Abstract
Our aim in this chapter is to provide a broad theoretical understanding of PND. The study on which this book is based aimed to explore how women and their partners understand and resolve PND. The emphasis will be placed on the psychosocial factors in the development and resolution of PND. In this chapter, we will examine the differences between the biomedical and sociological models in their understanding and treatment of PND. As previously discussed, the biomedical model has been the dominant model in the literature investigating PND (Beck 2002), but this model only partially explains the illness. In this chapter, we argue that a biopsychosocial approach is needed to fully understand PND because using only the biomedical model neglects the personal, social and cultural context of women’s experiences.
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American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, text revision. DSM-IV-TR (4 revisedth ed.). Washington, DC: American Psychiatric Press.
Anand, A., & Charney, D. S. (2000). Norepinephrine dysfunction in depression. Journal of Clinical Psychiatry, 61(10), 16–24.
Appleby, L., Warner, R., Whitton, A., & Faragher, B. (1997). A controlled study of fluoxetine and cognitive-behavioural counselling in the treatment of postnatal depression. British Medical Journal, 314(7085), 932–936.
Austin, M. P., & Lumley, J. (2003). Antenatal screening for postnatal depression: A systematic review. Acta Psychiatrica Scandinavia, 107(1), 10–17.
Barrera, M. (1986). Distinctions between social support concepts, measures, and models. American Journal of Community Psychology, 14, 413–445.
Bebbington, P. E. (1998). Sex and depression. Psychological Medicine, 28(1), 1–8.
Beck, C. T. (1992). The lived experience of postpartum depression: A phenomenological study. Nursing Research, 41(3), 166–170.
Beck, C. T. (1993). Teetering on the edge: A substantive theory of postpartum depression. Nursing Research, 42, 42–48.
Beck, C. T. (1996). Postpartum depressed mothers’ experiences interacting with their children. Nursing Research, 45, 98–104.
Beck, C. T. (1998). A checklist to identify women at risk for developing postpartum depression. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 27(1), 39–46.
Beck, C. T. (1999). Postpartum depression: Stopping the thief that steals motherhood. AWHONN Lifelines, 3(4), 41–44.
Beck, C. T. (2002). Theoretical perspectives of postpartum depression and their treatment implications. The American Journal of Maternal/Child Nursing, 27(5), 282–287.
Berggren-Clive, K. (1998). Out of the darkness and into the light: Women’s experiences with depression of childbirth. Canadian Journal of Community Mental Health, 17, 103–120.
Borjesson, B., Paperin, C., & Lindell, M. (2004). Maternal support during the first year of infancy. Journal of Advanced Nursing, 45(6), 588–594.
Borrell-Carrio, F., Suchman, A. L., & Epstein, R. M. (2004). The biopsychosocial model 25 years later: Principles, practice, and scientific inquiry. Annals of Family Medicine, 2(6), 576–582.
Brown, G. W. (1998). Genetic and population perspectives on life events and depression. Social Psychiatry & Psychiatric Epidemiology, 33, 363–372.
Brown, G. W., & Harris, T. (1978). Social origins of depression. A study of psychiatric disorder in women. London: Tavistock Publications Limited.
Brown, G. W., Andrews, B., & Harris, T. O. (1986). Social support, self esteem and depression. Psychological Medicine, 16, 813–831.
Brown, S., Lumley, J., Small, R., & Astbury, J. (1994). Missing voices. The experience of motherhood. Australia: Oxford University Press.
Brown, G. W., Harris, T. O., & Hepworth, C. (1995). Loss, humiliation and entrapment among women developing depression: A patient and non-patient comparison. Psychological Medicine, 25(1), 7–22.
Brown, M. A. (1986). Social support during pregnancy: A unidimensional or multidimensional construct? Nursing Research, 35(1), 4–9.
Brugha, T. S. (1995). Social support and psychiatric disorder: Research findings and guidelines for clinical practice. Cambridge: Cambridge University Press.
Buist, A. (2006). Perinatal depression. Assessment and management. Australian Family Physician, 35(9), 670–673.
Buist, A., Barnett, B., Milgrom, J., Pope, S., Condon, J. T., Ellwood, D. A., et al. (2002). To screen or not to screen- that is the question in perinatal depression. The Medical Journal of Australia, 177(7 October), S101–S105.
Burrows, G, & Norman, T. (2001). Depressive disorders. MediMedia, 1–6.
Busfield, J. (1996). Men, women and madness. Understanding gender and mental disorder. London: MacMillan.
Cacioppo, J. T. (1994). Social neuroscience: Autonomic, neuroendocrine, and immune responses to stress. Psychophysiology, 31, 113–128.
Chan, S., & Levy, V. (2004). Postnatal depression: A qualitative study of the experiences of a group of Hong-Kong Chinese women. Journal of Clinical Nursing, 13, 120123.
Chan, S. W. C., Levy, V., Chung, T. K. H., & Lee, D. (2002). A qualitative study of the experiences of a group of Hong Kong Chinese women diagnosed with postnatal depression. Journal of Advanced Nursing, 39(6), 571–579.
Cleare, A. J., Murray, R. M., & O’Keane, V. (1997). Do noradrenergic reuptake inhibitors affect serotonergic function in depression? Psychopharmacology, 134, 406–410.
Creedy, D., & Shochet, I. (1996). Caring for women suffering from depression in the postnatal period. Australian and New Zealand Journal of Mental Health Nursing, 5, 13–19.
Davar, B. (1999). The mental Health of Indian women: A feminist agenda. New Delhi: Sage.
Drew, S. (2003). Stranger in the community- life after cancer in childhood. Unpublished PhD, University of Melbourne, Melbourne.
Eaker, E. D. (2005). Social support and physical health: Understanding the health consequences of relationships. American Journal of Epidemiology, 161(3), 297–298.
Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196, 129–136.
Engel, G. L. (1980). The clinical application of the biopsychosocial model. American Journal of Psychiatry, 137(5), 535–544.
Eriksen, K., & Kress, V. E. (2005). Beyond the DSM story. Thousand Oaks: Sage.
Ferrer, R. L., Palmer, R., Burge, S. K. (2005). The Family Contribution to Health Status: A Population-Level Estimate. Annals of Family Medicine 3(2): 102–108.
Finlay-Jones, R. (1989). Anxiety. In G. W. Brown & T. O. Harris (Eds.), Life events and illness. New York: Guilford Press.
Fullager, S., & Gattuso, S. (2002). Rethinking gender, risk and depression in Australian mental health policy. Australian e-Journal for the Advancement of Mental Health, 1(3), 1–13.
Gordon, J. H., Borison, R. L., & Diamond, B. I. (1980). Modulation of dopamine receptor sensitivity by estrogen. Biological Psychiatry, 15, 389–396.
Gottlieb, L. N., & Mendelson, M. J. (1995). Mothers’ moods and social support when a second child is born. Maternal-Child Nursing Journal, 23(1), 3–14.
Gramling, S. E., & Auerbach, S. (2006). Stress (psychology) Microsoft Encarta online encyclopedia. http://www.encarta.msn.com/text_761572052__0/Stress_(psychology).html. Accessed 23 May 2006.
Hanson, R. W. (2007). Biopsychosocial model of pain. http://www.long-beach.med.va.gov/Our_Services/Patient_Care/cpmpbook/cpmp-3.html. Accessed 28 Mar 2007.
Harbuz, M. (2002). Neuroendocrine function and chronic inflammatory stress. Experimental Physiology, 87(5), 519–525.
Harmer, C. J., Hill, S. A., Taylor, M. J., Cowen, P. J., & Goodwin, G. M. (2003). Toward a neuropsychological theory of antidepressant drug action: Increase in positive emotional bias after potentiation of norepinephrine activity. American Journal of Psychiatry, 160(5), 990–992.
Harris, T. (2001). Recent developments in understanding the psychosocial aspects of depression. British Medical Bulletin, 57, 17–32.
Huang, Y. C., & Mathers, N. (2001). Postnatal depression- biological or cultural? A comparative study of postnatal women in the UK and Taiwan. Journal of Advanced Nursing, 33(3), 279–287.
Kendler, K. S., Thornton, L. M., & Gardner, C. O. (2000). Stressful life events and previous episodes in the etiology of major depression in women: An evaluation of the “Kindling” hypothesis. American Journal of Psychiatry, 157, 1243–1251.
Kendler, K. S., Gardner, C. O., & Prescott, C. A. (2002). Toward a comprehensive developmental model for major depression in women. American Journal of Psychiatry, 159(7), 1133–1145.
Kinard, E. M. (1990). Depression and social support in mothers of abused children. Paper presented at the annual meeting of the American Public Health Association, New York.
Kitamura, T., Kijima, N., Watanabe, K., Takezaki, Y., & Tanaka, E. (1999). Precedents of perceived social support: Personality and early life experiences. Psychiatry and Clinical Neurosciences, 53, 649–654.
Kitzinger, S. (1992). Ourselves as mothers. The universal experience of motherhood. London: Doubleday.
Kwok, W. L. (2003). Postnatal depression in Whittlesea. A discussion paper, The North Central Metropolitan Primary Care Partnership.
Lawrie, T., Herxheimer, A., & Dalton, K. (2003). Oestrogens and progestogens for preventing and treating postnatal depression (Cochrane Review). In: The Cochrane Library, Issue 3, Oxford: Update Software.
Leonard, B. E. (2001). Stress, norepinephrine and depression. Journal of Psychiatry and Neuroscience, 26, S11–S16.
Mauthner, N. S. (1999). “Feeling low and feeling really bad about feeling low”: Women’s experiences of motherhood and postpartum depression. Canadian Psychology, 40(2), 143–161.
Mauthner, N. S. (2002). The darkest days of my life. Stories of postpartum depression. Cambridge: Harvard University Press.
Mercer, R. T. (1981). A theoretical framework for studying factors that impact on the maternal role. Nursing Research, 30, 73–77.
Milgrom, J., Martin, P. R., & Negri, L. M. (1999). Treating postnatal depression. A psychological approach for health care practitioners. Chichester: Wiley.
Morriss, K. M., & Morriss, E. E. (2000). Contextual evaluation of social adversity in the management of depressive disorder. Advances in Psychiatric Treatment, 6, 423–431.
Morrow, M., Smith, J., Lai, Y., & Jaswal, S. (2008). Shifting landscapes: Immigrant women and post partum depression. Health Care for Women International, 29(6), 593–617.
Nahas, V. L., & Amasheh, N. (1999). Culture care meanings and experiences of postpartum depression among Jordanian Australian women: A transcultural study. Journal of Transcultural Nursing, 10, 37–45.
Nahas, V. L., Hillege, S., & Amasheh, N. (1999). International exchange. Postpartum depression: The lived experiences of Middle Eastern migrant women in Australia. Journal of Nurse-Midwifery, 44(1), 65–74.
National Health and Medical Research Council. (2000). Postnatal depression. A systematic review of published scientific literature to 1999. http://www.nhmrc.gov.au/publications/synopses/wh29syn.htm. Accessed 12 June 2007.
Nazroo, J. Y., Edwards, A. C., & Brown, G. W. (1997). Gender differences in the onset of depression following a shared life event: A study of couples. Psychological Medicine, 27, 9–19.
Novack, D. H. (2003). Realizing Engel’s vision: Psychosomatic medicine and the education of physician-healers. Psychosomatic Medicine, 65, 925–930.
Oakley, A. (1992). Social support and motherhood. The natural history of a research project. Oxford: Blackwell.
Oshimer, A., Miyano, H., Yamashita, S., Owashi, T., Suzuki, S., Sakano, Y., et al. (2001). Psychological, autonomic and neuroendocrine responses to acute stressors in the combined dexamethasone/CRH test: A study in healthy subjects. Journal of Psychiatric Research, 35, 95–104.
Patel, V. (2001). Cultural factors and international epidemiology. British Medical Bulletin, 57, 33–45.
Raeburn, J. M., & Rootman, I. (1989). Towards an expanded health field concept: Conceptual and research issues in a new era of health promotion. Health Promotion, 3, 383–392.
Ray, K. L, & Hodnett, E. D. (2006). Caregiver support for postpartum depression. Cochrane Database for Systematic Reviews, 1, No page number.
Rubin, R. (1984). Maternal identity and the maternal experience. New York: Springer.
Sagud, M., Hotujac, L., Peles, A. M., & Jakovljevic, M. (2002). Gender differences in depression. Colegium Antropologicum, 26(1), 149–157.
Seligman, M. E., & Rosenhan, D. L. (1998). Abnormality. New York: W.W. Norton & Company.
Smith, R., Cubis, J., Brinstead, M., Lewis, T., Singh, B., & Owens, P. (1989). Mood changes, obstetric experience and alterations in plasma cortisol, [beta]-endorphin and corticotrophin releasing hormone during pregnancy and the puerperium. Journal of Psychosomatic Research, 34, 53–69.
Stewart, S., & Jambunathan, J. (1996). Hmong women and postpartum depression. Health Care for Women International, 17, 319–330.
Stocky, A. (1992). Psychiatry’s model and measurement. In J. Carter (Ed.), Postnatal depression: Towards a research agenda for human services and health. Canberra: Commonwealth of Australia.
Stoppard, J. M. (1999). Why new perspectives are needed for understanding depression in women. Canadian Psychology, 40(2), 79–90.
Tracey, E. M., & Abell, N. (1994). Social network mapping: Some future refinements on administration. Social Work Research, 18, 57–60.
Ugarriza, D. N. (2002). Postpartum depressed women’’s explanation of depression. Journal of Nursing Scholarship, 34(3), 227–233.
United States Food and Drug Administration (FDA). (2005). FDA Talk Paper. T05-25. FDA reviews data for antidepressant use in adults. http://www.fda.gov/cder/drug/advisory/SSR1200507.htm. Accessed 15 July 2005.
Victorian Drug Usage Advisory Committee. (2003). Therapeutic guidelines: Psychotropic (5th ed.). North Melbourne: BPA Print Group.
WHO. (2000). Women’s mental health. An evidenced based review. Geneva: WHO.
WHO. (2001). Mental health: Strengthening mental health promotion. http://www.who.int/mediacentre/factsheets/fs220/en/. Accessed 12 June 2007.
Wieck, A., Kumar, R., Hirst, A. D., Marks, M. N., Campbell, I. C., & Checkley, S. A. (1991). Increased sensitivity of dopamine receptors and recurrence of affective psychosis after childbirth. British Medical Journal, 303, 613–616.
Wisner, K. L., Parry, B. L., & Piontek, C. M. (2002). Postpartum depression. The New England Journal of Medicine, 347(3), 194–199.
Wood, A. F., Thomas, S. P., Droppleman, P. G., & Meighan, M. (1997). The downward spiral of postpartum depression. Maternal-Child Nursing Journal, 22, 308–317.
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Westall, C., Liamputtong, P. (2011). Biopsychosocial Theories and Treatment Options for Postnatal Depression. In: Motherhood and Postnatal Depression. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-1694-0_3
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