Archives of Women's Mental Health

, 11:253

Recovery from postnatal depression: a consumer’s perspective

  • Verity Di Mascio
  • Andrew Kent
  • Matthew Fiander
  • John Lawrence
Original Contribution

Abstract

To identify factors that women who have recovered from postnatal depression consider to be important in the recovery process and to measure the consensus among recovered women regarding the importance of those factors. A two-panel, three-round adapted Delphi exercise supplemented by a user-led interpretation work-shop. Panel one consisted of ten women who had been treated by a health visitor for and recovered from postnatal depression. Panel two consisted of 158 women who had recovered from postnatal depression who were London based members of a national support group for postnatal depression. There was a strong consensus among the participants about the 37 success factors that were identified. Factors that were identified as ‘essential’ in recovery from postnatal depression included: emotional support from partner; sleep; improved communication with partner; the diagnosis; practical support from partner; emotional support from friends; time to bond with the new baby; and prompt assessment by a health visitor. An interpretation group, made up of seven women who had recovered from postnatal depression, condensed the 37 factors into seven categories: diagnosis; positive action (or reaction) to intervene in the recognized problem; provision of support by people you know; professional or outside agency input; relationship between mother and baby; returning to work and continuity of care. There was a strong level of consensus among recovered women regarding a wide range of recovery factors. While all of the factors were considered to be, at least, ‘important’, social support from family and friends was generally rated more highly than support from health care professionals.

Keywords

Postnatal depression Delphi Consumer participation Consumer organization Recovery 

References

  1. Anthony WA (1993) Recovery from mental illness: the guiding vision of the mental health service system in the 1990’s. Psychosoc Rehabil J 16:11–23Google Scholar
  2. Appleby L, Warner R, Whitton A, Faragher B (1997) A controlled study of fluoxetine and cognitive–behavioural counselling in the treatment of postnatal depression. Brit Med J 314:932–936PubMedGoogle Scholar
  3. Brugha TS, Sharp HM, Cooper SA, Wisender C, Britto D, Shinkwin R et al (1998) The Leicester 500 Project. Social support systems and the development of postnatal depressive symptoms, a prospective cohort study. Psychol Med 28:63–79PubMedCrossRefGoogle Scholar
  4. Cooper PJ, Murray L, Wilson A, Romaniuk H (2003) Controlled trial of the short- and long-term effect of psychological treatment of post-partum depression. Impact on maternal mood. Br J Psychiatry 182:421–429Google Scholar
  5. Cornish E (1977) The study of the future. World Future Society, Washington, DCGoogle Scholar
  6. Fiander M, Burns T (1998) Essential components in schizophrenia care: a Delphi approach. Acta Psychiat Scand 98:400–405PubMedCrossRefGoogle Scholar
  7. Hiscock H, Wake M (2001) Infant sleep problems and postnatal depression: a community based study. Pediatrics 107:1317–1322PubMedCrossRefGoogle Scholar
  8. Holden J, Sakovsky R, Cox J (1989) Counselling in a general practice setting: a controlled study of health visitor intervention in treatment of postnatal depression. Brit Med J 298:223–226PubMedCrossRefGoogle Scholar
  9. Marshall M, Lockwood A, Lewis S, Fiander M (2004) Essential elements of an early intervention service for psychosis: the opinions of expert clinicians. BMC Psychiatry 4:17PubMedCrossRefGoogle Scholar
  10. Misri S, Kostaras X, Fox D, Kostaras D (2000) Impact of partner support in the treatment of postpartum depression. Can J Psychiat 45:554–558Google Scholar
  11. NICE (2007) Antenatal and postnatal mental health. The NICE guideline on clinical management and service guidance. NICE Clinical Guideline 45. National Institute for Health and Clinical Excellence, LondonGoogle Scholar
  12. O’Hara M (1986) Social support life events and depression during pregnancy and the puerperium. Arch Gen Psychiat 43:569–573PubMedGoogle Scholar
  13. Perkins R (2001) What constitutes success? The relative priority of service users’ and clinicians’ views of mental health services. Br J Psychiatry 179:9–10PubMedCrossRefGoogle Scholar
  14. Righetti-Veltema M, Conne-Perreard E, Bousquet A, Manzano J (1998) Risk factors and predictive signs of postpartum depression. J Affect Disorders 49(3):167–180PubMedCrossRefGoogle Scholar
  15. Rolls C, Cutts D (2001) Pregnancy-to-parenting education: creating a new approach. Birth Issues 10(2):53–58/60Google Scholar
  16. Scheff TJ (1996) Being mentally ill: a sociological theory. Aldine, ChicagoGoogle Scholar
  17. Schmied V, Myors K, Wills J, Cooke M (2002) Preparing expectant couples for new parent experiences: a comparison of two models of antenatal education. J Perinat Educ 11:20–27PubMedGoogle Scholar
  18. Sheppard M (1994) Childcare, social support and maternal depression: a review and application of findings. Brit J Soc Work 24:287–310Google Scholar
  19. Whitton A, Warner R, Appleby L (1996) The pathway to care in postnatal depression: women’s attitudes to postnatal depression and its treatment. Brit J Gen Pract 46:427–428Google Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Verity Di Mascio
    • 1
  • Andrew Kent
    • 1
  • Matthew Fiander
    • 1
  • John Lawrence
    • 2
  1. 1.Division of Mental HealthSt George’s, University of LondonLondonUK
  2. 2.Patrick Doody ClinicLondonUK

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