Transcription of Identifying and Treating Postpartum Depression
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Identifying and Treating Postpartum Depression
264 JOGNNV olume 34, Number 2 CLINICAL ISSUESI dentifying and Treating Postpartum DepressionJune Andrews Horowitz and Janice H. GoodmanPostpartum Depression affects 10% to 20% ofwomen in the United States and negatively influencesmaternal, infant, and family health. Assessment of riskfactors and Depression symptoms is needed to identi-fy women at risk for Postpartum Depression for earlyreferral and treatment. Individual and group psy-chotherapy have demonstrated efficacy as treatments,and some complementary/alternative therapies showpromise. Treatment considerations include severity ofdepression, whether a mother is breastfeeding, andmother s preference. Nurses who work with childbear-ing women can advise depressed mothers regardingtreatment options, make appropriate recommenda-tions, provide timely and accessible referrals, andencourage engagement in treatment. JOGNN, 34,264 273; 2005. DOI: :Mental health Postpartum depres-sion Psychiatric referral Psychopharmacology PsychotherapyAccepted: September 2004 Postpartum Depression (PPD) is a serious andcommon mood disorder that emerges within severalweeks after delivery and poses significant risks tomaternal, infant, and family well-being.
The Postpartum Depression Prediction Inventory (C. T. Beck, 1998) is a prenatal checklist of risk factors such as prenatal depression and anxiety, depression history, mar-ital satisfaction, social support, and life stress. The Post-partum Depression Prediction Inventory performed well as a clinical interview guide and as a self-report instru-
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