Identifying Perinatal Depression and Anxiety: Evidence-based Practice in Screening, Psychosocial Assessment and Management

295 Pages·2015·2.43 MB·English

by  Jeannette Milgrom

Identifying Perinatal
Depression and Anxiety

Identifying Perinatal
Depression and Anxiety
Evidence‐Based Practice in Screening,
Psychosocial Assessment, and Management
Edited by
Jeannette Milgrom and Alan W. Gemmill
This edition first published 2015
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Library of Congress Cataloging‐in‐Publication Data
Identifying perinatal depression and anxiety : evidence-based practice in screening, psychosocial assessment and
management / edited by Jeannette Milgrom, Alan W. Gemmill.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-118-50965-4 (hb) – ISBN 978-1-118-50969-2 (pb)
I. Milgrom, Jeannette, editor. II. Gemmill, Alan, editor.
[DNLM: 1. Depression, Postpartum–diagnosis. 2. Anxiety Disorders–diagnosis.
3. Anxiety Disorders–psychology. 4. Depression, Postpartum–psychology. 5. Evidence-Based
Medicine–methods. 6. Internationality. WQ 500]
RC537
616.85′27–dc23
2014048416
A catalogue record for this book is available from the British Library.
Cover image: Cracked White Marble © LordRunar / iStockphoto; Vector silhouette of family
© majivecka / iStockphoto
Set in 10/12pt MinionPro by SPi Global, Pondicherry, India
1 2015
Contents
About the Editors vii
About the Contributors viii
Foreword xvi
Introduction: Current Issues in Identifying Perinatal Depression: An Overview 1
Jeannette Milgrom and Alan W. Gemmill
1 Is Population‐Based Identification of Perinatal Depression
and Anxiety Desirable?: A Public Health Perspective on the Perinatal
Depression Care Continuum 11
Norma I. Gavin, Samantha Meltzer‐Brody, Vivette Glover,
and Bradley N. Gaynes
2 When Screening Is Policy, How Do We Make It Work? 32
Barbara P. Yawn, Elizabeth M. LaRusso, Susan L. Bertram,
and William V. Bobo
3 Acceptability, Attitudes, and Overcoming Stigma 51
Anne Buist, Heather O’Mahen, and Rosanna Rooney
4 How to Use the EPDS and Maximize Its Usefulness in the Consultation
Process: A Clinician’s Guide 63
Carol Henshaw and Jennifer Ericksen
5 Screening Tools and Methods of Identifying Perinatal Depression 76
Rachel Mann and Jonathan Evans
6 Identifying Perinatal Anxiety 93
Susan Ayers, Rose Coates, and Stephen Matthey
7 Diagnostic Assessment of Depression, Anxiety, and Related Disorders 108
Arianna Di Florio, John Seeley, and Ian Jones
8 Psychosocial Assessment and Integrated Perinatal Care 121
Marie‐Paule Austin, Jane Fisher, and Nicole Reilly
vi Contents
9 Postnatal Depression, Mother–Infant Interactions, and Child Development:
Prospects for Screening and Treatment 139
Lynne Murray, Pasco Fearon, and Peter Cooper
10 Fathers’ Perinatal Mental Health 165
Richard Fletcher, Craig F. Garfield, and Stephen Matthey
11 Evidence‐Based Treatments and Pathways to Care 177
Michael W. O’Hara, Cindy‐Lee Dennis, Jennifer E. McCabe,
and Megan Galbally
12 International Approaches to Perinatal Mental Health Screening
as a Public Health Priority 193
Katherine L. Wisner, Marie‐Paule Austin, Angela Bowen, Roch Cantwell,
and Nine M.‐C. Glangeaud‐Freudenthal
13 Training Health‐Care Professionals for the Assessment and Management
of Perinatal Depression and Anxiety 210
C. Jane Morrell, Jan Cubison, Tom Ricketts, Anne Sved Williams,
and Pauline Hall
14 An Overview of Health Economic Aspects of Perinatal Depression 228
Stavros Petrou, C. Jane Morrell, and Martin Knapp
15 The Future of Perinatal Depression Identification: Can Information
and Communication Technology Optimize Effectiveness? 240
Tara Donker, Pim Cuijpers, David Stanley, and Brian Danaher
16 Conclusion: Perinatal Depression: Looking Back, Moving Forward 256
Alan W. Gemmill, Jeannette Milgrom, and Nicole Highet

Index 266
About the Editors
Alan W. Gemmill is Senior Research Fellow at the Parent-Infant Research Institute in
Melbourne, Australia. He has worked in perinatal mental health research for 14 years and
has a special interest in clinical research studies and preventive intervention programs for
maternal mental health difficulties. He has had a lead role in several randomized treatment
trials for perinatal depression and has published widely on such topics as the neurodevelop-
mental benefits of early stress reduction for premature infants, the prevention of perinatal
mood disorders and parenting difficulty, the major risk factors for perinatal depression and
anxiety, and the predictive value of screening instruments for perinatal mood disorders.
Jeannette Milgrom is Professor of Psychology in the Melbourne School of Psychological
Sciences at the University of Melbourne, Director of Clinical and Health Psychology at
Austin Health, and Founder and Director of the Parent-Infant Research Institute, Australia.
She is internationally recognized for her work with mothers and babies and is currently
President of the Marcé Society for Perinatal Mental Health. She is the author of six books,
and over 116 scientific articles and chapters. Her research and clinical practice focuses on
high-risk infants and early intervention, ante- and postnatal depression, neurodevelopment
of premature infants, and screening and developing psychological treatments. Her books
on treating and preventing postnatal depression have been translated into Italian and
French. She has had a major role with beyondblue and the National Perinatal Depression
Initiative since 2001.
About the Contributors
Marie‐Paule Austin is the chair of Perinatal and Women’s Mental Health at the University of
New South Wales; director at St John of God Health Care Mother–Baby Unit; and p sychiatrist
at the Royal Hospital for Women, Sydney. Professor Austin has long been at the forefront of
research into models of universal psychosocial assessment in the perinatal period, and both
her clinical and population‐based researches have been instrumental in shaping the
development of policy and practice in perinatal mental health across Australia.
Susan Ayers is a professor in the Centre for Maternal and Child Health Research at City
University London and visiting professor at the University of Sussex, United Kingdom.
Susan’s research focuses on women’s psychological well‐being and mental health during
pregnancy and after birth. Susan is an author of Psychology for Medicine (2011) and editor
of the Cambridge Handbook of Psychology, Health and Medicine, 2nd Ed. (2007). She was
awarded the Annual Lecturer Prize by the Society for Reproductive and Infant Psychology
in 2012.
Susan L. Bertram, BSN RN MSN, is trained as a psychiatric clinical nurse specialist. She
has worked as a lead study coordinator for the past 20 years with Dr. Barbara Yawn in the
Olmsted Medical Center, Department of Research. She served as the lead coordinator and
project manager for the recently completed TRIPPD 5‐year trial assessing the outcomes of
implementing postnatal depression screening, diagnosis, and management in family medi-
cine offices.
William V. Bobo, MD MPH, is a psychiatrist and researcher, associate professor of psychiatry
at the Mayo Medical School, and medical director of the Mayo Clinic Mood Program. His
research is focused on the effectiveness, safety, and clinical use of treatments for severe
mood disorders. Dr. Bobo has special interest in the perinatal management of these disorders
and use of psychotropic medications during pregnancy.
Angela Bowen, RN, PhD, is an associate professor in the College of Nursing and the
Department of Psychiatry at the University of Saskatchewan. Recent research includes a
longitudinal study and epidemiological study of antenatal depression in progress, evalua-
tion of maternal mental health programs, and policy development. She is the lead of the