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Sally - Re: systematic reviews of HV interventions, go to www.sign.ac.uk and check out SIGN (ish Intercollegiate Guidelines Network) guideline number 60 - 'Postnatal Depression and Puerperal Psychosis'.

Hope that helps, Lynn

-----Original Message-----From: Sally Kendall [mailto:s.kendall@...]Sent: 30 August 2002 09:45 Subject: RE: Depressed mums.We carried out a small scale pilot study (n=85) in 1998 (unpublished to myshame) which looked at the relationship between family dynamics andpostnatal depression. We found a positive correlation (Spearman's Rho 0.9,p< 0.000) between higher EPND scores (over 10) on one dimesnion on theFamily Dynamics Measure (Lasky 1985) this being individuation-enmeshment.Deciphering the US terminology, this basically means that in family's wheremothers show signs of depression, they are less likely to be able to makedecisions independently and to have a sense of self within the family. Ihave long felt since we conducted this peice of work that this hasimportant implications for the family as a whole during the perinatalperiod. For example, could HVs be more involved in strategies which enablethe family as a whole during the antenatal period, based on theories offamily dynamics? I would like to carry out a larger study to confirm orrefute the findings if anyone is interested. Incidentally, I am alsoworking with one of my postgrad students on a systematic review of HVinterventions for postnatal depression - I can't find any evidence thatthis has already been done through Cochrane or have I missed it? any recentresearch or systematic reviews would be welcomed.THanks.SallySally KendallDirector of CRIPACC,Professor of NursingFaculty of Health and Human SciencesUniversity of HertfordshireCollege LaneHatfieldHerts. AL10 9ABTel: +44 01707 286380Fax: +44 01707 285995E-mail: s.kendall@...

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Thanks Lynn, very useful.

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@...

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I can access it through the King's library - it on the net

as an e-journal. If you have problems let me know and I

amy be abe t post something on senate or send it to you by

snail mail.

Toity

On Sun, 1 Sep 2002 16:53:17 +0100 lowenhoff

<project@...> wrote:

> 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< > >

> > > > >

> > >

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Dear Ruth,

Between 17-18th March 2003, there will be a national conference in

Stratford on Avon " Working with families: giving people their lives

back " , involving the new National Institute for Mental Health in

England and organised by Dr. Grainne Fadden of Birmingham University

and Meridan (families@...). I chaired an early

meeting in this series, which was c.90% about families coping with

psychotic illness in one or more members, but PND did get a look in

then (2000) and may again in 2003. Senate members who want to present

their own work with families have a deadline for Abstracts of

30/09/2002.

Cheers,

Woody.

On Wed, 24 Apr 2002 23:02:14 +0100 Ruth Grant

<ruth_grant@...> wrote:

> 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@...

> >

> >

> >

> >

> >

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Thanks Woody

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@...

> > >

> > >

> > >

> > >

> > >

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can I ask who is running your training for you or are you doing it

in house we are having big problems getting training.

.

> 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><

> > >>

> > >>

> > >>

> > >>

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Do you mean training for PND?

four years ago when we researched the subject we found the Marce training and that offered by Keele university as very useful. in the end because of resource implications we developed peer group training using the Marce pack. I think the peer group iniative was really successful because it didn't look at PND as a diagnosis but focused on emotional health following childbirth,supporting the mother/infant relationship, reviewing listening skills, developing multi-agency pathways etc.

Charlene

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><> > >>> > >>> > >>> > >>

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- we spoke sometime last year about possibility of training when I was very wrapped up in the research project. I have more time now so if you can give me a call on 01763 208375 we can talk through your needs in this respect?

Look forward to hearing from you.

Sheelah Seeley. www.pndtraining.co.uk

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><> > >>> > >>> > >>> > >>

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– regards training – with

guidance from Sheelah Seeley, Ruth Rothamn . postnatl depression specialist from Southend, and myself are

facilitating the training with help from various other mental health and

postnatal depression specialists. A day on CBT is being facilitated by a tutor

from APU who specialises in CBT. The first two days went really well and the

participants seemed to think ity was enjoyable and worthwhile. We also were

lucky enough to have the determination and dedication of Crome, H.V

course co-ordinator at APU who has done all the fancy footwork behind the

scenes getting the course incorporated into the annual eduaction contract.

also helps facilitate the course and provides an invaluable link between

the H.V course and the PND course. We’re all really pleased to have

actually got the course up and running. I can send you programme details if you

wish?

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><

> > >>

> > >>

> > >>

> > >>

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