Evidence map›Paper›PMID 21062541›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2010

Postnatal women's experiences of management of depressive symptoms: a qualitative study.

Pauline Slade, C Jane Morrell, Anna Rigby, Karen Ricci, Janet Spittlehouse, Traolach S Brugha

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 5 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Listening Visits for maternal depression: a meta-analysis.Archives of women's mental health · 2021
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Review
  9. Article
  10. Barriers and facilitators to discussing parent mental health within child health care: Perspectives of parents raising a child with congenital heart disease.Journal of child health care : for professionals working with children in the hospital and community · 2023
    Article
  11. Article
  12. Review
  13. Seeking help for perinatal psychological distress: a meta-synthesis of women's experiences.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
    Review
  14. Diagnosis and management of perinatal depression and anxiety in general practice: a meta-synthesis of qualitative studies.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
    Review
  15. Article
  16. Childhood maltreatment history, posttraumatic relational sequelae, and prenatal care utilization.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2013
    Article
  17. Article
  18. Management of postnatal depression in primary care: a window of opportunity.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010
    Article
  19. Jumping (or being pushed) from maternity care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

Pauline SladeClinical Psychology Unit, Department of Psychology, University of Sheffield, Sheffield. p.slade@sheffield.ac.uk
C Jane Morrell
Anna Rigby
Karen Ricci
Janet Spittlehouse
Traolach S Brugha
University of Leicester · GBFieldhead Hospital · GBUniversity of Nottingham · GBUniversity of Otago · NZUniversity of Sheffield · GB

Funding

Department of Health 99/33/51
6 · The paper itself

Abstract

backgroundPostnatal depression is a public health problem requiring intervention. To provide effective care, information is needed on the experiences of those with high levels of depressive symptoms who are offered and accept, or decline, psychological intervention postnatally.

aimTo provide the first integrated in-depth exploration of postnatal women's experiences of the identification and management of symptoms of depression and the offer and acceptance of postnatal care by health visitors taking part in the PoNDER trial.

settingGeneral practice: primary care within the former Trent regional health authority, England.

methodThirty women with 6-week Edinburgh Postnatal Depression Scale (EPDS) scores ≥ 18 and probable depression completed semi-structured interviews. All women had taken part in the Post-Natal Depression Economic Evaluation and Randomised controlled (PoNDER) trial where intervention group health visitors received training in identification of depressive symptoms and provided psychologically informed sessions based on cognitive-behavioural therapy or person-centred counselling principles.

resultsWhen accepted, psychological sessions were experienced as positive, effective, and 'ideal care'. Women approved of using the EPDS but did not understand the health visitor's role in supporting women. Seeking help and accepting sessions depended on women's perspectives of their health visitor as an individual.

conclusionWomen's experience of their health visitors providing psychological sessions to help with postnatal depressive symptoms is highly positive. Women will better accept support from health visitors if they recognise their role in postnatal depression and find them easy to relate to on personal matters. There is a case for specific enhancement of interpersonal skills in health visiting, or alternatively offering a choice of health visitors to women.

Indexed as

Community Health NursingNurse-Patient RelationsAdolescentAdultAttitude to HealthCognitive Behavioral TherapyDepression, PostpartumFemaleHumansMiddle AgedPatient Acceptance of Health CarePostnatal CarePregnancySocial SupportYoung Adult

Identifiers

PMID21062541
PMCPMC2965991
OpenAlexW2127771339

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.