Effectiveness of informational support in reducing the severity of postnatal depression in Taiwan.

AIM The aim of the study was to investigate the effectiveness of informational support in reducing the Edinburgh Postnatal Depression Scale (EPDS) scores in Taiwan. METHODS Five hundred Taiwanese women were screened during the fourth week after giving birth and those with a score of over 10 on the EPDS were considered to be at risk of postnatal depression. Seventy postpartum women were randomly allocated to the experimental or control group. Only those in the experimental group received informational support about postnatal depression during the sixth week postpartum. Two groups were assessed by the EPDS at 3 months postpartum to explore their depressive status. RESULTS Taiwanese women who received informational support about postnatal depression 6 weeks after giving birth experienced lower EPDS scores at 3 months postpartum than those who did not receive this information. CONCLUSIONS The findings suggest that informational support about postnatal depression given to women in the postnatal period may contribute to psychological well-being.

[1]  R. Hayes,et al.  Patient psychoeducation: the therapeutic use of knowledge for the mentally ill. , 1992, Social work in health care.

[2]  A. Day,et al.  Non-Psychotic Psychiatric Disorder After Childbirth , 1988, British Journal of Psychiatry.

[3]  J. McIntosh Postpartum depression: women's help-seeking behaviour and perceptions of cause. , 1993, Journal of advanced nursing.

[4]  S. Hillege,et al.  Postpartum depression. The lived experiences of Middle Eastern migrant women in Australia. , 1999, Journal of nurse-midwifery.

[5]  T. Spalding,et al.  Expanding Health Educators' Roles to Meet Critical Needs in Stress Management and Mental Health , 1998 .

[6]  M. Campbell,et al.  Social support and psychological functioning among high-risk mothers: the impact of the Baby Love Maternal Outreach Worker Program. , 2000, Public health nursing.

[7]  J. Holden Postnatal depression: its nature, effects, and identification using the Edinburgh Postnatal Depression scale. , 1991, Birth.

[8]  J. Cox,et al.  Detection of Postnatal Depression , 1987, British Journal of Psychiatry.

[9]  N. F. Cheung Chinese zuo yuezi (sitting in for the first month of the postnatal period) in Scotland. , 1997, Midwifery.

[10]  J. Zauszniewski Health-seeking resources in depressed outpatients. , 1995, Archives of psychiatric nursing.

[11]  J. Cox,et al.  A Controlled Study of the Onset, Duration and Prevalence of Postnatal Depression , 1993, British Journal of Psychiatry.

[12]  J. Kitzinger,et al.  Expectations, experiences, and psychological outcomes of childbirth: a prospective study of 825 women. , 1990, Birth.

[13]  P. Huckle,et al.  The use of Rating Scales to Identify Post-natal Depression , 1989, British Journal of Psychiatry.

[14]  T. Chung,et al.  Detecting postnatal depression in Chinese women , 1998, British Journal of Psychiatry.

[15]  Chung-Hey Chen,et al.  Effects of support group intervention in postnatally distressed women. A controlled study in Taiwan. , 2000, Journal of psychosomatic research.

[16]  J. Cox,et al.  Counselling in a general practice setting: controlled study of health visitor intervention in treatment of postnatal depression. , 1989, BMJ.

[17]  M. O’Hara Social support, life events, and depression during pregnancy and the puerperium. , 1986, Archives of general psychiatry.

[18]  N Mathers,et al.  Postnatal depression -- biological or cultural? A comparative study of postnatal women in the UK and Taiwan. , 2001, Journal of advanced nursing.

[19]  L. Murray,et al.  The role of obstetric factors in postpartum depression , 1993 .

[20]  M. O’Hara,et al.  Rates and risk of postpartum depression—a meta-analysis , 1996 .