Re: health visitors and PND [1 Attachment]

[Guest guest]

Excellent paper, . Glad to see that what is thought to have made a difference in preventing PND was the development of a 'high-quality, therapeutic relationship with the women'. I wonder when health visitors will be able to do this again! Let's hope it's sooner rather than later.

Best wishes,

Re: health visitors and PND [1 Attachment]

I am pleased to see this story has gained wide coverage in the press today. Nursing Times blog helpfully provided a link to the open access paper, attached, or download from

“Universal prevention of depression in women postnatally: cluster randomized trial evidence in primary care”, appears in the journal Psychological Medicine (2010) Vol 40. Cambridge University Press, doi:10.1017/S0033291710001467 at (http://dx.doi.org/10.1017/S0033291710001467)

It is an extension of the excellent PONDER cluster randomized trial, which showed good effects from early diagnosis of PND and follow up by health visitors. The data have been analysed to show whether mothers with a low EPDS score at 6 weeks were equally likely to develop postnatal depression in the intervention and usual care areas, and found that those in the intervention areas fared much better. The figures are significant, but not as robust as we might wish, but the sad thing was that the researchers were not able to get additional funding to chase the additional responses and follow-up needed to strengthen them. If an excellent team like the one that carried out the PONDER trial find it difficult to get relevant funding, there is not much hope for the rest of us! There is a very low priority to prevention and (continuing the debates about worldwide misogyny!) to women's health, as well as to mental health. Even so, a very clear result and well-argued case for universal prevention, through health visiting.

best wishes

On 18 Aug 2010, at 08:54, Cowley wrote:

I missed this news story from BBC, did any see or hear it?

http://www.bbc.co.uk/news/health-10997753

best wishes

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

I am pleased to see this story has gained wide coverage in the press today. Nursing Times blog helpfully provided a link to the open access paper, attached, or download from“Universal prevention of depression in women postnatally: cluster randomized trial evidence in primary care”, appears in the journal Psychological Medicine (2010) Vol 40. Cambridge University Press, doi: 10.1017/S0033291710001467 at (http://dx.doi.org/10.1017/S0033291710001467 )It is an extension of the excellent PONDER cluster randomized trial, which showed good effects from early diagnosis of PND and follow up by health visitors. The data have been analysed to show whether mothers with a low EPDS score at 6 weeks were equally likely to develop postnatal depression in the intervention and usual care areas, and found that those in the intervention areas fared much better. The figures are significant, but not as robust as we might wish, but the sad thing was that the researchers were not able to get additional funding to chase the additional responses and follow-up needed to strengthen them. If an excellent team like the one that carried out the PONDER trial find it difficult to get relevant funding, there is not much hope for the rest of us! There is a very low priority to prevention and (continuing the debates about worldwide misogyny!) to women's health, as well as to mental health. Even so, a very clear result and well-argued case for universal prevention, through health visiting.best wishesOn 18 Aug 2010, at 08:54, Cowley wrote:> I missed this news story from BBC, did any see or hear it?>>> http://www.bbc.co.uk/news/health-10997753>> best wishes>> >>> Cowley> sarahcowley183@...> http://myprofile.cos.com/S124021COn>>>>>> Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn__________ Information from ESET Smart Security, version of virus signature database 5378 (20100819) __________The message was checked by ESET Smart Security.http://www.eset.com