Дисертації з теми "Depressione postparto"
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Fabbro, Nerina. "Prevalenza e fattori di rischio della depressione post-parto. Genetica, attaccamento e variabili psicosociali in uno studio in Friuli Venezia Giulia." Doctoral thesis, Università degli studi di Trieste, 2014. http://hdl.handle.net/10077/9985.
Повний текст джерелаSotto studio 1°. Screening dei sintomi depressivi nel postparto in alcuni Punti Nascita del Friuli Venezia Giulia. Prevalenza e identificazione precoce Introduzione. Il tasso di prevalenza dei sintomi depressivi variano dal 10% al 15% delle donne dopo il parto. Le severe conseguenze di questo disturbo sulla madre, sulla relazione madre-figlio, sulla relazione di coppia e sulla famiglia rendono indispensabile identificare precocemente le madri a rischio, per suggerire strumenti preventivi di screening e aiuti sanitari per madri a rischio. Diversi studi utilizzando l’EPDS come baseline nei primi 2 o 3 giorni dopo il parto, durante la degenza ospedaliera, hanno mostrato che il maternity blues si associa ad un aumentato rischio di depressione maggiore e di disturbi d’ansia nei tre mesi dal parto. Obiettivo. Conoscere la prevalenza del fenomeno della DPP in Friuli Venezia Giulia, considerato che non esistono dati in tal senso, attraverso una rilevazione in alcuni Punti Nascita della regione, anche in rapporto al ruolo di fattori demografici e psicosociali. Verificare se possibile identificare durante la degenza ospedaliera, madri a rischio di DPP nel post-parto successivo. Metodo. A un campione di 1110 puerpere, raccolto in 6 Punti Nascita del FVG, 2,3 giorno dopo il parto, durante la degenza ospedaliera (T0), sono stati somministrati l’EPDS (cut-off≥9) (Cox et al.1987; Carpiniello et al. 1999), per rilevare l’umore materno e una scheda sociodemografica; durante il follow-up telefonico a tre mesi dal parto (T1) proposti l’EPDS e alcune domande per cogliere eventuali fattori di rischio. Risultati. A T0: la prevalenza EPDS è 16.7% (media è 4.58, s.d.=4.02, range 0-22); a T1 è 14.3% (media 4.59, s.d.=3.62, range 0-23). A T1 sono non cliniche (EPDS<9) il 90% delle donne non cliniche a T0 e sono cliniche il 35% di quelle cliniche a T0 (OR=4.93, Wald Chi Quadrato=66.307, p=0.00). La regressione logistica mostra che l’EPDS ≥ 9 si associa a T0 con: tipo di parto (Wald Chi quadrato=8.1, p=0.004; OR= 1,76), livello economico (Wald Chi quadrato=9.54, p=0.002, OR= 3,04); life events (Wald Chi quadrato=8,80, p=0.003, OR= 2,03); stress per la cura del bambino (Wald Chi quadrato=6,01, p=0.014, OR= 1,76); a T1 con: eventi di stress (Wald Chi quadrato=43.7, p=0.00, OR= 5,21), stress nella cura del bambino (Wald Chi quadrato=24.03, p=0.00, OR=3,5), aiuti dal marito (Wald Chi quadrato=4.0, p=0.045, OR=2,03), problemi nell’allattamento (Wald Chi quadrato=5.57, p=0.02, OR=1,96). L’ansia (items EPDS 3+4+5: cut-off >4) a T0 è 18.5% (media: 2.44,ds=2.1), a T1: 14.3% (media 2.39,ds=1.9). Discussione. La prevalenza di sintomi depressivi si attesta sui valori individuati da altri studi; la gran parte delle donne depresse ha comorbilità con sintomi ansiosi. Il maternity blues a T0 ha una probabilità di mantenenimento cinque volte maggiore e circa un terzo/metà delle donne rilevate resta clinica a T1; si associa con: parto cesareo, life events, stress nella cura del neonato, problemi di allattamento. A T1 i sintomi depressivi si associano a: life events, carenza di supporto, da parte del partner e/o dai familiari, difficoltà di allattamento e stress nella gestione del neonato. Fattori protettivi risultano: alta scolarità e livello economico medio-alto/alto. Conclusione. I risultati indicano l’utilità di effettuare screening di routine dell’umore materno già durante la degenza post-parto, per individuare precocemente donne a rischio di DPP e avviare percorsi di aiuto. Sotto-Studio n°2 Titolo. Ruolo di varianti geniche (geni OXTR, SLC6A4, BDF) e dello stile di attaccamento materno nella predisposizione alla depressione postparto Introduzione. Il modello interpretativo della DPP, che la considera come un disturbo a origine multifattoriale, vede interazioni tra genetica, aspetti psicologico-relazionali e aspetti socio-ambientali. Fino ad oggi numerose sono le ricerche che si sono focalizzate prevalentemente sui fattori psicosociali che possono contribuire alla DPP, mentre restano relativamente scarse le conoscenze su vulnerabilità predisponenti, sia circa le basi genetiche, che lo stile di attaccamento insicuro, fattore di rischio ormai ampiamente validato per la depressione maggiore. Obiettivo. Approfondire alcuni fattori di predisposizione nello sviluppo della DPP, di tipo psicologico-relazionale e di tipo biologico-genetico. Si vuole indagare, se uno stile di attaccamento materno insicuro (legame parentale precoce, stile di attaccamento adulto e sentimentale) sia fattore di vulnerabilità dell’umore materno nel puerperio. Il sotto studio di genetica vuole indagare se nell’etiologia della DPP possano essere implicati aspetti genetici, connessi al genotipo del polimorfismo 5-HTT del gene SLC6A4, trasportatore della serotonina; del polimorfismo Val66Met del gene BDNF; del polimorfismo SNP rs53576 del gene OXTR. Metodo. A un campione di 251 madri, a 2,3 giorni post-parto (T0) sono proposti: scheda socio-demografica; EPDS e BDI-II; PBI; ASQ, ECR, Ca-Mir per rilevare lo stile di attaccamento e sentimentale. E’ stato fatto prelievo per la genetica. Al follow-up a tre mesi (T1) proposti EPDS, BDI-II e alcune domande per fattori di rischio. Risultati. A TO i punteggi EPDS si associano significativamente con i punteggi a T1 (p=0.00, OR 7.26); il BDI-II si associa significativamente con EPDS a T0 (p 7=0.00; OR= 17.9) e a T1 (p=0.00, OR=80.42) e con BDI-II a T1(p=0.00, OR 15.73). I sintomi depressivi (EPDS≥9) si associano significativamente a T0 con PBI padre (p=0.012, OR= 3.9) e cura paterna (p=0.001, OR=5); con ASQ: evitamento (p=0.023, OR=5.7), fiducia (p=0,007, OR=0,02), disagio nell’intimità (p=0.04, OR= 4), secondarietà delle relazioni (p=0,04, OR=4,7), bisogno di approvazione (p=0.001,OR= 12); con ECR: ansia (=0.001, OR =10.1). Il BDI-II a T0 si associa altresì con PBI tipo di legame materno (p=0.031, OR= 3.6) e cura materna (p=0.031, OR= 2.86), con ASQ ansia (p=0,004, OR=31), preoccupazione nelle relazioni (p= 0,025, OR=7,6), con ECR evitamento (p,003, OR=6,7). A T1 l’EPDS≥9 si associa con PBI madre bassa cura (p=0,011, =R=3,3), con PBI padre legame insicuro (p=0,034, OR 2,6) e bassa cura (p=0,014, =R=3,3), con ASQ: bisogno di preoccupazione (p=0,05, OR=12,8); con ECR ansia (p=0,05, OR=3,9). A T1 il BDI-II: con PBI bassi livelli di cura materna (p=0,031, =R=3,3) e paterna (p=0,014, OR=3,6); con ASQ: bisogno di approvazione (p=0,01) e preoccupazione per le relazioni (0,05, OR=5); con ECR ansia (p=0,01, OR=7,5). L’analisi di regressione logistica evidenzia associazione tra EPDS e PBI cura paterna (p.005) e con ECR Ansia (p.013). A T1 con ASQ Disagio Intimità (p.017), Bisogno Di Approvazione (p.013) e ECR Ansia (p.001). Le difficoltà di allattamento associano ai sintomi depressivi a T0 (EPDS: OR=3.62; BDI-II: OR= 5.2) e a T1 (EPDS: OR=3.5; BDI-II: OR= 4.7) Discussione. I sintomi depressivi a T0 associano con storia di scarsa cura e di legame paterno precoce carente; con evitamento e disagio nell’intimità, scarsa fiducia negli altri e nell’importanza delle relazioni interpersonali; necessità di approvazione; con legame di coppia insicuro-ansioso. La diagnosi formale di DPP aggiunge: scarsa cura materna nell’infanzia, relazioni in età adulta evitanti e ansiose, necessità di approvazione e preoccupazione per le relazioni stesse. A T1 con storia di scarsa attenzione sia materna che paterna, bisogno di approvazione nelle relazioni, legame di coppia ansioso-preoccupato. Nell’accudimento del piccolo si associa con difficoltà nell’allattamento e alto stress nella gestione del figlio. Conclusione. Nella comparsa di sintomi depressivi nel post-parto si conferma il ruolo predisponente di vulnerabilità di relazioni genitoriali infantili insicure, di stili di attaccamento e di coppia ansiosi. Sotto studio di genetica3°. Analisi di varianti geniche nella predisposizione allo sviluppo di depressione post-partum Risultati. Pur evidenziandosi differenze tra i punteggi statistici totalizzati, emerge assenza di differenze statisticamente significative tra casi e controlli per le variazioni di frequenza allelica (p =SLC6A4: 0.3429, BDNF:0.2027, OXTR:0.3787) e di frequenza genotipica (p=SLC6A4: 0.1639, BDNF:0.3307, OXTR: 0.5758). Discussione. L’analisi di fattori genetici predisponenti a sintomi depressivi nel post-parto esclude il coinvolgimento dei polimorfismi 5-HTT del gene SLC6A4, Val66Met del gene BDNF; SNP rs53576 del gene OXTR nella vulnerabilità per depressione post-parto. Conclusione. L’assenza di differenze significative non esclude l’eventuale predisposizione genetica verso la depressione post-parto, dovuta presumibilmente a geni che non sono stati analizzati nella presente ricerca. sotto-Studio n°4. Titolo. Ruolo di fattori psicosociali di rischio dei sintomi depressivi nell’ ante-postparto Introduzione. Come per molti altri disturbi psichiatrici, anche per l’eziologia della DPP la letteratura sostiene la presenza di più variabili co-causative, che agiscono non solo dopo la nascita del figlio, ma già in gravidanza, con la comparsa di sintomi depressivi, che possono condizionare la formazione del legame materno-fetale. Obiettivo. L’obiettivo è di indagare la relazione tra alcune variabili psicosociali e la comparsa di sintomi depressivi in gravidanza e dopo il parto, per verificare l’andamento dell’umore ed evidenziare il ruolo dei fattori di rischio, anche nello sviluppo del legame materno-fetale. Metodo. A un campione di quarantasei gravide, al terzo trimestre di gravidanza (T1), sono stati somministrati l’EPDS (Cox et al.1987; Carpiniello et al. 1999), per rilevare l’umore materno; la scheda dei fattori di rischio psicosociale; il PBI (Parker et al.1979), per rilevare il legame precoce di attaccamento; il PAI (Muller 1993), per misurare il legame materno-fetale. A una settimana dal parto (T2) e a tre mesi (T3) sono stati effettuati i follow-up telefonici e riproposto l’EPDS, per verificare la comparsa di sintomi depressivi Risultati. La percentuale di EPDS ≥9 aT1:17,8% (media: 5.09, d.s..=4.18, range=0-21); aT2: 20,5%,(media: 6.07, d.s.=4.62, range=0-23); a T3: 18,2% (media 5.21, d.s.=3.74, range=0-14). L’EPDS ≥9 si associa con: basso sostegno a T1 e a T2 (p=0.04, OR = 6.04; p = 0.04, OR = 5.85); scarso aiuto a T1 e a T3 (p = 0.059, OR = 6.37, p = 0.06, OR = 6.19), sindrome premestruale a T2 (p = 0.02, OR = 15.37); minore soddisfazione di coppia a T1, T2 e T3 (T1: p = 0.02, OR = 0.15, T2:p = 0.001, OR = 0.07, T3:p = 0.04, OR = 0.18); eventi di stress prima della gravidanza a T1 e T2 (p = 0.05, OR = 5.74; p = 0.02, OR = 6.96); ansia prima della gravidanza a T1, T2 e T3 (p = 0.015, OR = 0.13) e durante la gravidanza a T1 (p = 0.06, OR = 0.21), bassa autostima a T3 (p = 0.015, OR = 18.62); istruzione a T1 e T3 (p = 0.034, OR = 0.19). Alti punteggi al PAI (media 61,65; d.s.8,22 ) si associano con età minore di 35 anni (t=3.01, p=0.007) ed essere primipare (t=2.090, p=0.046). Discussione. I fattori psicosociali di rischio, associati ai sintomi depressivi in gravidanza sono: eventi di vita stressanti; ansia in gravidanza; basso sostegno pratico ed emozionale; una settimana dopo il parto: eventi di vita stressanti; sindrome premestruale; tre mesi dopo il parto: bassa autostima; scarso sostegno e aiuto; disordini d’ansia prima e in gravidanza. Fattori protettivi sono risultati: scolarità avanzata (universitaria), buona soddisfazione di coppia. L’attaccamento materno-fetale è risultato più intenso con più bassa età e nelle primipare e tra coloro con cura materna adeguata nell’infanzia. Conclusione. I risultati individuati confermano il ruolo centrale che alcuni fattori psicosociali di rischio hanno nella comparsa di sintomi depressivi già in gravidanza e poi nel post-parto.
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Sondell, Hanna, and Eva Löfström. "Postpartum depression." Thesis, Mid Sweden University, Department of Health Sciences, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-136.
Повний текст джерелаAtt bli förälder är en viktig händelse för alla kvinnor liksom deras män. Men några kan känna sig oförberedda, känslomässigt labil, oroliga och osäkra under den första tiden efter förlossningen. Nya åtaganden och ansvar som medföljer föräldraskapet kan påverka det psykiska välbefinnandet och kan utvecklas till en postpartum depression (PPD). PPD drabbar cirka 13 procent av alla kvinnor som har fött barn. Det som kännetecknar PPD är nedstämdhet, irritabilitet, känsla av hopplöshet, orkeslöshet, sömnproblem, koncentrationssvårigheter, ångest attacker, osäkerhet, likgiltighet och suicidtankar. Litteraturstudiens syfte var att undersöka vikten av en tidig upptäckt av PPD hos kvinnor och skapa kunskap i syfte att förbättra omvårdnaden. Blivande föräldrar behöver inte bara information om själva förlossningen utan också de förändringar som sker tiden efter partus.
Databassökningen gjordes i Cinahl, PubMed, och PsycInfo. Sjutton vetenskapliga artiklar inkluderades och granskades med hjälp av SBU-granskningsmall. Analysen resulterade i tre kategorier, vikten av tidig upptäckt, hur familjens hälsa påverkas och hur vårdpersonal kan hjälpa. PPD har negativa effekter, inte bara på kvinnan själv, utan även på hela familjen. Det framkom tydligt hur viktigt kunskapsutvecklingen hos vårdpersonalen är för att kunna bryta PPD i ett tidigt skede. PPD är fortfarande ett relativt ”bortglömt tillstånd” då den nyförlösta kvinnan behöver kunnig vårdpersonal för att identifiera och förstå svårigheterna vid PPD.
Regus, Pamela J. "Postpartum Depression: Standardizing Motherhood?" Digital Archive @ GSU, 2012. http://digitalarchive.gsu.edu/sociology_diss/64.
Повний текст джерелаBrown, Lydia. "Amning vid postpartum depression." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-8933.
Повний текст джерелаCAVALIERI, ANNA PAOLA. "Associazione tra positività agli anticorpi antiperossidasi in gravidanza e depressione post partum." Doctoral thesis, Università degli Studi di Roma "Tor Vergata", 2009. http://hdl.handle.net/2108/808.
Повний текст джерелаYet even though the relationship between depressive mood and the puerperium has been documented since the time of Hippocrates, fewer than half of all the cases of postpartum depression are adequately diagnosed. Therefore the question arises as to whether markers exists for PPD; in other words, can we identify women at higher risk? The thyroid is surely not the primary cause of PPD, but evidences suggests that thyroid hormones cannot be ignored as important factors in the cascade of biological events leading to the onset of PPD. In this work we investigated whether the presence of thyroperoxidase antibodies (TPO Abs) during pregnancy could be a marker for an increased risk for postpartum depression. In this prospective observational work a sample of 162 healthful pregnant women was studied. We excluded women with a personal history of depression and psychiatric disorders. During the first trimester TSH, free thyroxine and TPO Abs testing was performed; in the same period the women also completed the State Trait Anxiety Inventory and the Beck Depression Inventory. In the post partum period, at 7/10 and 30 days after delivery, the women completed the Edinburgh Post Partum Depression Scale (EPDS). Multiple logistic regression was performed to determine independent risk factors for post partum depression. The statistical analysis showed that the presence of TPOAbs at the first trimester of pregnancy is significantly associated with depressive symptoms at 7 and 30 postpartum day. Women who are positive to TPOAbs in early gestation are prone to postpartum depression, independently of thyroid dysfunction. The relationship between autoimmune thyroid disease and depressive mood remains undecided. The depression may be related to the general malaise associated with an autoimmune condition (positive thyroid antibody status) or to subtle fluctuations in thyroid hormones. This study suggests that the presence of TPOAbs during gestation could be regarded as an indipendent marker for the occurrence of PPD. This finding may helps the gynaecologist to identify women at risk for PPD, in the context of other well known risk factors.
Bergvik, Anna, and Katrin Sölvestål. "Postpartum depression : Påverkan på familjen." Thesis, Mittuniversitetet, Institutionen för hälsovetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-15686.
Повний текст джерелаForslin, Anna-Maria, and Maria Åkesson. "Kvinnors upplevelse vid postpartum depression." Thesis, Högskolan i Gävle, Akademin för hälsa och arbetsliv, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-13379.
Повний текст джерелаScannell, Claire. "Psychosocial factors in postpartum depression." Thesis, University of Canterbury. Psychology, 1995. http://hdl.handle.net/10092/6552.
Повний текст джерелаSantesson, Karolina. "Mödrars upplevelser av postpartum depression." Thesis, Sophiahemmet Högskola, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-2111.
Повний текст джерелаLuca, Patricia R. "Postpartum depression post Andrea Yates /." Lynchburg, VA : Liberty University, 2007. http://digitalcommons.liberty.edu.
Повний текст джерелаMagnusson, Sara, and Sponton Malin Grindefors. "Postpartum depression : Sjuksköterskans roll i omvårdnadsarbete." Thesis, Mid Sweden University, Department of Health Sciences, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-11408.
Повний текст джерелаBakgrund: 13 procent av alla kvinnor drabbas av postpartum depression (PPD) efter förlossningen. PPD påverkar inte bara modern som individ utan även barnet och resten av familjen. Syfte: Syftet med denna litteraturstudie var att belysa sjuksköterskans roll i omvårdnadsarbetet med familjer som drabbats av postpartum depression. Metod: Litteraturstudie. Databaserna Pubmed och Cinahl har använts i studien. Tre kvantitativa artiklar har använts och tolv kvalitativa. Resultat: Första mötet mellan sjuksköterskan och kvinnan med PPD har stor betydelse. Mödrarna känner sig trygga och vågar öppna sig mer om de har en bra relation med sjuksköterskan. Mödrarna anser att det är lättare att ta emot råd från en sjuksköterska de har god relation med. Diskussion/Slutsats: God kommunikation, information och kontinuitet bör förbättras i vården. Sjuksköterskorna behöver mer kunskap om PPD för att kunna ge familjerna bästa tänkbara vård. Har sjuksköterskorna god kunskap kommer även relationen med familjen att stärkas.
Brunnander, Erika, and Ivar Kronqvist. "Omvårdnad vid postpartum depression : En litteraturstudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-339890.
Повний текст джерелаHordacre, Ann-Louise. "Anxiety and depression in postpartum women." Title page, abstract and contents only, 2002. http://web4.library.adelaide.edu.au/theses/09PH/09phh811.pdf.
Повний текст джерелаJosefsson, Ann. "Postpartum Depression : Epidemiological and Biological Aspects." Doctoral thesis, Linköping : Univ, 2003. http://www.ep.liu.se/diss/med/07/81/index.html.
Повний текст джерелаKalina, Emily Jean. "Standardized Postpartum Depression Screening and Treatment." Diss., North Dakota State University, 2015. http://hdl.handle.net/10365/24837.
Повний текст джерелаPolaha, Jodi. "Postpartum Depression in Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/6677.
Повний текст джерелаEvans, Heather L. "Postpartum Depression: Do Intrapartum Events Matter?" Diss., The University of Arizona, 2008. http://hdl.handle.net/10150/195740.
Повний текст джерелаBelmonte, Chari. "Postpartum Depression Tool in Burmese Women." Thesis, The University of Arizona, 2013. http://hdl.handle.net/10150/281152.
Повний текст джерелаBackground: In the United States, the prevalence of postpartum depression is 10-15%. There is limited study on the appropriate postpartum screening tool for Burmese refugees in the United States. Hypothesis: The Burmese and Karenni versions of Edinburgh Postnatal Depression Scale (EPDS) are appropriate to use as a tool for screening postpartum depression in Burmese refugees. Aims: This study examines the views of Burmese refugees on the questions of Edinburgh Postnatal Depression Scale as a routine screening for postnatal depression and their opinion and experiences on postpartum depression. Methods: A qualitative approach was chosen to complete this study. A medical student and a Burmese interpreter participated in a one-on-one interview with 30 Burmese women sharing their views and opinions on translated EPDS and postpartum depression. Results: Thirty Burmese women were interviewed in the Phoenix area. The qualitative analysis indicate that the EPDS screening turned out to be a useful and culturally appropriate tool for the Burmese refugees to screen postpartum depression in this specific population. Conclusions: Without consistent and culturally appropriate screening for Burmese women, it would be hard to treat Burmese women for postpartum depression. Our study shows that acceptability for routine screening with a translated EPDS amongst health visitors is possible to achieve. Using the Edinburgh Postnatal Depression Scale in Burmese and Karenni language should be considered when seeing Burmese refugees in the clinic.
Westwood, Bridget Anne. "Comparing prevalence rates of depressive symptoms in postpartum and nonpostpartum samples in a low-income community." Thesis, Link to the online version, 2006. http://hdl.handle.net/10019/1309.
Повний текст джерелаSandberg, Duarte Hilda, and Anna Forsberg. "Postpartum depression- Ur ett patientperspektiv : En litteraturstudie." Thesis, University of Kalmar, School of Human Sciences, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hik:diva-976.
Повний текст джерелаBakgrund: Postpartum depressioner (PPD), en förlossningsdepression, drabbar kvinnor i hela världen. En långvarig postpartum depression hos kvinnan kan ha avgörande konsekvenser för utvecklingen av hennes barn och relationen till hennes partner. Många kvinnor lider i tystnad då de inte vet att det finns en förklaring till känslorna de genomgår eller att de skäms för att inte klara av att leva upp till bilden av den ”perfekta mamman”. Syfte: Att beskriva upplevelser av postpartum depression hos vuxna kvinnor diagnostiserade med PPD.
Metod: Sju vetenskapliga artiklar användes för att genomföra denna systematiska litteraturstudier med en induktiv ansats. Resultat: Utifrån frågan ”vilka gemensamma upplevelser genomgår kvinnor med PPD”? Framkom sju teman: misslyckande, stress, ensamhet, inre strid, förlust av kontroll, rädsla och skam. Slutsats: Hälso- och sjukvårdspersonal inom MHV (Mödrahälsovård) och BHV (Barnahälsovård) kan lättare upptäcka tidiga symtom och tecken hos nyblivna mammor med postpartum depression genom att förstå deras upplevelser av PPD, och därmed förhindra en långvarig depression.
Sylvén, Sara M. "Biological and Psychosocial Aspects of Postpartum Depression." Doctoral thesis, Uppsala universitet, Obstetrik & gynekologi, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-170818.
Повний текст джерелаUPPSAT
Skatt, Ylva, and Camilla Furuskär. "Mödrars upplevelse av postpartum depression : en litteraturstudie." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-8667.
Повний текст джерелаPostpartum depression (PPD) is a term used for depression up to one year after childbirth. The aim with the study was to describe mothers' experience of PPD. The thesis is a literature review with a descriptive design. The 15 qualitative scientific articles that form the basis of the results are taken from PubMed and CINAHL. Emotions from PPD can be explained in terms of suffering, losses and changes. Many affected were afraid to be regarded as unfit mothers. They considered themselves to be trapped in the gap between reality and expectations. Mothers accused themselves when expectations were not met. Experiences of loneliness were common and they did not know where and who to turn to for help. The mother’s confidence for the nurses was important to dare to seek help. Several women experienced anxiety and described that the feelings for the child varied between love and hate. Some women saw no alternative but suicide and / or infanticide, these thoughts arose particularly in connection with when anxiety became too overwhelming to handle. It is important to understand the complexity of PPD as the symptoms tend to be kept hidden. Suffering when expectations were not met was expressed in form of feelings of failure and feeling like a unfit mother
Bång, Malin, and Birgitta Larsson. "Postpartum depression - olika faktorers betydelse, en litteraturstudie." Thesis, Mittuniversitetet, Institutionen för hälsovetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-14686.
Повний текст джерелаRoss, Elisabeth R. "Postpartum depression, adaptation of culture-bound phenomenon?" Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape2/PQDD_0011/MQ49584.pdf.
Повний текст джерелаNilsson, Helén. "Pappors postpartum : Riskfaktorer att drabbas av depression." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-38462.
Повний текст джерелаTo suffer from postpartum depression is most common in mothers but it can also happen to fathers. The aim of the study was to identify risk factors for fathers to suffer from postpartum depression. The method used was a structured literature study with an integrative approach. The results showed that socio-demographic factors such as unemployment, temporary employment, concern about economics and low education were risk factors for depression postpartum in fathers. Changes and deterioration in the relationship with the partner and the experience of having a difficult child affected the dads. Children with growth problems, illnesses in the child and children who slept poorly were factors that were shown. Feeling of isolation or lack of coherence and lack of support could be risk factors, but some men, despite access to support, would not use this. The conclusion was that the district nurse should be aware of the risk factors for the father to suffer from postpartum depression when screening for depression in fathers is not usually performed. More research on risk factors for depression in fathers and what kind of support depressed fathers needs from the nurse at the child welfare center would be beneficial.
Guarin, Yeny. "A Postpartum Support Group for Women Experiencing Postpartum Depression| A Grant Proposal." Thesis, California State University, Long Beach, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10262344.
Повний текст джерелаPostpartum depression (PPD) is a social problem that affects as many as 1 out of 8 women in the United States. Though this mental illness is not a cause and effect phenomena, there are risk factors that increase the likelihood of a mother experiencing PPD. Some risks include hormonal fluctuations, family history of mental health conditions, sleeping patterns, and birth experience. This mental health condition can be an isolating experience due to the stigma associated with maternal depression. Due to this, it is essential to develop a PPD support group to help decrease PPD symptoms, increase coping skills, and expand social support networks. With funds provided by Hearst Foundation, the objective of this grant proposal was to provide an evidence-based support group at Presbyterian Intercommunity Hospital Health for prenatal and within a year postpartum women experiencing PPD. The actual submission and funding of this grant were not required for the successful completion of the project.
Barnes, Clara Lee. "What Postpartum Depression Looks Like For Men: A Phenomenological Study." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6774.
Повний текст джерелаKarraa, Walker. "Changing depression| A grounded theory of the transformational dimensions of postpartum depression." Thesis, Institute of Transpersonal Psychology, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3607747.
Повний текст джерелаThe suffering associated with postpartum depression (PPD) has been well documented in both quantitative and qualitative literature. Inquiry into the experience of PPD as transformational or producing personal growth does not exist. The objective of this grounded theory study was to explain and describe the nature of transformation through PPD. Methods included 1 to 1.5 hour interviews with a theoretical sample of 20 women self-identifying as (a) having had PPD, and (b) considered the experience transformational. No definition of transformation was given to intentionally avoid bias. A total of 328 pages of transcribed interviews were coded in open, axial, and selective order using iterative constant comparison, and reflective coding matrices. Four core categories of transformation through PPD emerged: (a) Before / I was unprepared, (b) During / I was shattered, (c) After / I am a different person, and (d) Beyond / I was meant to have PPD. Women were unprepared for the onset of symptoms, shattered by the physical and psychological symptoms during PPD, including suicidal ideation. Despite care provider failure to screen, women acted as agents in accessing their own care. After cessation of symptoms women experienced increased self-confidence, compassion for others, and enhanced relationships. All women reported achieving new professional or vocational goals such as authoring books, returning to school, or changing careers. Women reported increased sense of purpose and meaning to life as a result of their experience of struggling to survive PPD. The theory discovered was that PPD can be experienced as a traumatic life event, through which post-traumatic growth can occur. Future research into the experience of a perinatal mood or anxiety disorder as a traumatic life event expands the understanding of the mechanisms of human potential through suffering and provides insight into treatment, assessment, and prevention.
Crossett, Sarah E. "Interpersonal and cognitive risk factors for postpartum depression." Diss., Online access via UMI:, 2009.
Знайти повний текст джерелаKent, Valerie Ann. "A survey of postpartum depression in Southeastern Montana." Thesis, Montana State University, 2004. http://etd.lib.montana.edu/etd/2004/kent/KentV0805.pdf.
Повний текст джерелаFingerhut, Cere Gillette. "Differentiating unipolar and bipolar depression in postpartum women." Thesis, Palo Alto University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3737793.
Повний текст джерелаThe peripartum period is a potentially difficult time in a woman's life, a time when up to 70% of women experience transient mood symptoms and approximately 15% will suffer from a severe mood event which impacts not just her, but her family as well. The symptoms and clinical features of the mood symptoms are linked to Major Depressive Disorder (MDD) and Bipolar Disorder (BD). Appropriate diagnosis as early as possible has a critical impact on the immediate and long-term health of the peripartum woman, especially in those with a bipolar diathesis. While treatment for BD versus MDD may be markedly different, it can be difficult to distinguish between the two, especially during a depressed episode, with postpartum onset. To date, no study has evaluated the Edinburgh Postnatal Depression Scale (EPDS) for its value as a screening measure for the differentiation of BD versus MDD in the postpartum period.
This study sought to: 1) to describe the demographic differences between women diagnosed with BD versus MDD seeking treatment for a major depressive episode, with postpartum onset; 2) to characterize the features of the major depressive episode; with postpartum onset in women diagnosed with BD versus MDD; and 3) to examine scale characteristics of the EPDS as a predictor of the diagnosis of BD versus MDD.
Results revealed that postpartum depressed women diagnosed with BD reported a) an earlier age of onset, b) a greater number of prior mood episodes, c) greater incidence of psychotic symptoms in the current depressive episode, and d) lower overall scores on the EPDS versus postpartum depressed women diagnosed with MDD. There were no reliable differences between the groups on family history of a) mood disorders; b) number of generations; c) weeks postpartum at symptom onset; d) scores on a 4-item subscale of the EPDS; e) suicidal/homicidal ideation; nor the incidence of symptoms of f) atypical depression, g) generalized anxiety disorder, or h) obsessive-compulsive disorder. The findings support the use of a thorough clinical and demographic history when evaluating postpartum depressed women and the use of a measure in place of or in addition to the EPDS to ensure the appropriate differentiation of BD versus MDD.
Don, Brian Paul. "The Influence of Postpartum Depression on Relationship Satisfaction." Kent State University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=kent1339423794.
Повний текст джерелаHaim, Achikam. "GESTATIONAL STRESS – A TRANSLATIONAL MODEL FOR POSTPARTUM DEPRESSION." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1461070189.
Повний текст джерелаBlackhurst, Zachary Joseph. "Predictors of Paternal Postpartum Depression: A Meta-Analysis." BYU ScholarsArchive, 2020. https://scholarsarchive.byu.edu/etd/9211.
Повний текст джерелаZvorsky, Ivori. "Financial Incentives for Smoking Cessation Among Perinatal Women At Risk for Depression: Effects on Smoking Abstinence and Depressive Symptoms." ScholarWorks @ UVM, 2020. https://scholarworks.uvm.edu/graddis/1129.
Повний текст джерелаCheng, Man-wai, and 鄭敏惠. "Does breastfeeding affect maternal postpartum mood?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206925.
Повний текст джерелаpublished_or_final_version
Public Health
Master
Master of Public Health
O'Sullivan, Joanna L. "The relationship between negative interpersonal interactions and postpartum mood." Thesis, University of East Anglia, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.302185.
Повний текст джерелаWittman, Laura Marie. "Doulas, social support, and postpartum depressive symptoms." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ64754.pdf.
Повний текст джерелаDavey, Sarah Jane. "A comparison of the effectiveness of treatments for postnatal depression, with the inclusion of men." Thesis, Davey, Sarah Jane (2002) A comparison of the effectiveness of treatments for postnatal depression, with the inclusion of men. Professional Doctorate thesis, Murdoch University, 2002. https://researchrepository.murdoch.edu.au/id/eprint/34/.
Повний текст джерелаDavey, Sarah Jane. "A comparison of the effectiveness of treatments for postnatal depression, with the inclusion of men." Murdoch University, 2002. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20070905.145404.
Повний текст джерела張嘉儀 and Ka-i. Cheung. "Group cognitive behavioral intervention to reduce depressive symptoms for postnatally depressed women in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B4072055X.
Повний текст джерелаBARBOLOSI, OBERLE CHRISTINE. "Pathologie depressive du post-partum : 3eme partie enquete exposes/non exposes concernant 4 facteurs de risque : resultats preliminaires." Saint-Etienne, 1991. http://www.theses.fr/1991STET6403.
Повний текст джерелаCheung, Ka-i. "Group cognitive behavioral intervention to reduce depressive symptoms for postnatally depressed women in Hong Kong." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B4072055X.
Повний текст джерелаHo, Kit-ching Jane. "Screening for antenatal depression in a primary health care setting." Click to view the E-thesis via HKUTO, 2009. http://sunzi.lib.hku.hk/hkuto/record/B43251183.
Повний текст джерелаSarton, Cherylann. "Postpartum depression timing, location of residence, and perceived stress /." Diss., Online access via UMI:, 2006.
Знайти повний текст джерелаHeyes, Lynne E. "Negative thoughts and metacognitive beliefs in women experiencing postpartum depression and women experiencing depression." Thesis, Lancaster University, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.440381.
Повний текст джерелаThio, Irene Marie. "Resilience against stress and depression in the postpartum period." Thesis, University of Auckland, 2001. http://wwwlib.umi.com/dissertations/fullcit/3119441.
Повний текст джерелаSubscription resource available via Digital Dissertations only.
Coburn, Brittany Jean. "Postpartum depression: a comparison of military and civilian population." Thesis, Montana State University, 2010. http://etd.lib.montana.edu/etd/2010/coburn/CoburnB0510.pdf.
Повний текст джерелаKapinos, Linda A. "POSTPARTUM DEPRESSION: AN EDUCATIONAL MODULE FOR HEALTH CARE PROVIDERS." Thesis, The University of Arizona, 2003. http://hdl.handle.net/10150/609886.
Повний текст джерелаJonasson, Emelie, and Sara Guogardi. "Effekten av fysisk aktivitet vid postpartum depression : En litteraturstudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-352602.
Повний текст джерелаBakgrund: Postpartum depression är en vanlig komplikation och drabbar cirka 13-19% av kvinnor som föder barn varje år. Många kvinnor får i nuläget antidepressiva mediciner utskrivet och skulle därmed gynnas av ett behandlingsalternativ utan negativa biverkningar, i det här fallet fysisk aktivitet. Fysisk aktivitet anses ha effekt på psykisk ohälsa generellt i och med att motion bryter ner de destruktiva och negativa tankarna man har genom att man blir distraherad. Syfte: Syftet var attundersöka om fysisk aktivitet kan påverka det psykiska välmåendet hos kvinnor med postpartum depression. Metod: En deskriptiv litteraturstudie baserad på 10 kvantitativa originalartiklar med olika studiedesign. Nio av de 10 artiklarna som inkluderades var interventionsstudier. Databaserna Pubmed, CINAHL, Google Scholar och psycINFO användes för att samla information för denna litteraturstudie. Kvalitetsgranskning gjordes med hjälp av granskningsmallar. Resultat: Åtta avtio artiklar visade att fysisk aktivitet hade en positiv effekt och reducerade depressiva postpartum symptom. Vilken fysisk aktivitet som de olika studierna valt att använda sig av var varierande, samt vilka mätningsinstrument som användes för att mäta depressionssymtom hos postpartum kvinnorna. Resultatet delades upp och presenterades i tre kategorier; gruppträning, hembaserad träning och gruppträning med hembaserad träning som komplement. Slutsats: Resultatet av litteraturstudien visar att fysisk aktivitet har påverkan på det psykiska välmåendet hos kvinnor med postpartum depression. Graden av depression minskades i poäng och man kunde även se en förhöjd livskvalité efter interventioner i form av fysisk aktivitet. För att styrka detta resultat och få tillräckligt med evidens behövs dock mer forskning kring ämnet.