Abstract
This preliminary study is the first to identify mothers’ perspectives on barriers and facilitators to addressing postpartum depression (PPD) in pediatric settings. We conducted four 90-min focus groups with women (n = 27) who self-identified a history of perinatal depression and/or emotional complications. Barriers reported included stigma and fear among women and lack of provider knowledge/skills regarding depression. Participants recommended non-stigmatizing approaches to depression screening/referral. Future PPD screening efforts should leverage the pediatrician–mother relationship to mitigate mothers’ fears and encourage help-seeking.
References
Britton JR (2011) Infant temperament and maternal anxiety and depressed mood in the early postpartum period. Women Health 51(1):55–71. doi:10.1080/03630242.2011.540741
Feinberg E, Smith MV, Morales MJ, Claussen AH, Smith DC, Perou R (2006) Improving women’s health during internatal periods: developing an evidenced-based approach to addressing maternal depression in pediatric settings. J Women’s Health 15(6):692–703. doi:10.1089/jwh.2006.15.692
Forman DR, O'Hara MW, Stuart S, Gorman LL, Larsen KE, Coy KC (2007) Effective treatment for postpartum depression is not sufficient to improve the developing mother–child relationship. Dev Psychopathol 19(2):585–602. doi:10.1017/S0954579407070289
Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T (2005) Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol 106(5 Pt 1):1071–1083. doi:10.1097/01.AOG.0000183597.31630.db
Heneghan AM, Morton S, DeLeone NL (2006) Paediatricians’ attitudes about discussing maternal depression during a paediatric primary care visit. Child Care Health Dev 33(3):333–339. doi:10.1111/j.1365-2214.2006.00648.x
Marcus SM, Flynn HA, Blow FC, Barry KL (2003) Depressive symptoms among pregnant women screened in obstetrics settings. J Womens Health (Larchmt) 12(4):373–380. doi:10.1089/154099903765448880
Miles MH, Huberman AM (1994) Qualitative Data Analysis, 2nd edn. Sage Publications, Thousand Oaks, CA
Morgan D (1988) Focus groups as qualitative research. Sage Publications, Thousand Oaks, CA
Smith MV, Shao L, Howell H, Wang H, Poschman K, Yonkers KA (2009) Success of mental health referral among pregnant and postpartum women with psychiatric distress. Gen Hosp Psychiatry 31(2):155–162. doi:10.1016/j.genhosppsych.2008.10.002
Sohr-Preston SL, Scaramella LV (2006) Implications of timing of maternal depressive symptoms for early cognitive and language development. Clin Child Fam Psychol Rev 9(1):65–83. doi:10.1007/s10567-006-0004-2
Zuckerman B, Amaro H, Bauchner H, Cabral H (1989) Depressive symptoms during pregnancy: relationship to poor health behaviors. Am J Obstet Gynecol 160(5 Pt 1):1107–1111
Acknowledgments
This study was funded by the Faculty Scholar Award at the first author’s institution. The first author received funding for this study from the Faculty Scholar Award at his/her institution and has previously received funding from The Meyers Primary Care Institute/Rosalie Wolf Interdisciplinary Geriatric Healthcare Research Small Grants Initiative. The second author does not have any relevant disclosures. The third author is on the governor-appointed Postpartum Depression Commission in his/her respective state. The fourth author does not have any disclosures. The fifth author has received research funding support from the National Institute of Health, Legacy Foundation, Massachusetts Department of Mental Health, Connecticut Department of Public Health, and Substance Abuse and Mental Health Services Administration.
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Byatt, N., Biebel, K., Friedman, L. et al. Women’s perspectives on postpartum depression screening in pediatric settings: a preliminary study. Arch Womens Ment Health 16, 429–432 (2013). https://doi.org/10.1007/s00737-013-0369-4
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DOI: https://doi.org/10.1007/s00737-013-0369-4