasive, either biochemical or psychological " test to identify > > >> > > >at-risk > > > > > >>women. > > >> > > >>(The Daily Telegraph 27/08/02; p.9) > > >> > > >>http://www.telegraph.co.uk > > >> > > >> Health Media Ltd 2002 > > >>http://www.health-news.co.uk< > > >> > > >> > > >> > > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2002 Report Share Posted April 24, 2002 Thanks for the clarification Sally. I thought that might be what you meant but also considered the difficulties that such a plan would present a practitioner. I often try to engage a partner by sending home literature on PND for the depressed mum to share with him but seldom manage to engage any fathers in actively working together to support the mother. Do you have any information that something like a family support meeting would be useful? Ruth Re: Depressed mums. > Ruth > > Sorry to be a bit vague - I was trying to capture the theoretical > underpinning of family dynamics being about the way the whole family > functions in relation to PND. Whilst we are all committed the to the notion > of the HV working with the whole family, in reality this is not always > possible and in my expereince it is often the mother alone who is the focus > of PND counselling, whereas it is feasible that taking a family dynamics > aproach the 'family as a whole' could benefit. > > Hope this clarifies a little bit! > > Sally > > Sally Kendall > Director of CRIPACC, > Professor of Nursing > Faculty of Health and Human Sciences > University of Hertfordshire > College Lane > Hatfield > Herts. AL10 9AB > > Tel: +44 01707 286380 > Fax: +44 01707 285995 > E-mail: s.kendall@... > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 28, 2002 Report Share Posted August 28, 2002 Dear All Well, here is something we can all get our teeth into? Do any of you have close contacts with the NCT? Chris. “Depressed mothers ignored” >Only a minority of women with post-natal depression are diagnosed and treated, new UK research reveals. Market research company Datamonitor says that GPs are “reluctant” to prescribe anti-depressants because of fears that the medication can be transferred to infants through breast milk. The company says that post-natal depression is under-researched, and representatives of the National Childbirth Trust are calling for a “non-invasive, either biochemical or psychological” test to identify at-risk women. (The Daily Telegraph 27/08/02; p.9) http://www.telegraph.co.uk © Health Media Ltd 2002 http://www.health-news.co.uk< Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 28, 2002 Report Share Posted August 28, 2002 Dear Ruth Oh well said. I would like to do a piece on this for the PriMHE Journal. Is there any chance of interesting you in this? We do need to move the discussion towards perinatal depression. Chris. Re: Depressed mums. It was in The Independent too Chris. 1. I think they exagerate the effect of mild PND 2. I believe that some sense of loss and experience of transitional struggle is a normal part of the adjustment to becoming parents and should not be pathologised. 3. Those women who have a significant depression and who do not seek treatment despite encouragement so to do should be respected and supported in their decision. 4. It is often those women with a history of anxiety/depression antenatally that succomb the hardest. I am very careful to speak gently to my clients and offer them every care and support and there are a whole range of measures including medication. However, I still think that a range of measures is more important than every PND mother being medicated and unsupported. The question of EPNDS usage is secondary to good attentive listening. Ruth Depressed mums. > Dear All > > Well, here is something we can all get our teeth into? > Do any of you have close contacts with the NCT? > > Chris. > > " Depressed mothers ignored " > > > >Only a minority of women with post-natal depression are diagnosed and > treated, new UK research reveals. Market research company Datamonitor says > that GPs are " reluctant " to prescribe anti-depressants because of fears that > the medication can be transferred to infants through breast milk. The > company says that post-natal depression is under-researched, and > representatives of the National Childbirth Trust are calling for a > " non-invasive, either biochemical or psychological " test to identify at-risk > women. > > (The Daily Telegraph 27/08/02; p.9) > > http://www.telegraph.co.uk > > © Health Media Ltd 2002 > http://www.health-news.co.uk< > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 28, 2002 Report Share Posted August 28, 2002 I agree, but can we also move the discussion towards trying to prevent depression? Ruth's summary is excellent; we should not be rushing to diagnose and treat 'depression' but to support parents (post-natal period can be a shock for fathers as well), give them permission to feel low withou thinking that means they have some terrible problem and do things about the networks to share the load whilst they recover their equilibrium. Manning wrote: >Dear Ruth > >Oh well said. I would like to do a piece on this >for the PriMHE Journal. Is there any chance of interesting you >in this? > >We do need to move the discussion towards perinatal depression. > >Chris. > > > Re: Depressed mums. > > >It was in The Independent too Chris. > >1. I think they exagerate the effect of mild PND >2. I believe that some sense of loss and experience of transitional >struggle is a normal part of the adjustment to becoming parents and should >not be pathologised. >3. Those women who have a significant depression and who do not seek >treatment despite encouragement so to do should be respected and supported >in their decision. >4. It is often those women with a history of anxiety/depression >antenatally that succomb the hardest. > >I am very careful to speak gently to my clients and offer them every care >and support and there are a whole range of measures including medication. >However, I still think that a range of measures is more important than every >PND mother being medicated and unsupported. The question of EPNDS usage is >secondary to good attentive listening. > >Ruth > > Depressed mums. > > >>Dear All >> >>Well, here is something we can all get our teeth into? >>Do any of you have close contacts with the NCT? >> >>Chris. >> >> " Depressed mothers ignored " >> >> >>>Only a minority of women with post-natal depression are diagnosed and >>> >>treated, new UK research reveals. Market research company Datamonitor says >>that GPs are " reluctant " to prescribe anti-depressants because of fears >> >that > >>the medication can be transferred to infants through breast milk. The >>company says that post-natal depression is under-researched, and >>representatives of the National Childbirth Trust are calling for a >> " non-invasive, either biochemical or psychological " test to identify >> >at-risk > >>women. >> >>(The Daily Telegraph 27/08/02; p.9) >> >>http://www.telegraph.co.uk >> >>© Health Media Ltd 2002 >>http://www.health-news.co.uk< >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 28, 2002 Report Share Posted August 28, 2002 Dear Amen to that too. Do you have some evidence based HV practice and PC interventions that we could dissminate to a PC audience via the PriMHE Journal? Chris. www.primhe.org Re: Depressed mums. > > >It was in The Independent too Chris. > >1. I think they exagerate the effect of mild PND >2. I believe that some sense of loss and experience of transitional >struggle is a normal part of the adjustment to becoming parents and should >not be pathologised. >3. Those women who have a significant depression and who do not seek >treatment despite encouragement so to do should be respected and supported >in their decision. >4. It is often those women with a history of anxiety/depression >antenatally that succomb the hardest. > >I am very careful to speak gently to my clients and offer them every care >and support and there are a whole range of measures including medication. >However, I still think that a range of measures is more important than every >PND mother being medicated and unsupported. The question of EPNDS usage is >secondary to good attentive listening. > >Ruth > > Depressed mums. > > >>Dear All >> >>Well, here is something we can all get our teeth into? >>Do any of you have close contacts with the NCT? >> >>Chris. >> >> " Depressed mothers ignored " >> >> >>>Only a minority of women with post-natal depression are diagnosed and >>> >>treated, new UK research reveals. Market research company Datamonitor says >>that GPs are " reluctant " to prescribe anti-depressants because of fears >> >that > >>the medication can be transferred to infants through breast milk. The >>company says that post-natal depression is under-researched, and >>representatives of the National Childbirth Trust are calling for a >> " non-invasive, either biochemical or psychological " test to identify >> >at-risk > >>women. >> >>(The Daily Telegraph 27/08/02; p.9) >> >>http://www.telegraph.co.uk >> >>© Health Media Ltd 2002 >>http://www.health-news.co.uk< >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 28, 2002 Report Share Posted August 28, 2002 Good point Liz. When I read it I was looking for the research journal it was published in so that I could look it up. In Islington we do the EPDS scale on every new mum and are then normally expected to do six 'listening visits' if the score is above 12 or we are concerned in any way about the mum's mental health. Currently, am doing ongoing visits to a mum with an eight month old baby whose EPDS was 3 but who has been extremely tearful with a fraught marital relationship, for the past six months. She is adamantly against taking antidepressants and prefers talking to a counsellor and myself, which I have to respect. Regards, June Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2002 Report Share Posted August 29, 2002 When I saw the item in the Guardian I was puzzled why it was a market research company that had done the research. Having read this excellent discussion I'm wondering about the ethics of the whole thing, since it seems to be about creating markets for antidepressants rather than genuine concern for new parents. < > From: " Manning " <chris.manning@...> Date sent: Wed, 28 Aug 2002 23:11:45 +0100 Subject: RE: Depressed mums. Send reply to: [ Double-click this line for list subscription options ] Dear Amen to that too. Do you have some evidence based HV practice and PC interventions that we could dissminate to a PC audience via the PriMHE Journal? Chris. www.primhe.org Re: Depressed mums. > > >It was in The Independent too Chris. > >1. I think they exagerate the effect of mild PND >2. I believe that some sense of loss and experience of transitional >struggle is a normal part of the adjustment to becoming parents and should >not be pathologised. >3. Those women who have a significant depression and who do not seek >treatment despite encouragement so to do should be respected and supported >in their decision. >4. It is often those women with a history of anxiety/depression >antenatally that succomb the hardest. > >I am very careful to speak gently to my clients and offer them every care >and support and there are a whole range of measures including medication. >However, I still think that a range of measures is more important than every >PND mother being medicated and unsupported. The question of EPNDS usage is >secondary to good attentive listening. > >Ruth > > Depressed mums. > > >>Dear All >> >>Well, here is something we can all get our teeth into? >>Do any of you have close contacts with the NCT? >> >>Chris. >> >> " Depressed mothers ignored " >> >> >>>Only a minority of women with post-natal depression are diagnosed and >>> >>treated, new UK research reveals. Market research company Datamonitor says >>that GPs are " reluctant " to prescribe anti-depressants because of fears >> >that > >>the medication can be transferred to infants through breast milk. The >>company says that post-natal depression is under-researched, and >>representatives of the National Childbirth Trust are calling for a >> " non-invasive, either biochemical or psychological " test to identify >> >at-risk > >>women. >> >>(The Daily Telegraph 27/08/02; p.9) >> >>http://www.telegraph.co.uk >> >>© Health Media Ltd 2002 >>http://www.health-news.co.uk< >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2002 Report Share Posted August 29, 2002 Ah. It is very likely that this research was funded then by one of the pharma companies. Re: Depressed mums. > > >It was in The Independent too Chris. > >1. I think they exagerate the effect of mild PND >2. I believe that some sense of loss and experience of transitional >struggle is a normal part of the adjustment to becoming parents and should >not be pathologised. >3. Those women who have a significant depression and who do not seek >treatment despite encouragement so to do should be respected and supported >in their decision. >4. It is often those women with a history of anxiety/depression >antenatally that succomb the hardest. > >I am very careful to speak gently to my clients and offer them every care >and support and there are a whole range of measures including medication. >However, I still think that a range of measures is more important than every >PND mother being medicated and unsupported. The question of EPNDS usage is >secondary to good attentive listening. > >Ruth > > Depressed mums. > > >>Dear All >> >>Well, here is something we can all get our teeth into? >>Do any of you have close contacts with the NCT? >> >>Chris. >> >> " Depressed mothers ignored " >> >> >>>Only a minority of women with post-natal depression are diagnosed and >>> >>treated, new UK research reveals. Market research company Datamonitor says >>that GPs are " reluctant " to prescribe anti-depressants because of fears >> >that > >>the medication can be transferred to infants through breast milk. The >>company says that post-natal depression is under-researched, and >>representatives of the National Childbirth Trust are calling for a >> " non-invasive, either biochemical or psychological " test to identify >> >at-risk > >>women. >> >>(The Daily Telegraph 27/08/02; p.9) >> >>http://www.telegraph.co.uk >> >>© Health Media Ltd 2002 >>http://www.health-news.co.uk< >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2002 Report Share Posted August 29, 2002 Dear Chris A paper was published in Birth in March 2001 on an rct on perinatal depression and antenatal education: Birth 28:1 March 2001. It is an area that I remain very interested. Toity On Wed, 28 Aug 2002 21:45:31 +0100 Manning <chris.manning@...> wrote: > Dear Ruth > > Oh well said. I would like to do a piece on this > for the PriMHE Journal. Is there any chance of interesting you > in this? > > We do need to move the discussion towards perinatal depression. > > Chris. > > > Re: Depressed mums. > > > It was in The Independent too Chris. > > 1. I think they exagerate the effect of mild PND > 2. I believe that some sense of loss and experience of transitional > struggle is a normal part of the adjustment to becoming parents and > should > not be pathologised. > 3. Those women who have a significant depression and who do not seek > treatment despite encouragement so to do should be respected and > supported > in their decision. > 4. It is often those women with a history of anxiety/depression > antenatally that succomb the hardest. > > I am very careful to speak gently to my clients and offer them every > care > and support and there are a whole range of measures including > medication. > However, I still think that a range of measures is more important than > every > PND mother being medicated and unsupported. The question of EPNDS usage > is > secondary to good attentive listening. > > Ruth > > Depressed mums. > > > > Dear All > > > > Well, here is something we can all get our teeth into? > > Do any of you have close contacts with the NCT? > > > > Chris. > > > > " Depressed mothers ignored " > > > > > > >Only a minority of women with post-natal depression are diagnosed and > > treated, new UK research reveals. Market research company Datamonitor > says > > that GPs are " reluctant " to prescribe anti-depressants because of > fears > that > > the medication can be transferred to infants through breast milk. The > > company says that post-natal depression is under-researched, and > > representatives of the National Childbirth Trust are calling for a > > " non-invasive, either biochemical or psychological " test to identify > at-risk > > women. > > > > (The Daily Telegraph 27/08/02; p.9) > > > > http://www.telegraph.co.uk > > > > © Health Media Ltd 2002 > > http://www.health-news.co.uk< > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2002 Report Share Posted August 29, 2002 Dear Toity Thanks for this. Chris. Re: Depressed mums. > > > It was in The Independent too Chris. > > 1. I think they exagerate the effect of mild PND > 2. I believe that some sense of loss and experience of transitional > struggle is a normal part of the adjustment to becoming parents and > should > not be pathologised. > 3. Those women who have a significant depression and who do not seek > treatment despite encouragement so to do should be respected and > supported > in their decision. > 4. It is often those women with a history of anxiety/depression > antenatally that succomb the hardest. > > I am very careful to speak gently to my clients and offer them every > care > and support and there are a whole range of measures including > medication. > However, I still think that a range of measures is more important than > every > PND mother being medicated and unsupported. The question of EPNDS usage > is > secondary to good attentive listening. > > Ruth > > Depressed mums. > > > > Dear All > > > > Well, here is something we can all get our teeth into? > > Do any of you have close contacts with the NCT? > > > > Chris. > > > > " Depressed mothers ignored " > > > > > > >Only a minority of women with post-natal depression are diagnosed and > > treated, new UK research reveals. Market research company Datamonitor > says > > that GPs are " reluctant " to prescribe anti-depressants because of > fears > that > > the medication can be transferred to infants through breast milk. The > > company says that post-natal depression is under-researched, and > > representatives of the National Childbirth Trust are calling for a > > " non-invasive, either biochemical or psychological " test to identify > at-risk > > women. > > > > (The Daily Telegraph 27/08/02; p.9) > > > > http://www.telegraph.co.uk > > > > © Health Media Ltd 2002 > > http://www.health-news.co.uk< > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2002 Report Share Posted August 29, 2002 Ruth Yes..your email address would be handy please. Thanks. Chris. Re: Depressed mums. If I can be of help do contact me again and I'll give you my email address so that we dont 'block' Senate time. Ruth Depressed mums. > > > > Dear All > > > > Well, here is something we can all get our teeth into? > > Do any of you have close contacts with the NCT? > > > > Chris. > > > > " Depressed mothers ignored " > > > > > > >Only a minority of women with post-natal depression are diagnosed and > > treated, new UK research reveals. Market research company Datamonitor says > > that GPs are " reluctant " to prescribe anti-depressants because of fears > that > > the medication can be transferred to infants through breast milk. The > > company says that post-natal depression is under-researched, and > > representatives of the National Childbirth Trust are calling for a > > " non-invasive, either biochemical or psychological " test to identify > at-risk > > women. > > > > (The Daily Telegraph 27/08/02; p.9) > > > > http://www.telegraph.co.uk > > > > © Health Media Ltd 2002 > > http://www.health-news.co.uk< > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2002 Report Share Posted August 30, 2002 We carried out a small scale pilot study (n=85) in 1998 (unpublished to my shame) which looked at the relationship between family dynamics and postnatal depression. We found a positive correlation (Spearman's Rho 0.9, p< 0.000) between higher EPND scores (over 10) on one dimesnion on the Family Dynamics Measure (Lasky 1985) this being individuation-enmeshment. Deciphering the US terminology, this basically means that in family's where mothers show signs of depression, they are less likely to be able to make decisions independently and to have a sense of self within the family. I have long felt since we conducted this peice of work that this has important implications for the family as a whole during the perinatal period. For example, could HVs be more involved in strategies which enable the family as a whole during the antenatal period, based on theories of family dynamics? I would like to carry out a larger study to confirm or refute the findings if anyone is interested. Incidentally, I am also working with one of my postgrad students on a systematic review of HV interventions for postnatal depression - I can't find any evidence that this has already been done through Cochrane or have I missed it? any recent research or systematic reviews would be welcomed. THanks. Sally Sally Kendall Director of CRIPACC, Professor of Nursing Faculty of Health and Human Sciences University of Hertfordshire College Lane Hatfield Herts. AL10 9AB Tel: +44 01707 286380 Fax: +44 01707 285995 E-mail: s.kendall@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2002 Report Share Posted August 30, 2002 bit late into the discussion but saw this article too (independant) echo others feelings and was struck at time that there was no mention of HV input or range of options, perhaps some sort of letter to the editor encapsulating SENATE views? Is CPHVA likely to respond? Manning <chris.manning@...> wrote: Ah. It is very likely that this research was funded then by one of thepharma companies. Re: Depressed mums.>>>It was in The Independent too Chris.>>1. I think they exagerate the effect of mild PND>2. I believe that some sense of loss and experience of transitional>struggle is a normal part of the adjustment to becoming parents and should>not be pathologised.>3. Those women who have a significant depression and who do not seek>treatment despite encouragement so to do should be respected and supported>in their decision.>4. It is often those women with a history of anxiety/depression>antenatally that succomb the hardest.>>I am very careful to speak gently to my clients and offer them every care>and support and there are a whole range of measures including medication.>However, I still think that a range of measures is more important thanevery>PND mother being medicated and unsupported. The question of EPNDS usage is>secondary to good attentive listening.>>Ruth>> Depressed mums.>>>>Dear All>>>>Well, here is something we can all get our teeth into?>>Do any of you have close contacts with the NCT?>>>>Chris.>>>>"Depressed mothers ignored">>>>>>>Only a minority of women with post-natal depression are diagnosed and>>>>>treated, new UK research reveals. Market research company Datamonitor says>>that GPs are "reluctant" to prescribe anti-depressants because of fears>>>that>>>the medication can be transferred to infants through breast milk. The>>company says that post-natal depression is under-researched, and>>representatives of the National Childbirth Trust are calling for a>>"non-invasive, either biochemical or psychological" test to identify>>>at-risk>>>women.>>>>(The Daily Telegraph 27/08/02; p.9)>>>>http://www.telegraph.co.uk>>>>© Health Media Ltd 2002>>http://www.health-news.co.uk<>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2002 Report Share Posted August 30, 2002 Sounds like a fascinating study, Sally. I am so pleased that I am not the only one to have interesting results that still need writing up, but please do get it into the public domain somehow! I would be delighted to join with you in a larger study. A proposal I am working on has taken me towards the home visiting literature in a big way and a wonderful student nurse (what would we do without students?!) has summarised outcomes of home visiting identified in the literature for me. I found this (attached) simple list helpful; as we probably all know, there were slightly significant positive results on a whole range of measures, but the number of home visits were variable and generally far greater than the number carried out by health visitors in this country. By and large professional rather than non-professional visitors achieved better results and the content of the visits was poorly specified. Whilst this was sometimes (sensibly) deliberate, to retain practitioner flexibility and responsiveness, it weakens the study design. The sources used for this list were mainly the 'Future of children' update on home visiting in 1999 (which includes Hawaii's Healthy Start programme, that measured maternal mental health and numerous others that didn't!) and the Elkan et al systematic review (which found 15 studies reporting on mothers psychological health and self-esteem). There is some overlap between these and some other studies still to be integrated. He is now looking at the Australian 'Good beginnings' project, which is a bit like Sure Start but (made me sit up!) one evaluation looked at the impact on social capital. I am interested in social capital, having just completed an HDA project about social capital; as part of that we developed a theoretical framework from which to devise defendible instruments for measuring some aspects of it. I am convinced it (social capital) has a lot to offer health visiting as a global explanatory theory of the way they work. Family dynamics would fit into our framework as resources that contribute to a wider picture across neighbourhoods or communities, which explains why health visitors spend so much time working with families as a way of enhancing health (and social capital) across a local area. best wishes Sally Kendall wrote: >We carried out a small scale pilot study (n=85) in 1998 (unpublished to my >shame) which looked at the relationship between family dynamics and >postnatal depression. We found a positive correlation (Spearman's Rho 0.9, >p< 0.000) between higher EPND scores (over 10) on one dimesnion on the >Family Dynamics Measure (Lasky 1985) this being individuation-enmeshment. >Deciphering the US terminology, this basically means that in family's where >mothers show signs of depression, they are less likely to be able to make >decisions independently and to have a sense of self within the family. I >have long felt since we conducted this peice of work that this has >important implications for the family as a whole during the perinatal >period. For example, could HVs be more involved in strategies which enable >the family as a whole during the antenatal period, based on theories of >family dynamics? I would like to carry out a larger study to confirm or >refute the findings if anyone is interested. Incidentally, I am also >working with one of my postgrad students on a systematic review of HV >interventions for postnatal depression - I can't find any evidence that >this has already been done through Cochrane or have I missed it? any recent >research or systematic reviews would be welcomed. > >THanks. > >Sally > >Sally Kendall >Director of CRIPACC, >Professor of Nursing >Faculty of Health and Human Sciences >University of Hertfordshire >College Lane >Hatfield >Herts. AL10 9AB > >Tel: +44 01707 286380 >Fax: +44 01707 285995 >E-mail: s.kendall@... > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 31, 2002 Report Share Posted August 31, 2002 Ruth Thanks Chris Re: Depressed mums. My private email address is ruth_grant@... and my work email address is ruth.grant@... Regards, Ruth Depressed mums. > > > > > > > Dear All > > > > > > Well, here is something we can all get our teeth into? > > > Do any of you have close contacts with the NCT? > > > > > > Chris. > > > > > > " Depressed mothers ignored " > > > > > > > > > >Only a minority of women with post-natal depression are diagnosed and > > > treated, new UK research reveals. Market research company Datamonitor > says > > > that GPs are " reluctant " to prescribe anti-depressants because of fears > > that > > > the medication can be transferred to infants through breast milk. The > > > company says that post-natal depression is under-researched, and > > > representatives of the National Childbirth Trust are calling for a > > > " non-invasive, either biochemical or psychological " test to identify > > at-risk > > > women. > > > > > > (The Daily Telegraph 27/08/02; p.9) > > > > > > http://www.telegraph.co.uk > > > > > > © Health Media Ltd 2002 > > > http://www.health-news.co.uk< > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2002 Report Share Posted September 1, 2002 Dear Toity - where does one get hold of copies of BIRTH - I have to confess to not having heard of it - I don't think I've seen it in our university library. Lowenhoff Re: Depressed mums. > > > It was in The Independent too Chris. > > 1. I think they exagerate the effect of mild PND > 2. I believe that some sense of loss and experience of transitional > struggle is a normal part of the adjustment to becoming parents and > should > not be pathologised. > 3. Those women who have a significant depression and who do not seek > treatment despite encouragement so to do should be respected and > supported > in their decision. > 4. It is often those women with a history of anxiety/depression > antenatally that succomb the hardest. > > I am very careful to speak gently to my clients and offer them every > care > and support and there are a whole range of measures including > medication. > However, I still think that a range of measures is more important than > every > PND mother being medicated and unsupported. The question of EPNDS usage > is > secondary to good attentive listening. > > Ruth > > Depressed mums. > > > > Dear All > > > > Well, here is something we can all get our teeth into? > > Do any of you have close contacts with the NCT? > > > > Chris. > > > > " Depressed mothers ignored " > > > > > > >Only a minority of women with post-natal depression are diagnosed and > > treated, new UK research reveals. Market research company Datamonitor > says > > that GPs are " reluctant " to prescribe anti-depressants because of > fears > that > > the medication can be transferred to infants through breast milk. The > > company says that post-natal depression is under-researched, and > > representatives of the National Childbirth Trust are calling for a > > " non-invasive, either biochemical or psychological " test to identify > at-risk > > women. > > > > (The Daily Telegraph 27/08/02; p.9) > > > > http://www.telegraph.co.uk > > > > Health Media Ltd 2002 > > http://www.health-news.co.uk< > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2002 Report Share Posted September 1, 2002 Ruth - am interested to read about your study and the impact of pnd on fathers. We are starting a three day training course for newly qualified health visitors on postnatal depression next week - can you possibly supply me with the reference? Many thanks Lowenhoff Re: Depressed mums. , I especially endorse the bit about fathers and PND. This is particularly true of young fathers. If you relate the findings of my study which showed 42% of young men aged 18-25 experiencing very negative feelings - then add the stress of altered relationship with their partner and the financial responsibility to say nothing of a crying baby. It is no wonder that problems arise. Ruth Depressed mums. > > > > > >>Dear All > >> > >>Well, here is something we can all get our teeth into? > >>Do any of you have close contacts with the NCT? > >> > >>Chris. > >> > >> " Depressed mothers ignored " > >> > >> > >>>Only a minority of women with post-natal depression are diagnosed and > >>> > >>treated, new UK research reveals. Market research company Datamonitor says > >>that GPs are " reluctant " to prescribe anti-depressants because of fears > >> > >that > > > >>the medication can be transferred to infants through breast milk. The > >>company says that post-natal depression is under-researched, and > >>representatives of the National Childbirth Trust are calling for a > >> " non-invasive, either biochemical or psychological " test to identify > >> > >at-risk > > > >>women. > >> > >>(The Daily Telegraph 27/08/02; p.9) > >> > >>http://www.telegraph.co.uk > >> > >> Health Media Ltd 2002 > >>http://www.health-news.co.uk< > >> > >> > >> > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 2, 2002 Report Share Posted September 2, 2002 Ruth Sorry to be a bit vague - I was trying to capture the theoretical underpinning of family dynamics being about the way the whole family functions in relation to PND. Whilst we are all committed the to the notion of the HV working with the whole family, in reality this is not always possible and in my expereince it is often the mother alone who is the focus of PND counselling, whereas it is feasible that taking a family dynamics aproach the 'family as a whole' could benefit. Hope this clarifies a little bit! Sally Sally Kendall Director of CRIPACC, Professor of Nursing Faculty of Health and Human Sciences University of Hertfordshire College Lane Hatfield Herts. AL10 9AB Tel: +44 01707 286380 Fax: +44 01707 285995 E-mail: s.kendall@... Quote Link to comment Share on other sites More sharing options...
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