Identifying Perinatal Depression and Anxiety

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-Elect of the Marcé Society for Perinatal Mental Health. She is the author of six books, including Psychology and Psychiatry: Integrating Medical Practice (Wiley, 2001) and Treating Postnatal Depression: A Psychological Approach for Health Care Practitioners (Wiley, 1999), and over 110 scientific articles and chapters. Alan W. Gemmill is Senior Research Fellow and Deputy Director of Research at the Parent-Infant Research Institute in Melbourne, Australia. He has led novel research into perinatal mental health for 14 years and has a special interest in clinical treatment studies and preventive intervention programs for maternal mental health difficulties. He has published widely on such topics as the neurodevelopmental 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.

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

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