Interventions in Managing Perinatal Depression

Perinatal Depression
Student's Name
Institution Affiliation
Instructors Name
Date
Introduction Summary (Perinatal Depression)
Perinatal depression has been identified as a serious global public health concern because of its significant health implications for mothers and their families. In advanced nations, approximately 10 percent of expectant women and 13 percent of perinatal women suffer from mental health problems, primarily stress and sadness (Giannandrea, 2013). The perinatal period extends from the start of the pregnancy to one year following the birth of the baby. It represents a period of extreme sensitivity, especially for new mothers. Although perinatal psychiatric conditions are basically similar to those for other mental illnesses, the interventions and treatment approaches during pregnancy and lactation are different. This evaluation will look at perinatal depression and how it affects mothers and families psychologically. The purpose is to bring to attention feasible interventions that can assist in lessening the harm related to maternal and perinatal mental well-being.
PICOT Question: Among expectant mothers (P), how effective are non-pharmacological interventions (I) compared to pharmacological interventions (C) in managing depression (O) during the perinatal period (T)?
Criteria

Article 1

Article 2

Author, Journal (Peer-
Reviewed), and Permalink or Working
Link to Access Article

Rollè, L., Giordano, M., Santoniccolo, F., & Trombetta, T. (2020). Prenatal Attachment and Perinatal Depression: A Systematic Review. International Journal of Environmental Research and Public Health, 17(8), 2644. MDPI AG. Retrieved from http://dx.doi.org/10.3390/ijerph17082644

Goodman, J.H. (2019), Women's Attitudes, Preferences, and Perceived Barriers to Treatment for Perinatal Depression. Birth, 36: 60-69. https://doi.org/10.1111/j.1523-536X.2008.00296.x

Article Title and Year
Published

Prenatal Attachment and Perinatal Depression: A Systematic Review (2020)

Women's Attitudes, Preferences, and Perceived Barriers to Treatment for Perinatal Depression (2019).

Research Questions
(Qualitative)/Hypothesis
(Quantitative)

What is the relation between perinatal depression and the changes a woman goes through during the prenatal period?

What are the perceived hurdles and difficulties to Perinatal depression treatment?

Purposes/Aim of Study

This study looks into the link between prenatal attachment and perinatal depression and how they affect women and infants.

This study examines the limitations and difficulties that make it difficult to properly administer treatment to affected women.

Design (Type of
Quantitative, or Type of
Qualitative)

This study is qualitative because it provides a systematic review of already-done studies.

This study is qualitative, as the data collection focuses on individual experiences and preferences.

Setting/Sample

A review of 45 studies concerning prenatal attachment and perinatal depression

A sample of 509 women from the Northeastern U.S. in their third trimester of pregnancy.

Methods:
Intervention/Instruments

A systematic review of studies in accordance with the Systematic Review and Meta-Analysis.

Data was collected using a questionnaire for the sampled women.

Analysis

Multiple assessments of random women in most studies focus on the nature and presence of depressive symptoms and the way they affect the child and other family members. While focusing on the women population, this study shows that the transition to parenthood comes with immense psychological changes that may continue to affect the physical and cognitive growth of the newborn.

Since perinatal depression has the potential to harm both the mother and the newborn, efforts to increase treatment access and efficacy are necessary. This study's goal was to look at expectant women's choices and sentiments toward depression therapy, as well as perceived impediments to treatment. Comprehending what inhibits females from receiving care for depression, as well as establishing what type of treatment they prefer, could contribute to increased depression treatment rates and offer possibilities for boosting childbearing women’s overall well-being.

Key Findings

Several studies have already recognized the relationship between prenatal attachment and perinatal depression. The identified relations are negative and may influence the growth of the baby and the mental wellness of the woman and other family members.

The majority of women (92%) showed they would likely engage in psychological therapy if they needed it. Only 35% said they would take medicine if it was prescribed, and 14% said they would be involved in group treatment. Time constraints (65%), discrimination (43%), and caregiving concerns (33%) are cited as the most significant identified possible hurdles to interventions. Most women expressed a preference for receiving psychological treatment at the maternity clinic, whether from their obstetrician or a psychologist on-site.

Recommendations

Further research needs to be continued to give more precise findings and better solutions.

The conventional treatment recommendation for women experiencing perinatal depression symptoms is to assess the risks and benefits of multiple interventions, with judgments based on psychological history, the degree of depression, and treatment preferences.

Explanation of How the
Article Supports
EBP/Capstone Project

In line with these findings, this research analyzes the scientific literature on the relationship between prenatal attachment and perinatal depression and consolidates the findings. It clearly defines the connection between these two variables, stating that they could be therapeutically relevant for perinatal screenings and establishing prevention and treatment programs. Ideally, investigating this link while focusing on affected groups can be helpful in creating better individual treatment methods.

This article relates to the PICOT question because it expounds more on the treatment delivery and preference of patients (Pharmacological or non-pharmacological).

Criteria

Article 3

Article 4

Author, Journal (Peer-
Reviewed), and
Permalink or Working
Link to Access Article

Ghaedrahmati, M., Kazemi, A., Kheirabadi, G., Ebrahimi, A., & Bahrami, M. (2017). Postpartum depression risk factors: A narrative review. Journal of education and health promotion, 6, 60. https://doi.org/10.4103/jehp.jehp_9_16

U.S. Preventive Services Task Force, Curry, S. J., Krist, A. H., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W., Doubeni, C. A., Epling, J. W., Jr, Grossman, D. C., Kemper, A. R., Kubik, M., Landefeld, C. S., Mangione, C. M., Silverstein, M., Simon, M. A., Tseng, C. W., & Wong, J. B. (2019). Interventions to Prevent Perinatal Depression: U.S. Preventive Services Task Force Recommendation Statement. JAMA, 321(6), 580–587. https://doi.org/10.1001/jama.2019.0007

Article Title and Year
Published

Postpartum depression risk factors
(2017)

Interventions to Prevent Perinatal Depression: U.S. Preventive Services Task Force Recommendation Statement (2019).

Research Questions
(Qualitative)/Hypothesis
(Quantitative)

What are the factors and risks leading to perinatal depression?

What are the interventions to help treat or prevent perinatal depression?

Purposes/Aim of Study

This research's purpose is to investigate the causes of PND in the areas of financial, social, and biological factors, environment, and mental history.

The study's aim is to help in suggesting a new U.S. Preventive Services Task Force recommendation on perinatal depression therapies.

Design (Type of
Quantitative, or Type of
Qualitative)

This is a quantitative study, as the data is collected from various available platforms in a random manner.

This is qualitative research because it is focused on designing a policy recommendation to be applied in a real context.

Setting/Sample

Random 200 article abstracts

General population

Methods:
Intervention/Instruments

An evaluation was done using electronic searches in Scopus, PubMed, ScienceDirect, and ProQuest indexes between 2000 and 2015.

Review of the tools and methods used to identify women affected by PND.

Analysis

Women are vulnerable to perinatal depression. Many external conditions, like economic issues, contribute to crisis situations and PND by influencing the mothers' mental health. As a result, PND prevention programs must emphasize interpersonal interactions to minimize domestic abuse and boost social safety, as well as improve women's lifestyles to increase their capability to deal with these problems.

USPSTF examined data on the pros and...