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New perspectives for understanding d...

Bennett, Heather Anne.

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New perspectives for understanding depression during pregnancy. Prevalence and women's experiences of this disorder.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	New perspectives for understanding depression during pregnancy. Prevalence and women's experiences of this disorder./
Author:	Bennett, Heather Anne.
Description:	297 p.
Notes:	Source: Dissertation Abstracts International, Volume: 68-06, Section: B, page: 3686.
Contained By:	Dissertation Abstracts International68-06B.
Subject:	Health Sciences, Mental Health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR28061
ISBN:	9780494280614

New perspectives for understanding depression during pregnancy. Prevalence and women's experiences of this disorder.
Bennett, Heather Anne.

New perspectives for understanding depression during pregnancy. Prevalence and women's experiences of this disorder. - 297 p.

Source: Dissertation Abstracts International, Volume: 68-06, Section: B, page: 3686.

Thesis (Ph.D.)--University of Toronto (Canada), 2007.

Depression during pregnancy is a potentially devastating mood disorder. Estimates of the number of women affected, however, have varied widely. Furthermore, how pregnant women manage depression and how they make decisions regarding the gestational use of antidepressant medication is a topic that has received little attention. The aim of the present research was two-fold: (1) to use a random effects meta-analytic model to estimate the prevalence of depression, as detected by validated screening instruments and structured interviews, for each trimester of pregnancy, and (2) to use grounded theory to develop a theoretical model that explained managing depression during pregnancy from the perspective of women who had experienced this disorder.

ISBN: 9780494280614Subjects--Topical Terms:

1017693
Health Sciences, Mental Health.

New perspectives for understanding depression during pregnancy. Prevalence and women's experiences of this disorder.
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020 $a 9780494280614
035 $a (UMI)AAINR28061
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100 1 $a Bennett, Heather Anne. $3 1265908
245 1 0 $a New perspectives for understanding depression during pregnancy. Prevalence and women's experiences of this disorder.
300 $a 297 p.
500 $a Source: Dissertation Abstracts International, Volume: 68-06, Section: B, page: 3686.
502 $a Thesis (Ph.D.)--University of Toronto (Canada), 2007.
520 $a Depression during pregnancy is a potentially devastating mood disorder. Estimates of the number of women affected, however, have varied widely. Furthermore, how pregnant women manage depression and how they make decisions regarding the gestational use of antidepressant medication is a topic that has received little attention. The aim of the present research was two-fold: (1) to use a random effects meta-analytic model to estimate the prevalence of depression, as detected by validated screening instruments and structured interviews, for each trimester of pregnancy, and (2) to use grounded theory to develop a theoretical model that explained managing depression during pregnancy from the perspective of women who had experienced this disorder.
520 $a 1. A search for observational studies was conducted in MEDLINERTM from 1966, CINAHLRTM from 1982, EMBASERTM from 1980, and HealthSTARRTM from 1975. Of 714 articles identified, 21 (19,284 patients) met predefined acceptability criteria for inclusion in the meta-analysis. Prevalence rates and 95% confidence intervals (CI95%) were: 7.4% (2.2-12.6), 12.8% (10.7 to 14.8), and 12.0% (7.4-16.7) for the 1st, 2nd, and 3rd trimesters, respectively.
520 $a 2. Nineteen women were recruited through a reproductive mental health program in Ontario. Data were collected during semi-structured interviews and analysed using constant comparative analysis. The theoretical model that explained the process of managing depression was becoming the best mom that I can. The model describes women's journeys from the depths of despair, where depression was perceived to threaten their pregnancy and ability to care for the coming baby, to their arrival at knowing the self and being in a better place. Six interrelated themes, perceived consequences of untreated depression, perceived neonatal adverse effects of antidepressant use, personal influences, interpersonal influences, societal influences, and availability of information, emerged as influencing women's decisions regarding the use of antidepressants. The dominance of each theme was determined by each woman's previous experience with depression.
520 $a Rates of depression during pregnancy are substantial. Structured interviews found lower rates than the Beck Depression Inventory but not the Edinburgh Postnatal Depression Scale. To facilitate women's decisions regarding antenatal depression treatment health systems should provide information about depression, antidepressants, and the prevalence and signs of postpartum depression.
590 $a School code: 0779.
650 4 $a Health Sciences, Mental Health. $3 1017693
650 4 $a Health Sciences, Obstetrics and Gynecology. $3 1020690
690 $a 0347
690 $a 0380
710 2 $a University of Toronto (Canada). $3 1017674
773 0 $t Dissertation Abstracts International $g 68-06B.
790 $a 0779
791 $a Ph.D.
792 $a 2007
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR28061