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Health services research into postnatal depression: results from a preliminary cross-cultural study

  • Daniel Chisholm (a1), Sue Conroy (a2), Nine Glangeaud-Freudenthal (a3), Margaret R. Oates (a4), Paul Asten (a5), Siobhan Barry (a6), Barbara Figueiredo (a7), Martin H. Kammerer (a8), Claudia M. Klier (a9), Gertrude Seneviratne (a10), Anne-Laure Sutter-Dallay (a11) and TCS–PND Group...
Abstract
Background

Little is known about the availability and uptake of health and welfare services by women with postnatal depression in different countries.

Aims

Within the context of a cross cultural research study, to develop and test methods for undertaking quantitative health services research in postnatal depression.

Method

Interviews with service planners and the collation of key health indicators were used to obtain a profile of service avail ability and provision. A service use questionnaire was developed and administered to a pilot sample in a number of European study centres.

Results

Marked differences in service access and use were observed between the centres, including postnatal nursing care and contacts with primary care services. Rates of use of specialist services were generally low. Common barriers to access to care included perceived service quality and responsiveness. On the basis of the pilot work, a postnatal depression version of the Service Receipt Inventory was revised and finalised.

Conclusions

This preliminary study demonstrated the methodological feasibility of describing and quantifying service use, highlighted the varied and often limited use of care in this population, and indicated the need for an improved understanding of the resource needs and implications of postnatal depression.

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Copyright
Corresponding author
Dr Dan Chisholm, Global Programmeon Evidence for Health Policy, World Health Organization, 1211 Geneva, Switzerland. E-mail: ChisholmD@who.int
Footnotes
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TCS–PND Group membership and funding detailed in Acknowledgements, p. iv, this supplement.

Declaration of interest

None.

Footnotes
References
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American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM-IV). Washington, DC: APA.
Appleby, L., Warner, R., Whitton, A., et al (1997) A controlled study of fluoxetine and cognitive-behavioural counselling in the treatment of postnatal depression. BMJ, 314, 932936.
Asten, P., Marks, M. N., Oates, M. R., et al (2004) Aims, measures, study sites and participant samples of the Transcultural Study of Postnatal Depression. British Journal of Psychiatry, 184 (suppl. 46), s3s9.
Beecham, J. K. & Knapp, M. R. J. (2001) Costing psychiatric interventions. In Measuring Mental Health Needs (2nd edn) (eds Thornicroft, G., Brewin, C. & Wing, J. K.), pp. 200224. London: Gaskell.
Bernazzani, O., Conroy, S., Marks, M. N., et al (2004) Contextual Assessment of the Maternity Experience: development of an instrument for cross-cultural research. British Journal of Psychiatry, 184 (suppl. 46), s24s30.
Chisholm, D., Knapp, M. R. J., Knudsen, H. C., et al (2000) Client Socio-Demographic and Service Receipt Inventory – European Version: development of an instrument for international research: EPSILON Study 5. British Journal of Psychiatry, 177 (suppl. 39), s28s33.
Cooper, P. J. & Murray, L. (1997) The impact of psychological treatments of postnatal depression on maternal mood and infant development. In Postpartum Depression and Child Development (eds Murray, L. & Cooper, P. J.), pp. 201220. London: Guilford Press.
Cooper, P. J., Campbell, E. A., Day, A., et al (1988) Non-psychotic psychiatric disorder after childbirth. A prospective study of prevalence, incidence, course and nature. British Journal of Psychiatry, 152, 799806.
First, M. B., Spitzer, R. L., Gibbon, M., et al (1994) Structured Clinical Interview for Axis I DSM–IV Disorders. New York: Biometrics Research.
First, M. B., Gibbon, M., Spitzer, R. L., et al (1996) User's Guide for the Structured Interview for DSM–IV Axis I Disorders – Research Version (SCID–I, version 2.0, February 1996 final version). New York: Biometrics Research.
Gater, R., de Almeida e Sousa, B., Barrientos, G., et al (1991) The pathways to psychiatric care: a cross-cultural study. Psychological Medicine, 21, 761774.
Gorman, L. L., O'Hara, M. W., Figueiredo, B., et al (2004) Adaptation of the Structured Clinical Interview for DSM –IV Disorders for assessing depression in women during pregnancy and post-partum across countries and cultures. British Journal of Psychiatry, 184 (suppl. 46), s17s23.
Morrell, C. J., Spiby, H., Stewart, P., et al (2000) Costs and benefits of community postnatal support workers: a randomised controlled trial. BMJ, 321, 593598.
Murray, L. & Cooper, P. J. (eds) (1997) Postpartum Depression and Child Development. London: Guilford Press.
O'Hara, M. (1997) The nature of postpartum depressive disorders. In Postpartum Depression and Child Development (eds Murray, L. & Cooper, P. J.), pp. 331. London: Guilford Press.
O'Hara, M., Stuart, S., Gorman, L. L., et al (2000) Efficacy of interpersonal psychotherapy for postpartum depression. Archives of General Psychiatry, 57, 10391045.
Petrou, S., Cooper, P., Murray, L., et al (2002) Economic costs of post-natal depression in a high-risk British cohort. British journal of Psychiatry, 181, 505512.
Thornicroft, G. & Tansella, M. (1999) The Mental Health Matrix. A Manual to Improve Services. Cambridge: Cambridge University Press.
Üstün, T. B. & Sartorius, N. (eds) (1995) Mental Illness in General Health Care: An International Study. Chichester: John Wiley & Sons.
World Health Organization (2001) Atlas, Country Profiles on Mental Health Resources. Geneva: WHO.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Health services research into postnatal depression: results from a preliminary cross-cultural study

  • Daniel Chisholm (a1), Sue Conroy (a2), Nine Glangeaud-Freudenthal (a3), Margaret R. Oates (a4), Paul Asten (a5), Siobhan Barry (a6), Barbara Figueiredo (a7), Martin H. Kammerer (a8), Claudia M. Klier (a9), Gertrude Seneviratne (a10), Anne-Laure Sutter-Dallay (a11) and TCS–PND Group...
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