An international society for the understanding, prevention and treatment of mental illness related to child bearing.

A Multi-Factorial Analysis Of Post-Natal Depression

E.P. MILLS
Founder-President: PNDSA (Postnatal Depression Support Association, South Africa)
W.O. #:08 801175 0000 3 Visser Avenue, Trovato Estate, Kenilworth, W. Cape, South Africa 7708. Tel: +27 (021) 761 5245; Fax: +27 (021) 797 4498; Cellular: +27 (082) 882 0072;
e-mail: liz@pndsa.co.za or millscom@iafrica.com; internet www.pndsa.co.za

INTRODUCTION

This ongoing study investigates some factors that may distinguish women vulnerable to PND. By comparing a depressed sample of mothers, with a non-depressed sample, it is hoped to highlight some of the distinguishing features.

METHOD

The data was derived from structured PND-Assessment Interview Questionnaires, involving 300 women, who were referred for inclusion in Postnatal Depression Support & Therapy Groups. Answers were recorded by the interviewer, and the women, in addition, completed the EPDS and a Symptoms & Feeling Checklist. The Control Group comprised mothers who attended Well-Baby Clinics, and who were invited to "take part in a research project". No identifying information was required. The Control Group completed the same Questionnaire and scoring instruments.

The Questionnaire covers demographics, obstetric data, psychopathology of the subjects and their biological families, family relationships including effects of PND, stress factors, social support systems, infant-related perceptions and details, personality factors, plus major symptoms and time of onset of the depression, where applicable. The data has been submitted for statistical analysis.

RESULTS

The data is, at this time, undergoing statistical analysis, and preliminary findings (frequency tables, correlations and factor analyses) suggest considerable differences may exist between the two groups.

CONCLUSIONS

If there is a typical profile of women who are predisposed to developing PND, it is important that the women, themselves, and health professionals take cognisance of this. The woman is seen at the centre of a "bombardment" of outside influences and internal needs. .

00000 Past losses, bereavement, experience of life transitions, family traditions, expectations and role changes, all impact on her.

In the researcher's opinion, the origins of PND are multi-dimensional, and an increased understanding of some of the dimensions may lead us to some answers as to why PND may form part of the tapestry of a woman's life.

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