More than depression: a multi-dimensional assessment of postpartum distress symptoms before and after a residential early parenting program

Wilson, Nathan, Wynter, Karen, Anderson, Clare, Rajaratnam, Shanthakumar M. W., Fisher, Jane and Bei, Bei 2019, More than depression: a multi-dimensional assessment of postpartum distress symptoms before and after a residential early parenting program, BMC psychiatry, vol. 19, no. 48, doi: 10.1186/s12888-019-2024-8.

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Title More than depression: a multi-dimensional assessment of postpartum distress symptoms before and after a residential early parenting program
Author(s) Wilson, Nathan
Wynter, KarenORCID iD for Wynter, Karen orcid.org/0000-0003-4620-7691
Anderson, Clare
Rajaratnam, Shanthakumar M. W.
Fisher, Jane
Bei, Bei
Journal name BMC psychiatry
Volume number 19
Issue number 48
Total pages 12
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2019-01-29
ISSN 1471-244X
Keyword(s) Anxiety
Depression
Fatigue
Impulsivity
Insomnia
Postnatal
Postpartum
Science & Technology
Life Sciences & Biomedicine
Psychiatry
COGNITIVE-BEHAVIORAL THERAPY
FATIGUE SEVERITY SCALE
POSTNATAL DEPRESSION
PERINATAL DEPRESSION
MATERNAL FATIGUE
MENTAL-HEALTH
SLEEP
MOOD
WOMEN
Summary INTRODUCTION: Parents are vulnerable to psychological distress symptoms in the postpartum period. It is routine to screen for depressive symptoms, but anxiety, stress, fatigue, irritability and insomnia symptoms are less often assessed despite their prevalence. This study aimed to assess multiple dimensions of psychological distress, and their reliable change and clinically significant change among women admitted to a residential program for assistance with unsettled infant behaviors (UIB). METHOD: Women admitted to a five-night residential early parenting program completed self-report measures: the Depression Anxiety Stress Scale, Irritability Depression Anxiety Scale, Fatigue Severity Scale, and Insomnia Severity Index. A sub-group completed a computerized emotional Go-NoGo (EGNG) task as a measure of emotional impulsivity. RESULTS: Seventy-eight women were recruited (Mage = 34.46, SDage = 4.16). On admission, 48% of women reported clinically elevated depressive symptoms and 97.5% of women not reporting elevated depressive symptoms reported clinical elevations in at least one other form of distress. Upon discharge, all self-report distress symptoms were significantly reduced (all p-values <.001), but reliable and clinically significant change only occurred in a subgroup of women. There were no significant changes in indicators of impulsivity based on the EGNG. CONCLUSIONS: In addition to, and often in the absence of, depressive symptoms, women attending an early parenting program experienced a wide range of psychological distress, including fatigue, insomnia, anxiety and stress. Different forms of distress improved in different magnitudes to the treatment provided. These findings highlight the need for a multi-dimensional approach in the assessment and treatment of postpartum distress.
Language eng
DOI 10.1186/s12888-019-2024-8
Field of Research 1103 Clinical Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30118014

Document type: Journal Article
Collections: School of Nursing and Midwifery
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