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Enhancing reciprocal partner support to prevent perinatal depression and anxiety: a Delphi consensus study

BACKGROUND: Systematic reviews have established that partner support protects against perinatal mood problems. It is therefore a key target for interventions designed to prevent maternal and paternal depression and anxiety. Nonetheless, the extant literature is yet to be translated into specific act...

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Autores principales: Pilkington, Pamela, Milne, Lisa, Cairns, Kathryn, Whelan, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4739319/
https://www.ncbi.nlm.nih.gov/pubmed/26842065
http://dx.doi.org/10.1186/s12888-016-0721-0
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author Pilkington, Pamela
Milne, Lisa
Cairns, Kathryn
Whelan, Thomas
author_facet Pilkington, Pamela
Milne, Lisa
Cairns, Kathryn
Whelan, Thomas
author_sort Pilkington, Pamela
collection PubMed
description BACKGROUND: Systematic reviews have established that partner support protects against perinatal mood problems. It is therefore a key target for interventions designed to prevent maternal and paternal depression and anxiety. Nonetheless, the extant literature is yet to be translated into specific actions that parents can implement. Prevention efforts aiming to facilitate reciprocal partner support within the couple dyad need to provide specific guidance on how partners can support one another to reduce their vulnerability to perinatal depression and anxiety. METHOD: Two panels of experts in perinatal mental health (21 consumer advocates and 39 professionals) participated in a Delphi consensus study to establish how partners can support one another to reduce their risk of developing depression and anxiety during pregnancy and the postpartum period. RESULTS: A total of 214 recommendations on how partners can support each other were endorsed by at least 80 % of both panels as important or essential in reducing the risk of perinatal depression and anxiety. The recommendations were grouped under the following categories: becoming a parent, supporting each other through pregnancy and childbirth, communication, conflict, division of labor, practical support, emotional support, emotional closeness, sexual satisfaction, using alcohol and drugs, encouraging self-care, developing acceptance, and help-seeking. CONCLUSION: This study established consensus between consumers and professionals in order to produce a set of guidelines on how partners can support each other to prevent depression and anxiety during pregnancy and following childbirth. It is hoped that these guidelines will inform the development of perinatal depression and anxiety prevention efforts. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12888-016-0721-0) contains supplementary material, which is available to authorized users.
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spelling pubmed-47393192016-02-04 Enhancing reciprocal partner support to prevent perinatal depression and anxiety: a Delphi consensus study Pilkington, Pamela Milne, Lisa Cairns, Kathryn Whelan, Thomas BMC Psychiatry Research Article BACKGROUND: Systematic reviews have established that partner support protects against perinatal mood problems. It is therefore a key target for interventions designed to prevent maternal and paternal depression and anxiety. Nonetheless, the extant literature is yet to be translated into specific actions that parents can implement. Prevention efforts aiming to facilitate reciprocal partner support within the couple dyad need to provide specific guidance on how partners can support one another to reduce their vulnerability to perinatal depression and anxiety. METHOD: Two panels of experts in perinatal mental health (21 consumer advocates and 39 professionals) participated in a Delphi consensus study to establish how partners can support one another to reduce their risk of developing depression and anxiety during pregnancy and the postpartum period. RESULTS: A total of 214 recommendations on how partners can support each other were endorsed by at least 80 % of both panels as important or essential in reducing the risk of perinatal depression and anxiety. The recommendations were grouped under the following categories: becoming a parent, supporting each other through pregnancy and childbirth, communication, conflict, division of labor, practical support, emotional support, emotional closeness, sexual satisfaction, using alcohol and drugs, encouraging self-care, developing acceptance, and help-seeking. CONCLUSION: This study established consensus between consumers and professionals in order to produce a set of guidelines on how partners can support each other to prevent depression and anxiety during pregnancy and following childbirth. It is hoped that these guidelines will inform the development of perinatal depression and anxiety prevention efforts. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12888-016-0721-0) contains supplementary material, which is available to authorized users. BioMed Central 2016-02-03 /pmc/articles/PMC4739319/ /pubmed/26842065 http://dx.doi.org/10.1186/s12888-016-0721-0 Text en © Pilkington et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Pilkington, Pamela
Milne, Lisa
Cairns, Kathryn
Whelan, Thomas
Enhancing reciprocal partner support to prevent perinatal depression and anxiety: a Delphi consensus study
title Enhancing reciprocal partner support to prevent perinatal depression and anxiety: a Delphi consensus study
title_full Enhancing reciprocal partner support to prevent perinatal depression and anxiety: a Delphi consensus study
title_fullStr Enhancing reciprocal partner support to prevent perinatal depression and anxiety: a Delphi consensus study
title_full_unstemmed Enhancing reciprocal partner support to prevent perinatal depression and anxiety: a Delphi consensus study
title_short Enhancing reciprocal partner support to prevent perinatal depression and anxiety: a Delphi consensus study
title_sort enhancing reciprocal partner support to prevent perinatal depression and anxiety: a delphi consensus study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4739319/
https://www.ncbi.nlm.nih.gov/pubmed/26842065
http://dx.doi.org/10.1186/s12888-016-0721-0
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