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Accessible Summary: What Is Known about the Subject?: One in five mothers and birthing parents are affected by postpartum depression (PPD), yet only a small proportion of those with PPD receive treatment.Given cost and accessibility barriers to treatment, brief therapies (e.g. 1 day) could help address PPD on a large scale, though understanding participants' unique experiences with this novel treatment will help guide its refinement and use. What this Paper Adds to Existing Knowledge?: This paper describes the experiences, perspectives and satisfaction of participants who attended a 1‐day workshop for PPD.Participants appreciate being taught practical techniques and the receipt of social support from facilitators and other attendees in the group setting, while some recommended further 'booster sessions' to enhance effectiveness. What Are the Implications for Practice?: One‐day CBT‐based workshops may be an effective, low‐intensity treatment option that provides helpful skills and builds social networks for individuals with PPD.Additional post‐workshop booster sessions may enhance participant satisfaction with this new treatment by providing a reinforcement of their learning and an opportunity to re‐connect with other birthing parents. Introduction: Postpartum depression (PPD) affects up to one in five mothers and birthing parents. Understanding their perceptions of therapeutic interventions is key to their effectiveness and scalability. Aim: The aim of the study was to understand participants' experiences attending an in‐person or online 1‐day cognitive behavioural therapy (CBT)‐based workshop for PPD and compare their experiences participating in either modality. Method: This descriptive qualitative study was embedded in two separate randomized controlled trials evaluating the effectiveness of 1‐day CBT‐based workshops for PPD delivered in‐person or online. Responses were provided by 94 in‐person and 95 online participants about their experiences. Content analysis was used to code and categorize the data. Results: Participants appreciated learning skills to improve PPD symptoms and joining a community of individuals with shared experiences. Integrating practical coping techniques after the workshop was reported to be most useful, though some wanted additional post‐workshop support. Online participants identified additional barriers to workshop engagement. Discussion: Participants who attended either workshop found them to be valuable and effective. Participants valued psychoeducation, social connections and applying practical CBT techniques. Implications for Practice: One‐day CBT‐based workshops may be an accessible treatment option for individuals with PPD, providing new skills and social support, though some prefer to receive additional post‐workshop support. [ABSTRACT FROM AUTHOR]

Copyright of Arquivos de Ciências da Saúde da UNIPAR is the property of Associacao Paranaense de Ensino e Cultura and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Der Nervenarzt is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of International Obstetrics & Gynecology is the property of TianJin Medical Information Center and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Despite the existence of effective interventions for postpartum depression, few women use them. Online interventions have the potential to overcome many barriers to treatment seeking. This systematic review describes the current state of research regarding online interventions for postpartum depression with special attention to the German-speaking area. Methods: We conducted a systematic Internet search to assess interventions found online. A systematic literature search identified publications on online interventions for women with postpartum depression, which targeted the reduction of symptoms of depression, the mother-child interaction, and/or other child-related variables. We extracted information on conceptual design, efficacy, and adherence to the interventions. Results: References to interventions on the Internet comprised mostly general advice about treatment options and some specific entries on face-to-face interventions. Online interventions were scarce. The systematic literature review yielded 14 articles on 6 mostly CBT-based interventions. While the programs were effective in reducing symptoms of depression, they had little impact on mother-child interaction. Other child-related variables were not included in the studies. There was no intervention from German-speaking countries. Discussion and Conclusions: The potential of online interventions for postpartum depression is hardly used. Guided CBT-based self-help interventions seem to be a promising treatment for postpartum depression, yet more research is needed. [ABSTRACT FROM AUTHOR]

This observational study investigated the relationship between mother‐infant contact time and changes in postpartum depression and mother‐infant attachment. The study population consisted of 101 mothers staying for 14 days at two postpartum care centers in Busan, Republic of Korea. Data were collected from February to March 2018 using a self‐administered questionnaire that covered postpartum depression, mother‐infant attachment, and included a contact timesheet. Data were analyzed using descriptive statistics, including means and standard deviations, Kruskal–Wallis tests, and multiple linear regression with bootstrapping estimation. The mean daily contact time was 5.31 ± 1.80 h. The mean postpartum depression decreased from 8.76 ± 7.10 points at admission to 5.16 ± 3.35 points at discharge. By increasing daily kangaroo mother care time by 1 h, postpartum depression was decreased by 4.02 points. However, changes in mother‐infant attachment were not related to contact time. Kangaroo mother care was effective in decreasing postpartum depression among the mothers at the postpartum care centers. Nurses working at the care centers should encourage mothers to participate in kangaroo mother care programs. Further studies considering various contacts, such as baby massage or bathing, are recommended. [ABSTRACT FROM AUTHOR]

Copyright of Journal of International Obstetrics & Gynecology is the property of TianJin Medical Information Center and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Canadian Journal of Pain is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: To investigate screening with the Edinburgh Postnatal Depression Scale (EPDS) as part of Queensland prenatal care services, as well as maternal and socio-demographic factors associated with not being screened.Design, Setting: Cross-sectional retrospective analysis of data from the Queensland population-based Perinatal Data Collection for July 2015 - December 2015.Participants: All women giving birth in Queensland during the second half of 2015.Main Outcome Measures: Screening with the EPDS, with the values "yes" (health professional recorded an EPDS score), "no" (health professional reported it was not performed), and "not stated".Results: Of 30 468 women who gave birth in Queensland, 21 735 (71.3%) completed the EPDS during pregnancy; 18 942 pregnant women were enrolled as public patients (91.0%) and 2762 as private patients (28.8%). After adjusting for other socio-demographic factors, screening was less likely for women who were aged 36 years or more (v 25 years or younger: adjusted odds ratio [OR], 0.69; 95% CI, 0.60-0.79), enrolled as private patients (aOR, 0.05; 95% CI, 0.05-0.06), born overseas (aOR, 0.75; 95% CI, 0.68-0.82), Indigenous Australians (aOR, 0.47; 95% CI, 0.39-0.56), single or separated (aOR, 0.83; 95% CI, 0.73-0.94), or of higher socio-economic status.Conclusions: Four years after clinical guidelines recommending universal screening with the EPDS were published, screening rates for private and public health care patients differed markedly. Our results may inform future comparisons and analyses of the impact on screening of recent changes to Medicare definitions intended to increase that of women in private health care. [ABSTRACT FROM AUTHOR]

Background: There is currently no specific guidance on the role of exercise in managing postpartum depression in the UK and US, and international guidance is inconsistent.Aim: To assess the effectiveness of aerobic exercise on postpartum depressive symptoms.Design and Setting: Systematic review and meta-analysis. There was no restriction to study site or setting.Method: The databases MEDLINE, EMBASE, Cochrane Library, PsycINFO, SportDiscus, ClinicalTrials.gov, and the World Health Organization International Clinical Trials Registry Platform were searched. Titles and abstracts, then full-text articles, were screened against inclusion criteria: RCTs measuring depressive symptoms in mothers ≤1 year postpartum; and interventions designed to increase aerobic exercise compared with usual care or other comparators. Included studies were assessed using the Cochrane Collaboration's risk of bias tool. Meta-analysis was conducted. Pre-planned subgroup analyses explored heterogeneity.Results: Thirteen RCTs were included, with 1734 eligible participants. Exercise significantly reduced depressive symptoms when all trials were combined (standardised mean difference -0.44; 95% confidence interval = -0.75 to -0.12). Exploration of heterogeneity did not find significant differences in effect size between women with possible depression and in general postpartum populations; exercise only and exercise with co-interventions; and group exercise and exercise counselling.Conclusion: This systematic review provides support for the effectiveness of exercise in reducing postpartum depressive symptoms. Group exercise, participant-chosen exercise, and exercise with co-interventions all may be effective interventions. These results should be interpreted with caution because of substantial heterogeneity and risk of bias. [ABSTRACT FROM AUTHOR]

Postpartum depression (PPD),one of the most common complications after childbirth, is a common, potentially disabling and even life-threatening disease. About one seventh peripartum and postpartum women were subjected to PPD. The apparent effects of untreated PPD on those postpartum women individuals include distress and functional impairment. PPD is actually associated with negative effects on the growth and development in their children. Fortunately, PPD is detectable in routine practice, and there are effective treatments. Studies indicated that both biological and psychosocial factors contributed to PPD pathogenesis. So, clinical treatment of PPD should combine pharmacotherapy with psychotherapy, in which pharmacotherapy includes antidepressants and hormonal therapy. Since there is wide and far effect of breast -feeding on infant development and psychological health, it is the point at issue whether to stop breast-feeding in those PPD women who are taking medicines. [ABSTRACT FROM AUTHOR]

Summary Australia has a system of residential parentcraft services which offer brief admissions to mothers experiencing difficulties with infant care and postnatal mood disturbance. Most of these are state-funded public access services. In 1996 a comparable but differentiated service was opened in the private sector. Masada Private Hospital Mother Baby Unit accommodates five mother-infant pairs who are admitted to a five-night structured residential program. Care is provided by a multidisciplinary team comprising a paediatrician, general practitioner, clinical psychologist and specialist nurses. Complex maternal mood disorders as measured on standardised psychometric instruments include depression, anxiety and severe occupational fatigue. Their babies are unsettled, cry for prolonged periods, wake frequently at night and do not sleep well during the day. Many have feeding difficulties. The treatment program comprises both individualised training in infant care and settling strategies and psycho-educational groups offered in a supportive non-judgemental setting. One month post-discharge maternal mood is significantly improved and infant behaviour more manageable compared with functioning on admission. [ABSTRACT FROM AUTHOR]

The article offer information on mental health problems in women during the perinatal period topics including screening with the Edinburgh Postnatal Depression Scale (EPDS); harmful impact on development of children; and limitations of EPDS screening.

Discusses the pros and cons of psychotropic medication during pregnancy and the postpartum period. Views of Lee Cohen, director of the perinatal and reproductive psychiatry clinical research program at Massachusetts General Hospital in Boston, about medications during pregnancy; Uncertainty about using selective serotonin reuptake inhibitors (SSRIs); Research by Adele Viguere at Massachusetts General Hospital concerning bipolar disorder in women; The difference between persistent postpartum depression and postpartum psychosis; Data from a study on depression during pregnancy and postpartum relapse; Comment of Jeffrey Newport of Emory University School of Medicine concerning antidepressants and breast milk; Web sites for more information. INSET: Celebrity Book Spotlights Persistent Postpartum Depression.

Background: Social support may promote healthful behaviors that prevent excess weight at critical periods in women's life. Our objective was to investigate associations of social support at 6 months postpartum with women's health behaviors that have previously been shown to predict weight retention at 1 year postpartum.Methods: At 6 months postpartum in Project Viva, a pre-birth prospective cohort in Massachusetts, women reported social support using the Turner Support Scale, depressive symptoms using the Edinburgh Postnatal Depression Scale, diet using PrimeScreen, average number of hours walking, light/moderate and vigorous physical activity, television viewing, and sleeping each day.Results: Among 1356 women, greater partner support was associated with higher levels of walking (OR 1.36, 95% CI [1.01, 1.82]) and intake of fiber (OR 1.43, 95% CI [1.06, 1.91]) and lower intake of trans-fat (OR 1.49, 95% CI [1.11, 2.01]). Support from family/friends was marginally related to healthful levels of light/moderate physical activity (OR 1.26, 95% CI [0.96, 1.65]) and television viewing (OR 1.29, 95% CI [0.99, 1.69]). Both sources of support were strongly associated with lower odds of incident depression (OR 0.33, 95% CI [0.20, 0.55] and OR 0.49, 95% CI [0.30, 0.79], respectively). We did not find associations with vigorous physical activity or sleep duration.Conclusions: Social support is important to the physical and mental health of new mothers and may promote behaviors that limit postpartum weight retention. [ABSTRACT FROM AUTHOR]

The EPDS has been extensively researched and is an accepted and valid screening tool in different cultures and languages, not only in the postnatal period but also during pregnancy.[3] Therefore, it seems to be an appropriate tool for a culturally diverse country. [Extracted from the article]

Many Aboriginal women find the EPDS language complex and confusing, and providers find using it with Aboriginal women challenging.[3] Screening processes need to be acceptable to patients and staff, and seen to be easy to use and helpful, or they are unlikely to be well implemented. The Kimberley Mum's Mood Scale (KMMS) is a locally designed approach to screening Aboriginal women.[3] Part 1 is an adaption of the EPDS. [Extracted from the article]

The article presents a study that examines the effectiveness of psychosocial and psychological interventions in preventing postpartum depression (PPD). It discusses methodologies used in the study including randomized controlled trial. It concludes that interventions initiated postpartum lowered depressive symptoms at final study assessment when compared with usual care.