Research report
Counselling of postnatal depression: A controlled study on a population based Swedish sample

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Abstract

In a two-stage screening procedure, using the Edinburgh Postnatal Depression Scale (EPDS) at 8 and 12 weeks postpartum and the Montgomery-Åsberg Depression Rating Scale (MADRS) and DSM-III-R at about 13 weeks postpartum, 41 women identified as depressed were randomly allocated to a study and a control group. The women in the study group received 6 weekly, counselling visits by the Child Health Clinic nurse and the control group received routine primary care. Twelve (80%) of 15 women with major depression in the study group were fully recovered after the intervention compared to 4 (25%) of 16 in the control group. Counselling by health nurses is helpful in managing postnatal depression and seems to work well within the Swedish Primary Health Care system.

References (34)

  • American Psychiatric Association
  • P. Boyce

    Personality dysfunction, marital problems and postnatal depression

  • P. Boyce et al.

    The Edinburgh Postnatal Depression Scale: Validation for an Australian sample

    Aust. NZ J. Psychiatry

    (1993)
  • S.B. Campbell et al.

    Prevalence and correlates of postpartum depression in first-time mothers

    J. Abnormal Psychol.

    (1991)
  • S.B. Campbell et al.

    Course and correlates of postpartum depression during the transition to parenthood

    Dev. Psychopathol.

    (1992)
  • S.B. Campbell et al.

    Depression in first-time mothers: mother-infant interaction and depression chronicity

    Dev. Psychol.

    (1995)
  • S. Coghill et al.

    Impact of maternal postnatal depression on cognitive development of young children

    Br. Med. J.

    (1986)
  • P.J. Cooper et al.

    Non-psychotic psychiatric disorder after childbirth: a prospective study of prevalence, incidence, course and nature

    Br. J. Psychiatry

    (1988)
  • J.L. Cox et al.

    Perinatal Psychiatry: Use and Misuse of the Edinburgh Postnatal Depression Scale

    (1994)
  • J.L. Cox et al.

    Prospective study of the psychiatric disorders of childbirth

    Br. J. Psychiatry

    (1982)
  • J.L. Cox et al.

    Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale

    Br. J. Psychiatry

    (1987)
  • J.L. Cox et al.

    A controlled study of the onset, duration and prevalence of postnatal depression

    Br. J. Psychiatry

    (1993)
  • B. Harris et al.

    The use of rating scales to identify postnatal depression

    Br. J. Psychiatry

    (1989)
  • J.M. Holden et al.

    Counselling in a general practice setting: controlled study of health visitor intervention in treatment of postnatal depression

    Br. Med. J.

    (1989)
  • A.B. Hollingshead

    Four factor index of social status

    (1975)
  • R. Kumar et al.

    A prospective study of emotional disorders in childbearing women

    Br. J. Psychiatry.

    (1984)
  • W. Lundh et al.

    Use of the Edinburgh postnatal depression scale in some Swedish Child Health Care Centres

    Scand. J. Caring Sci.

    (1993)
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