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Content archived on 2024-05-14

Transcultural examination of postnataldepression (PND) within European health systems: harmonisation of research methods and promotion of mother-child health

Objective

Objectives:
- To conduct qualitative research into knowledge of postnatal depression, its causes and consequences and of service needs in consumers as well as in planners and providers of services.$L - To develop, harmonise and pilot methods for a future systematic and comparative, transcultural study of postnatal depression (PND) in the European context.

Postnatal depression (PND) is a very common complication of childbearing, affecting 10-15% of mothers. Most of the systematic research into PND has been done in the UK and in N. America and there is evidence of long-term adverse consequences for the mental health and social functioning of the mother, of repercussions in the marital relationship and mental health of fathers, and of impaired cognitive and social development of the children of mothers with PND. The causes of PND lie mainly in the psychosocial domain and the primary aim of the proposed study is to examine how, in different European cultures, there may be important variations in key determinants of PND, such as early childhood experiences, impaired social and family supports, marital problems (including single parenthood), social adversity, immigrant status and life stress. The significance accorded to new parenthood, its surrounding customs and rituals, recognition of changes of maternal occupational and social role also vary across cultures and can exert an influence on mothers' emotional health. Similarly cultural differences in family structures and supports and in child-rearing practices may exacerbate or buffer the impact of PND on the developing child. The costs to society of PND are mainly indirect and long-term and have not been evaluated. There is little evidence of specific resource allocation or of service utilisation. Awareness of the problem among planners and providers of services and among potential users (mothers and their families) is likely to vary greatly across nations. There are no systematic comparative data on the prevalence of PND in different European cultures nor about any of the causes, consequences and service implications listed above. Without such information it is not possible to educate, to reorganise services or to target resources. Childbearing provides a unique opportunity to promote health because mothers are in repeated contact with health professionals.

Participating centres have been identified in 7 EU countries and an essential first step is to harmonize and validate methods for a transcultural analysis of PND, its psychosocial origins and its consequences, of the costs to society and of unmet needs in relation to existing service provision and utilisation. Reinforced Concerted Action support is requested for the first phase of research which will involve the collection and analysis of qualitative data and the validation and piloting of methods to be used in the second (fieldwork) phase of the project, aimed at achieving the objectives listed above. Support will be sought from the EU and from individual member countries for the second phase of the research. 01 01

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CON - Coordination of research actions

Coordinator

Institute of Psychiatry
EU contribution
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Address
Denmark Hill
SE5 8AF London - Camberwell
United Kingdom

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Total cost

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