Skip to main content
Top
Published in: Israel Journal of Health Policy Research 1/2019

Open Access 01-12-2019 | Affective Disorder | Original research article

Preferences for mental health treatment for post-partum depression among new mothers

Authors: Meital Simhi, Orly Sarid, Julie Cwikel

Published in: Israel Journal of Health Policy Research | Issue 1/2019

Login to get access

Abstract

Background

The prevalence rate of postpartum depression (PPD) is 9 to 17% among mothers, with higher rates among low income and immigrant populations. Due to the negative effects of PPD symptoms on both the mother and baby, treating mothers with depression symptoms is of great importance. This study examined treatment preferences for PPD among Israeli mothers with and without PPD symptoms, specifically focusing on treatment centers, type of professional and mode of treatment, to help develop relevant policies to promote the health of mothers by reaching a deeper understanding of their preferences.

Methods

1000 mothers who attended Maternal Child Health Clinics (MCHCs) in Israel for their infant’s first medical exam participated in a cross-sectional survey.

Results

In this sample, 8.4% of the participants suffered from PPD. Mothers with PPD compared to those without symptoms had lower economic status, were more likely to be single, to be first-time mothers, have an unemployed partner and to have immigrated to Israel. Mothers with PPD preferred private mental health practice and community treatment centers by mental healthcare professionals. They also preferred group interventions and personal psychotherapy rather than technology-based interventions.

Conclusions

The study findings support the formulation of mother-sensitive health policies based on understanding mothers’ preferences, and thus, help prepare treatment alternatives that will suit different groups of mothers with PPD, for the benefit of mothers, newborns, and families. Disseminating the results of this study among professionals as part of professional training, can promote appropriate treatment facilities and modes of care for mothers with PPD.
Appendix
Available only for authorised users
Literature
1.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM–5. American Psychiatric Pub. 2013. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM–5. American Psychiatric Pub. 2013.
2.
go back to reference Robertson E, Grace S, Wallington T, Stewart DE. Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry. 2004;26(4):289–95.CrossRef Robertson E, Grace S, Wallington T, Stewart DE. Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry. 2004;26(4):289–95.CrossRef
3.
go back to reference Yelland J, Sutherland G, Brown SJ. Postpartum anxiety, depression and social health: findings from a population-based survey of Australian women. BMC Public Health. 2010;10(1):771. Yelland J, Sutherland G, Brown SJ. Postpartum anxiety, depression and social health: findings from a population-based survey of Australian women. BMC Public Health. 2010;10(1):771.
4.
go back to reference Reck C, Struben K, Backenstrass M, Stefenelli U, Reinig K, Fuchs T, et al. Prevalence, onset and comorbidity of postpartum anxiety and depressive disorders. Acta Psychiatr Scand. 2008;118(6):459–68.CrossRef Reck C, Struben K, Backenstrass M, Stefenelli U, Reinig K, Fuchs T, et al. Prevalence, onset and comorbidity of postpartum anxiety and depressive disorders. Acta Psychiatr Scand. 2008;118(6):459–68.CrossRef
5.
go back to reference Wisner KL, Chambers C, Sit DKY. Postpartum depression: a major public health problem. J Am Med Assoc. 2006;296(21):2616–8.CrossRef Wisner KL, Chambers C, Sit DKY. Postpartum depression: a major public health problem. J Am Med Assoc. 2006;296(21):2616–8.CrossRef
6.
go back to reference Wisner KL, Sit DKY, McShea MC, Rizzo DM, Zoretich RA, Hughes CL, et al. Onset timing, thoughts of self-harm, and diagnoses in postpartum women with screen-positive depression findings. JAMA Psychiatry. 2013;70(5):490–98.CrossRef Wisner KL, Sit DKY, McShea MC, Rizzo DM, Zoretich RA, Hughes CL, et al. Onset timing, thoughts of self-harm, and diagnoses in postpartum women with screen-positive depression findings. JAMA Psychiatry. 2013;70(5):490–98.CrossRef
7.
go back to reference Glasser S, Barell V, Boyko V, Ziv A, Lusky A, Shoham A, et al. Postpartum depression in an Israeli cohort: demographic, psychosocial and medical risk factors. J Psychosom Obstet Gynaecol. 2000;21(2):99–108.CrossRef Glasser S, Barell V, Boyko V, Ziv A, Lusky A, Shoham A, et al. Postpartum depression in an Israeli cohort: demographic, psychosocial and medical risk factors. J Psychosom Obstet Gynaecol. 2000;21(2):99–108.CrossRef
8.
go back to reference Glasser S, Stoski E, Kneler V, Magnezi R. Postpartum depression among Israeli Bedouin women. Arch Womens Ment Health. 2011;14(3):203–8.CrossRef Glasser S, Stoski E, Kneler V, Magnezi R. Postpartum depression among Israeli Bedouin women. Arch Womens Ment Health. 2011;14(3):203–8.CrossRef
9.
go back to reference Dennis CLE, Janssen PA, Singer J. Identifying women at-risk for postpartum depression in the immediate postpartum period. Acta Psychiatr Scand. 2004;110(5):338–46. CrossRef Dennis CLE, Janssen PA, Singer J. Identifying women at-risk for postpartum depression in the immediate postpartum period. Acta Psychiatr Scand. 2004;110(5):338–46. CrossRef
10.
go back to reference Akman I, Kuşçu K, Özdemir N, Yurdakul Z, Solakoglu M, Orhan L, et al. Mothers’ postpartum psychological adjustment and infantile colic. Arch Dis Child. 2006;91(5):417–9. CrossRef Akman I, Kuşçu K, Özdemir N, Yurdakul Z, Solakoglu M, Orhan L, et al. Mothers’ postpartum psychological adjustment and infantile colic. Arch Dis Child. 2006;91(5):417–9. CrossRef
11.
go back to reference Patel V, DeSouza N, Rodrigues M. Postnatal depression and infant growth and development in low income countries: a cohort study from Goa, India. Arch Dis Child. 2003;88(1):34–7.CrossRef Patel V, DeSouza N, Rodrigues M. Postnatal depression and infant growth and development in low income countries: a cohort study from Goa, India. Arch Dis Child. 2003;88(1):34–7.CrossRef
12.
go back to reference Diego MA, Field T, Hernandez-Reif M, Cullen C, Schanberg S, Kuhn C. Prepartum, postpartum, and chronic depression effects on newborns. Psychiatry. 2004;67(1):63–80.CrossRef Diego MA, Field T, Hernandez-Reif M, Cullen C, Schanberg S, Kuhn C. Prepartum, postpartum, and chronic depression effects on newborns. Psychiatry. 2004;67(1):63–80.CrossRef
13.
go back to reference Goodman JH. Paternal postpartum depression, its relationship to maternal postpartum depression, and implications for family health. J Adv Nurs. 2004;45(1):26–35.CrossRef Goodman JH. Paternal postpartum depression, its relationship to maternal postpartum depression, and implications for family health. J Adv Nurs. 2004;45(1):26–35.CrossRef
14.
go back to reference Gjerdingen DK, Yawn BP. Postpartum Depression Screening: Importance, Methods, Barriers, and Recommendations for Practice. J Am Board Fam Med. 2007;20(3):280–8.CrossRef Gjerdingen DK, Yawn BP. Postpartum Depression Screening: Importance, Methods, Barriers, and Recommendations for Practice. J Am Board Fam Med. 2007;20(3):280–8.CrossRef
15.
go back to reference Ministry of Health. Procedure for Locating Women at Risk for Depression in Pregnancy and Postpartum, Public Health Services, No. 20/12. 2014. Ministry of Health. Procedure for Locating Women at Risk for Depression in Pregnancy and Postpartum, Public Health Services, No. 20/12. 2014.
16.
go back to reference Cox JL, Holden JM. Perinatal mental health: a guide to the Edinburgh postnatal depression scale (EPDS). London: Royal College of Psychiatrists; 2003. Cox JL, Holden JM. Perinatal mental health: a guide to the Edinburgh postnatal depression scale (EPDS). London: Royal College of Psychiatrists; 2003.
17.
go back to reference Bina R. Seeking help for postpartum depression in the Israeli Jewish Orthodox Community: factors associated with use of professional and informal help. Women Heal. 2014;54(5):455–73.CrossRef Bina R. Seeking help for postpartum depression in the Israeli Jewish Orthodox Community: factors associated with use of professional and informal help. Women Heal. 2014;54(5):455–73.CrossRef
18.
go back to reference Horowitz JA, Cousins A. Postpartum Depression Treatment Rates for At-Risk Women. Nurs Res. 2006;55(2):S23–S27. CrossRef Horowitz JA, Cousins A. Postpartum Depression Treatment Rates for At-Risk Women. Nurs Res. 2006;55(2):S23–S27. CrossRef
19.
go back to reference Forder PM, Rich J, Harris S, Chojenta C, Reilly N, Austin MP, et al. Honesty and comfort levels in mothers when screened for perinatal depression and anxiety. Women and Birth. 2019. Forder PM, Rich J, Harris S, Chojenta C, Reilly N, Austin MP, et al. Honesty and comfort levels in mothers when screened for perinatal depression and anxiety. Women and Birth. 2019.
20.
go back to reference Cooper PJ, Murray L, Wilson A, Romaniuk H. Controlled trial of short and long term effect of psychological treatment of post partum depression. Br J Psychiatry. 2003;182(5):412–9. CrossRef Cooper PJ, Murray L, Wilson A, Romaniuk H. Controlled trial of short and long term effect of psychological treatment of post partum depression. Br J Psychiatry. 2003;182(5):412–9. CrossRef
21.
go back to reference O’Hara MW, Scott S, Gorman Laura L, Amy W. Efficacy of interpersonal psychotherapy for postpartum depression. Arch Gen Psychiatry. 2000;57(11):1039–45.CrossRef O’Hara MW, Scott S, Gorman Laura L, Amy W. Efficacy of interpersonal psychotherapy for postpartum depression. Arch Gen Psychiatry. 2000;57(11):1039–45.CrossRef
22.
go back to reference Milgrom J, Holt CJ, Gemmill AW, Ericksen J, Leigh B, Buist A, et al. Treating postnatal depressive symptoms in primary care: a randomised controlled trial of GP management, with and without adjunctive counselling. BMC Psychiatry. 2011;11(1):95. Milgrom J, Holt CJ, Gemmill AW, Ericksen J, Leigh B, Buist A, et al. Treating postnatal depressive symptoms in primary care: a randomised controlled trial of GP management, with and without adjunctive counselling. BMC Psychiatry. 2011;11(1):95.
23.
go back to reference McGarry J, Kim H, Sheng X, Egger M, Baksh L. Postpartum depression and help-seeking behavior. J Midwifery Women’s Heal. 2009;54(1):50–6.CrossRef McGarry J, Kim H, Sheng X, Egger M, Baksh L. Postpartum depression and help-seeking behavior. J Midwifery Women’s Heal. 2009;54(1):50–6.CrossRef
24.
go back to reference O’Mahen HA, Flynn HA. Preferences and perceived barriers to treatment for depression during the perinatal period. J Women’s Heal. 2008;17(8):1301–9.CrossRef O’Mahen HA, Flynn HA. Preferences and perceived barriers to treatment for depression during the perinatal period. J Women’s Heal. 2008;17(8):1301–9.CrossRef
25.
go back to reference Goodman JH. Women’s attitudes, preferences, and perceived barriers to treatment for perinatal depression. Birth. 2009;36(1):60–9. CrossRef Goodman JH. Women’s attitudes, preferences, and perceived barriers to treatment for perinatal depression. Birth. 2009;36(1):60–9. CrossRef
26.
go back to reference Munoz C, Agruss J, Haeger A, Sivertsen L. Postpartum depression: Detection and treatment in the primary care setting. J Nurse Pract. 2006;2(4):247–53. CrossRef Munoz C, Agruss J, Haeger A, Sivertsen L. Postpartum depression: Detection and treatment in the primary care setting. J Nurse Pract. 2006;2(4):247–53. CrossRef
27.
go back to reference Glasser S, Barell V. Depression scale for research in and identification of postpartum depression. Harefuah. 1999;136(10):764–8. Glasser S, Barell V. Depression scale for research in and identification of postpartum depression. Harefuah. 1999;136(10):764–8.
28.
go back to reference Jimenez DE, Bartels SJ, Cardenas V, Dhaliwal SS, Alegría M. Cultural beliefs and mental health treatment preferences of ethnically diverse older adult consumers in primary care. Am J Geriatr Psychiatry. 2012;20(6):533–42. CrossRef Jimenez DE, Bartels SJ, Cardenas V, Dhaliwal SS, Alegría M. Cultural beliefs and mental health treatment preferences of ethnically diverse older adult consumers in primary care. Am J Geriatr Psychiatry. 2012;20(6):533–42. CrossRef
29.
go back to reference Jardri R, Pelta J, Maron M, Thomas P, Delion P, Codaccioni X, et al. Predictive validation study of the Edinburgh Postnatal Depression Scale in the first week after delivery and risk analysis for postnatal depression. J Affect Disord. 2006;93(1–3):169–76.CrossRef Jardri R, Pelta J, Maron M, Thomas P, Delion P, Codaccioni X, et al. Predictive validation study of the Edinburgh Postnatal Depression Scale in the first week after delivery and risk analysis for postnatal depression. J Affect Disord. 2006;93(1–3):169–76.CrossRef
30.
go back to reference Johnstone SJ, Boyce PM, Hickey AR, Morris-Yates AD, Harris MG. Obstetric risk factors for postnatal depression in urban and rural community samples. Aust N Z J Psychiatry. 2001;35(1):69–74.CrossRef Johnstone SJ, Boyce PM, Hickey AR, Morris-Yates AD, Harris MG. Obstetric risk factors for postnatal depression in urban and rural community samples. Aust N Z J Psychiatry. 2001;35(1):69–74.CrossRef
31.
go back to reference Green K, Broome H, Mirabella J. Postnatal depression among mothers in the United Arab Emirates: socio-cultural and physical factors. Psychol Heal Med. 2006;11(4):425–31.CrossRef Green K, Broome H, Mirabella J. Postnatal depression among mothers in the United Arab Emirates: socio-cultural and physical factors. Psychol Heal Med. 2006;11(4):425–31.CrossRef
32.
go back to reference Forman DR, O’Hara MW, Stuart S, Gorman LL, Larsen KE, Coy KC. Effective treatment for postpartum depression is not sufficient to improve the developing mother-child relationship. Dev Psychopathol. 2007;19(2):585–602. Forman DR, O’Hara MW, Stuart S, Gorman LL, Larsen KE, Coy KC. Effective treatment for postpartum depression is not sufficient to improve the developing mother-child relationship. Dev Psychopathol. 2007;19(2):585–602.
33.
go back to reference Eilat-Tsanani S, Merom A, Romano S, Reshef A, Lavi I, Tabenkin H. The effect of postpartum depression on womens’ consultations with physicians. Isr Med Assoc J. 2006;8(6):406. Eilat-Tsanani S, Merom A, Romano S, Reshef A, Lavi I, Tabenkin H. The effect of postpartum depression on womens’ consultations with physicians. Isr Med Assoc J. 2006;8(6):406.
34.
go back to reference Evins GG, Theofrastous JP, Galvin SL. Postpartum depression: a comparison of screening and routine clinical evaluation. Am J Obstet Gynecol. 2000;182(5):1080–2. Evins GG, Theofrastous JP, Galvin SL. Postpartum depression: a comparison of screening and routine clinical evaluation. Am J Obstet Gynecol. 2000;182(5):1080–2.
35.
go back to reference Scope A, Leaviss J, Kaltenthaler E, Parry G, Sutcliffe P, Bradburn M, et al. Is group cognitive behaviour therapy for postnatal depression evidence-based practice? A systematic review. BMC Psychiatry. 2013;13(1):321. Scope A, Leaviss J, Kaltenthaler E, Parry G, Sutcliffe P, Bradburn M, et al. Is group cognitive behaviour therapy for postnatal depression evidence-based practice? A systematic review. BMC Psychiatry. 2013;13(1):321.
36.
go back to reference O’Mahen HA, Woodford J, McGinley J, Warren FC, Richards DA, Lynch TR, et al. Internet-based behavioral activation-Treatment for postnatal depression (Netmums): a randomized controlled trial. J Affect Disord. 2013;150(3):814–22.CrossRef O’Mahen HA, Woodford J, McGinley J, Warren FC, Richards DA, Lynch TR, et al. Internet-based behavioral activation-Treatment for postnatal depression (Netmums): a randomized controlled trial. J Affect Disord. 2013;150(3):814–22.CrossRef
37.
go back to reference Brandon, AR, Freeman M. When she says “no” to medication: psychotherapy for antepartum depression. Curr Psychiatry Rep. 2011;13(6):459–66. CrossRef Brandon, AR, Freeman M. When she says “no” to medication: psychotherapy for antepartum depression. Curr Psychiatry Rep. 2011;13(6):459–66. CrossRef
38.
go back to reference Pearlstein TB, Zlotnick C, Battle CL, Stuart S, O’Hara MW, Price AB, et al. Patient choice of treatment for postpartum depression: a pilot study. Arch Womens Ment Health. 2006;9(6):303–8. CrossRef Pearlstein TB, Zlotnick C, Battle CL, Stuart S, O’Hara MW, Price AB, et al. Patient choice of treatment for postpartum depression: a pilot study. Arch Womens Ment Health. 2006;9(6):303–8. CrossRef
39.
go back to reference Wisner KL, Perel JM, Peindl KS, Hanusa BH, Piontek CM, Findling RL. Prevention of postpartum depression: a pilot randomized clinical trial. Am J Psychiatry. 2004;161(7):1290–2.CrossRef Wisner KL, Perel JM, Peindl KS, Hanusa BH, Piontek CM, Findling RL. Prevention of postpartum depression: a pilot randomized clinical trial. Am J Psychiatry. 2004;161(7):1290–2.CrossRef
40.
go back to reference Wisner KL, Scholle SH, Stein B. Perinatal disorders: advancing public health opportunities. J Clin Psychiatry. 2008;69(10):1602–5.CrossRef Wisner KL, Scholle SH, Stein B. Perinatal disorders: advancing public health opportunities. J Clin Psychiatry. 2008;69(10):1602–5.CrossRef
Metadata
Title
Preferences for mental health treatment for post-partum depression among new mothers
Authors
Meital Simhi
Orly Sarid
Julie Cwikel
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Israel Journal of Health Policy Research / Issue 1/2019
Electronic ISSN: 2045-4015
DOI
https://doi.org/10.1186/s13584-019-0354-0

Other articles of this Issue 1/2019

Israel Journal of Health Policy Research 1/2019 Go to the issue