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Recognition of Risk Factors for Postpartum Depression in Refugee and Immigrant Women: Are Current Screening Practices Adequate?

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Abstract

Currently little is known of postpartum depression (PPD) screening and referral for refugee and immigrant women in Northern New England where the foreign born population has been rapidly expanding in the past decade. Research on PPD has focused largely on the general population leaving a large gap in our understanding of PPD in this vulnerable group. A retrospective chart review was conducted from a tertiary medical center with 1,160 births per year. Total sample n = 126, 28 % scored at risk for PPD. 39 % of women at risk had follow up documented as a phone call alone, however 43 % of that at risk group did not speak English. Focuses on the suitability of tools that have not been psychometrically tested for this population and may be culturally inappropriate for non western women. Lack of appropriate follow up is challenged and who is best placed to perform screening is considered.

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References

  1. American Psychiatric Association. Diagnostic, statistical manual of mental disorders, 5th ed. Arlington, VA: American Psychiatric Publishing; 2013.

    Google Scholar 

  2. Stapleton H, Murphy R, Kildea S. Lost in translation: Staff and interpreters’ experiences of the Edinburgh postnatal depression scale with women from refugee backgrounds. Issues Ment Health Nurs. 2013;34:648–57.

    Article  PubMed  Google Scholar 

  3. Oates M, Cox J, Neena S, et al. Postnatal depression across countries and cultures: a qualitative study. Br J Psychiatry. 2004;184(46):10–6.

    Article  Google Scholar 

  4. Beck CT, Gable RK, Sakala C, et al. Postpartum Depression Symptomatology: Results from a Two-Stage US National Survey. J Midiwfery Women’s Health 2011.

  5. Collins C, Zimmerman C, Howard L. Refugee, asylum seeker, immigrant women and postnatal depression: rates and risk factors. Arch Womens Mental Health. 2011;13:3–11.

    Article  Google Scholar 

  6. Motel S, Patten E. Statistical portrait of the foreign-born population in the United States, 2011. Secondary statistical portrait of the foreign-born population in the United States, 2011 2013. http://www.pewhispanic.org/2013/01/29/statistical-portrait-of-the-foreign-born-population-in-the-united-states-2011/-sub-menu.

  7. Gittell R, Lord T. Profile of New Hampshire’s foreign-born population Durham, New Hampshire; 2008.

  8. US Department of Health & Human Services. Fiscal year 2012 refugee arrivals. http://www.acf.hhs.gov/programs/orr/resource/fiscal-year-2012-refugee-arrivals (2013).

  9. Beck CT, Records K, Rice M. Further development of the postpartum depression predictors inventory-revised. J Obstet Gynecol Neonatal Nurs. 2006;35(6):735–45.

    Article  PubMed  Google Scholar 

  10. Oppo A, Mauri M, Ramacciotti D, et al. Risk factors for postpartum depression: The role of the postpartum depression predictors inventory-revised (pdpi-r). http://search.ebscohost.com/login.aspx?direct=true&db=aph&AN=42211261&site=ehost-live (2009).

  11. Callister LC, Beckstrand RL, Corbett C. Postpartum depression and culture: Pesado Corazon. MCN Am J Matern Child Nurs. 2010;35(5):254–61.

    Article  PubMed  Google Scholar 

  12. Tobin C, Murphy-Lawless J, Tatano Beck C. Childbirth in exile: Asylum seeking women’s experience of childbirth in Ireland. Midwifery. http://www.midwiferyjournal.com/article/S0266-6138(13)00217-9/abstract (2013).

  13. Teng L, Robertson Blackmoe E, Stewart DE. Healthcare worker’s perceptiond of barriers to care by immigrant women with postpartum depression: an exploratory qualitative study. Arch Womens Mental Health. 2007;10:93–101.

    Article  CAS  Google Scholar 

  14. Brealey S, Hewitt C, Green J, et al. Screening for postnatal depression—is it acceptable to women and healthcare professionals? A systematic review and meta-synthesis. J Reproduct Infant Psychol. 2010;28:328–34.

    Article  Google Scholar 

  15. Correa-Velez I, Ryan J. Developing a best practice model of refugee maternity care. Women Birth. 2010;25(1):13–22.

    Article  Google Scholar 

  16. Hayden M, Connelly C, Baker-Ericzen M, et al. Exploring perceptions and experiences of maternal depression in Latinas: a qualitative study. Issues Mental Health Nurs. 2013;34(3):180–4.

    Article  Google Scholar 

  17. Bina R. The impact of cultural factors upon postpartum depression: a literature review. Health Care Women Int. 2008;29(6):568–92.

    Article  PubMed  Google Scholar 

  18. Zadeh M, Khajehei M, Sharif F, et al. High-risk pregnancy: effects on postpartum depression and anxiety. Br J Midwifery. 2012;20(2):104–13.

    Article  Google Scholar 

  19. King G, Ward J. Comparing incomparable survey responses: new tools for anchoring vignettes. Polit Anal. 2007;15:46–66.

    Article  Google Scholar 

  20. Jain A, Levy D. Conflicting cultural perspectives: meanings and experiences of postnatal depression among women in Indian communities. Health Care Women Int. 2013;34:966–79.

    Article  PubMed  Google Scholar 

  21. Flaskerud J. Cultural bias and likert-type scales revisited. Issues Mental Health Nurs. 2012;33:130–2.

    Article  Google Scholar 

  22. Ahmed A, Stewart D, Teng L, et al. Experiences of immigrant new mothers with symptoms of depression. Arch Women’s Mental Health. 2008;11(4):453–72.

    Article  Google Scholar 

  23. O’Mahony JM, Donnelly TT, Bouchal S, et al. Barriers and facilitators of social supports for immigrant and refugee women coping with postpartum depression. Adv Nurs Sci. 2012;35(3):42–56.

    Article  Google Scholar 

  24. O’Mahony J, Donnelly T, Bouchal S, et al. Cultural background and socioeconomic influence of immigrant and refugee women coping with postpartum depression. J Immigr Minor Health. 2013;15(2):300–14.

    Article  PubMed  Google Scholar 

  25. O’Mahony JM, Donnelly TT. Health care providers’ pespective of the gender influences on immigrant women’s mental health care experiences. Issues Mental Health Nurs. 2007;28:1171–88.

    Article  Google Scholar 

  26. O’Mahony JM, Donnelly TT. Immigrant and refugee women’s post-partum depression help-seeking experiences and access to care: a review and analysis of the literature J O’mahony, T Donnelly literature review of immigrant women’s post-partum depression experiences. J Psychiatr Mental Health Nurs. 2010;17:917–28.

    Article  Google Scholar 

  27. Lansakara N, Brown S, Gartland D. Birth outcomes, postpartum health and primary care contacts of immigrant mothers in an Australian nulliparous pregnancy cohort study. J Matern Child Health. 2010;14:807–16.

    Article  Google Scholar 

  28. Beck CT. Postpartum depression: a metasynthesis. Qual Health Res. 2002;12(4):453–72.

    Article  PubMed  Google Scholar 

  29. Youn J, Jeong I. Predictive validity of the postpartum depression predictors inventory-revised. Asian Nurs Pract. 2011;5:210–5.

    Article  Google Scholar 

  30. Beck C, Gable R. Postpartum depression: screening scale: Spanish version. Nurs Res. 2003;52(5):296–306.

    Article  PubMed  Google Scholar 

  31. Cantilino A, Carvalho J, Maia A, Albuquerque C, et al. Translation, validation and cultural aspects of postpartum depression screening scale in brazilian portuguese. Transcult Psychiatry. 2007;44(4):672–84.

    Article  PubMed  Google Scholar 

  32. SPSS IBM. Statistics for windows [program]. 21.0 version. Armonk, NY: IBM Corp; 2012.

    Google Scholar 

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Correspondence to Carolyn Tobin.

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Tobin, C., Di Napoli, P. & Wood-Gauthier, M. Recognition of Risk Factors for Postpartum Depression in Refugee and Immigrant Women: Are Current Screening Practices Adequate?. J Immigrant Minority Health 17, 1019–1024 (2015). https://doi.org/10.1007/s10903-014-0041-8

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  • DOI: https://doi.org/10.1007/s10903-014-0041-8

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