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- Massoudi, Pamela, et al.
(författare)
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Depression and distress in Swedish fathers during the postnatal period.
- 2014
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Ingår i: Marcé International Society International Biennial General Scientific Meeting. Swansea, Wales, UK: 10-12 September 2014. - : Springer Science and Business Media LLC. - 1435-1102.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Objective / Background To validate the Swedish version of the EPDS for fathers and to investigate the factor structure of the scale for both mothers and fathers. We also wanted to study the prevalence and corre- lates of depressive symptoms in fathers, and the help-seeking preferences of fathers with depressive symptoms. Methods A population-based sample of 1,014 couples were sent a questionnaire including the EPDS 3 months after the birth of their child. All high-scoring fathers and a random sample of low-scoring fathers were interviewed with a diagnostic interview. Results A factor analysis of the EPDS for fathers implies that the scale picks up more of worry, anxiety and unhappiness than depres- sion. The scale yielded high sensitivity and specificity, but a low PPV when screening for probable majo r depression in fathers. The point prevalence of depressive symptoms (EPDS 12 or more) was 6.3 % in fathers and 12.0 % in mothers. For fathers, the estimated point prevalence of major depression was 1.3 %. The strongest correlates of depressive symptoms in fath ers were: problems in the couple relationship, a history of depression, and experiencing two or more stressful life events during the past year. Conclusion / Discussion The EPDS seems to pick up more of general distress than depression in fathers. It is a valid instrument when screening for probable major depression in fathers, but questionable for minor depression. When signs of partner relationship difficulties are picked up, this should be followed up and appropriate referrals offered.
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- Massoudi, Pamela, et al.
(författare)
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Fathers’ involvement in Swedish child health care: nurses’ attitudes and practice.
- 2008
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Ingår i: Poster presented to The Marcé Society Conference..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Objectives: To explore how Swedish child health nurses perceived working with fathers, and to what extent they detected and offered support to distressed fathers. Subjects and methods: A random sample of all 2580 nurses in Swedish Child Health Services (CHS), 499 nurses, were asked to complete a postal questionnaire. A response rate of 70% was achieved. Results: A ma-jority of the nurses found working with fathers important and rewarding. Fathers’ participation in CHS activities had increased over the years but many nurses wished for fathers to participate more. Questions reflecting attitudes to fathers as parents, however, revealed that around 50% of the nurses had an ambivalent attitude towards fathers’ innate caring capacities as compared to mothers’. Only one out of four nurses expressed that they attempted to in some way identify fa-thers that were distressed. None of these nurses used systematic methods or screening scales. Almost 90% of the nurses estimated that it only occasionally or practically never came to their at-tention that a father was distressed. Less than one out of five nurses had offered supportive listen-ing visits to distressed fathers in the previous year. The odds of giving supportive listening visits to fathers was three times greater for nurses who had regular supervision in their psychosocial work and six times greater for nurses with paediatric specialization. Conclusion: Despite having good intentions, many child health nurses in Sweden still have traditional views on mothers’ versus fa-thers’ innate caring capacities and do not detect and support distressed fathers to the same extent as they detect and support distressed mothers. Regular supervision and paediatric specialization seem to be important factors that promote nurses’ support to fathers. Adequate methods and rou-tines to increase support to fathers need to be developed.
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- Massoudi, Pamela, et al.
(författare)
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Fathers' involvement in Swedish child health care - the role of nurses' practices and attitudes
- 2011
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Ingår i: Acta Paediatrica. - 0803-5253. ; 100:3, s. 396-401
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Tidskriftsartikel (refereegranskat)abstract
- AIM: To investigate how nurses in Swedish child health care perceived working with fathers, and to what extent they offered support to, and included fathers in clinical encounters. METHODS: A random sample of all nurses in Swedish child health care, 499 nurses, were asked to complete a postal questionnaire. The response rate was 70%. Data were analysed with content analysis, the chi-square test and logistic regression models. RESULTS: Almost all of the nurses found working with fathers positive. Fathers' participation in child health care was much lower than that of mothers'. Almost 90% of the nurses estimated that it rarely came to their attention that a father was distressed, and less than one of five nurses had offered supportive counselling to any distressed father in the previous year. Nurses with regular supervision on mental health issues and nurses with a paediatric specialization were more likely to offer supportive counselling to fathers. Approximately 50% of the nurses had an ambivalent attitude towards fathers' caring capacity when compared to that of mothers. CONCLUSIONS: Fathers received less support from child health nurses, and many nurses were ambivalent about fathers' caring abilities. Methods need to be developed to involve both parents in child health care.
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| 6. |
- Massoudi, P., et al.
(författare)
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How well does the Edinburgh Postnatal Depression Scale identify depression and anxiety in fathers? A validation study in a population based Swedish sample
- 2013
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Ingår i: Journal of Affective Disorders. - : Elsevier BV. - 0165-0327. ; 149:1-3, s. 67-74
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Tidskriftsartikel (refereegranskat)abstract
- Background: Fathers are increasingly involved in infant care, and depression in postnatal fathers as well as mothers may have negative effects on child development and behaviour. The EPDS has been validated to identify depression in new mothers, but few validation studies have involved fathers and there is doubt as to whether the EPDS measures the same constructs in men as in women. Subjects and methods: A population-based sample of 1014 couples were sent the EPDS and the HAD-A subscale 3 months postnatally. All high-scoring fathers and a random sample of fathers scoring low were invited for a diagnostic interview to assess the presence of any depression or anxiety disorder. A factor analysis of the EPDS data was conducted for mothers and fathers. Findings: A factor analysis of the EPDS data revealed a different factor structure for fathers, implying that the scale picks up more worry, anxiety and unhappiness than depression. The EPDS yields high sensitivity and specificity, but low positive predictive value when screening for probable major depression at the optimal cut-off score of 12 or more. The accuracy of the EPDS, however, is modest for minor depression, and low for anxiety disorders. Neither the EPDS-3A score nor the HAD-A subscale reached acceptable validity in this study. Conclusions: The EPDS seems to pick up more distress than pure depression in new fathers. It is a valid instrument for screening for probable major depression, but it is questionable if it should be used to screen for minor depression. Neither the EPDS nor the HAD-A subscale can be recommended for screening for anxiety in postnatal fathers. Limitations: Confidence intervals around the estimates are wide and the interviewed fathers were selected preferentially.
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- McCabe, J. E., et al.
(författare)
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Listening Visits for maternal depression: a meta-analysis
- 2021
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Ingår i: Archives of Womens Mental Health. - : Springer Science and Business Media LLC. - 1434-1816 .- 1435-1102. ; 24:4, s. 595-603
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Tidskriftsartikel (refereegranskat)abstract
- Listening Visits are a non-directive counseling intervention delivered by nurses to depressed postpartum women. In 2007, Listening Visits were listed as a recommended treatment in British national guidelines. They were removed from the guideline update, due to the small effect size drawn from a meta-analysis of five clinical trials with depressed and non-depressed postpartum women. The purpose of this meta-analysis is to provide an estimate of the true population effect of Listening Visits as a treatment for maternal depression compared to control conditions. A meta-analytic review was conducted of studies published before October 2020. Inclusion criteria required that the study was a pragmatic or randomized trial of Listening Visits delivered by non-mental health specialists to mothers with elevated symptoms of maternal depression. Post-treatment depression rates for the treatment and control groups were extracted from eligible studies. Six studies met eligibility criteria which included 703 participants. Analyses of observed effect sizes corrected for study artifacts revealed an estimate of 0.66 (95% CI: 0.32, 0.99) with high heterogeneity (Q = 17.95, p = 0.003, I-2 = 72.14). After removing outliers and addressing heterogeneity across observed effect sizes, the meta-analytic estimate across four methodologically similar studies and 651 participants was 0.43 (95% CI: 0.24, 0.62). The moderate effect size for Listening Visits, considered together with the advantages afforded by how, where, and who provides this treatment, supports Listening Visits as a first-line intervention in a stepped care approach for mothers with mild to moderately severe depression symptoms.
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- Rondung, Elisabet, 1980-, et al.
(författare)
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Identification of depression and anxiety during pregnancy: A systematic review and meta-analysis of test accuracy
- 2024
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Ingår i: ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA. - : Wiley. - 0001-6349 .- 1600-0412. ; 103:3, s. 423-436
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Forskningsöversikt (refereegranskat)abstract
- Depression and anxiety are significant contributors to maternal perinatal morbidity and a range of negative child outcomes. This systematic review and meta-analysis aimed to review and assess the diagnostic test accuracy of selected screening tools (Edinburgh Postnatal Depression Scale [EPDS], EPDS-3A, Patient Health Questionnaire [PHQ-9]-, PHQ-2, Matthey Generic Mood Question [MGMQ], Generalized Anxiety Disorder scale [GAD-7], GAD-2, and the Whooley questions) used to identify women with antenatal depression or anxiety in Western countries.Material and methodsOn January 16, 2023, we searched 10 databases (CINAHL, Cochrane Library, CRD Database, Embase, Epistemonikos, International HTA Database, KSR Evidence, Ovid MEDLINE, PROSPERO and PsycINFO); the references of included studies were also screened. We included studies of any design that compared case-identification with a relevant screening tool to the outcome of a diagnostic interview based on the Diagnostic and Statistical Manual of Mental Disorders, fourth or fifth edition (DSM-IV or DSM-5), or the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10). Diagnoses of interest were major depressive disorder and anxiety disorders. Two authors independently screened abstracts and full-texts for relevance and evaluated the risk of bias using QUADAS-2. Data extraction was performed by one person and checked by another team member for accuracy. For synthesis, a bivariate model was used. The certainty of evidence was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE). Registration: PROSPERO CRD42021236333.ResultsWe screened 8276 records for eligibility and included 16 original articles reporting on diagnostic test accuracy: 12 for the EPDS, one article each for the GAD-2, MGMQ, PHQ-9, PHQ-2, and Whooley questions, and no articles for the EPDS-3A or GAD-7. Most of the studies had moderate to high risk of bias. Ten of the EPDS articles provided data for synthesis at cutoffs >= 10 to >= 14 for diagnosing major depressive disorder. Cutoff >= 10 gave the optimal combined sensitivity (0.84, 95% confidence interval [CI]: 0.75-0.90) and specificity (0.87, 95% CI: 0.79-0.92).ConclusionsFindings from the meta-analysis suggest that the EPDS alone is not perfectly suitable for detection of major depressive disorder during pregnancy. Few studies have evaluated the other instruments, therefore, their usefulness for identification of women with depression and anxiety during pregnancy remains very uncertain. At present, case-identification with any tool may best serve as a complement to a broader dialogue between healthcare professionals and their patients. In this systematic review of 16 original articles, the Edinburgh Postnatal Depression Scale was the most frequently validated tool for identification of women with possible antenatal depression or anxiety. Our meta-analyses indicated a low pooled sensitivity, emphasizing the importance of combining questionnaire screening with other identification methods.
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| 13. |
- Rubertsson, Christine, et al.
(författare)
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Depressive mood in early pregnancy and postpartum: prevalence and women at risk in a national Swedish sample
- 2005
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Ingår i: JOURNAL OF REPRODUCTIVE AND INFANT PSYCHOLOGY. - : Informa UK Limited. - 0264-6838 .- 1469-672X. ; 23:2, s. 155-166
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Tidskriftsartikel (refereegranskat)abstract
- We investigated the prevalence of postnatal depressive mood in a national Swedish sample, together with factors associated with depressed mood postpartum only as opposed to having depressed mood both in early pregnancy and postpartum. Swedish-speaking women booked for antenatal care during a chosen period of three recruitment weeks were invited and 3293 (72%) agreed to participate in the study. Of these women, 2674 (81%) completed two questionnaires, one in early pregnancy and another 2 months postpartum. Depressive mood was assessed by the Edinburgh Postnatal Depression Scale (EPDS) and the validated Swedish cut-off of 11/12 was used. In all, 12.3% scored above the threshold postpartum depressed mood, that being 6.5% postpartum only ('post' group) and 5.8% both in pregnancy and postpartum ('ante and post' group). Unemployment, lack of support, and physical health problems were the most important factors associated with a postpartum depressed mood in both groups. Women in the 'ante and post' group were more socially disadvantaged with increased relative risks in most of the factors that were investigated. Postnatal problems such as dissatisfaction with support from relatives and factors related to the infant were only associated with a depressed mood in the 'post' group. Obtaining a psychosocial history in early pregnancy, including factors associated with a depressed mood, may be the first step towards identifying and providing individualized care for women at risk of sustained or recurrent depressive mood during pregnancy and the postpartum period.
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| 15. |
- Schwank, S. E., et al.
(författare)
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Care-seeking behavior and disclosure on self-reported mental health among young women in urban Shanghai, China
- 2020
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Ingår i: Health Psychology Open. - : SAGE Publications. - 2055-1029. ; 7:1
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Tidskriftsartikel (refereegranskat)abstract
- Mental health is a major public health concern in China. Help-seeking behavior typically does not involve professionals. Aim of the study was to assess Shanghai women's care-seeking behavior for common mental health disorders. Using an online survey, fielding questions regarding perinatal mental health status and help-seeking behavior. A total of 487 women participated. One fifth of participants reporting badwell-being did not seek help for mental distress. A total of 82.2percent seek online support. A majority entrusted in family and avoided professional contact. Mother-in-laws were the least trusted source of support. Shanghai women avoid seeking professional help for mental health issues. Friends, spouses, and online resources are preferred venues.
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| 18. |
- Wickberg, Birgitta, 1944, et al.
(författare)
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Perinatal mental health around the world: Priorities for research and service development in Sweden
- 2020
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Ingår i: BJPsych International. - : Royal College of Psychiatrists. - 2056-4740 .- 2058-6264. ; 17:1, s. 6-8
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Tidskriftsartikel (refereegranskat)abstract
- Sweden has a unique opportunity to identify and follow up women presenting with, or at risk for, perinatal mental health problems and disorders because universal screening programmes are provided by its primary healthcare system. Although they are implemented across almost the entire population, screening programmes are not necessarily leading to effective interventions because the multidisciplinary perinatal mental healthcare teams that provide for the assessment and treatment of moderate to severe disorders are very few in number and must be increased. In particular, efforts to reach immigrant parents must be intensified to achieve equal quality of care for all. © Copyright The Authors 2019.
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| 22. |
- Wickberg, Birgitta, 1944, et al.
(författare)
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Using the EPDS in routine antenatal care in Sweden: a naturalistic study
- 2005
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Ingår i: Journal of Reproductive and Infant Psychology. - : Informa UK Limited. - 0264-6838 .- 1469-672X. ; 23:1, s. 1-9
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this paper was to evaluate the effect of using the Edinburgh Postnatal Depression Scale (EPDS) in routine antenatal care. More specifically, we wanted to study the impact on the management of depressive symptoms when midwives were aware of womens EPDS scores and given training about potential impact and the ways in which it can be ameliorated. Sixteen midwives were not (study group) were informed of the womens EPDS score in gestational week 25, and 16 midwives were not (comparison group). Women in the study group displayed a significant reduction in the within-group EPDS mean score from week 25 to week 36 compared with women in the comparison group. An analysis of change scores revealed that whilst there was no significant difference between the groups in number of visits to the midwife or doctor, or in number of referrals to a mental health professional, there was a significant different change patterns for the two groups from the first to the second assessment. The results of this study suggest that midwives who are aware of pregnant womens depressive symptoms and are given training in how to ameliorate them support these women more effectively than midwives who are not aware and have not been give additional training on its treatment.
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