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Biopsychosocial Theories and Treatment Options for Postnatal Depression

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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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References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, text revision. DSM-IV-TR (4 revisedth ed.). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Anand, A., & Charney, D. S. (2000). Norepinephrine dysfunction in depression. Journal of Clinical Psychiatry, 61(10), 16–24.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Austin, M. P., & Lumley, J. (2003). Antenatal screening for postnatal depression: A systematic review. Acta Psychiatrica Scandinavia, 107(1), 10–17.

    Article  Google Scholar 

  • Barrera, M. (1986). Distinctions between social support concepts, measures, and models. American Journal of Community Psychology, 14, 413–445.

    Article  Google Scholar 

  • Bebbington, P. E. (1998). Sex and depression. Psychological Medicine, 28(1), 1–8.

    Article  Google Scholar 

  • Beck, C. T. (1992). The lived experience of postpartum depression: A phenomenological study. Nursing Research, 41(3), 166–170.

    Article  Google Scholar 

  • Beck, C. T. (1993). Teetering on the edge: A substantive theory of postpartum depression. Nursing Research, 42, 42–48.

    Article  Google Scholar 

  • Beck, C. T. (1996). Postpartum depressed mothers’ experiences interacting with their children. Nursing Research, 45, 98–104.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Beck, C. T. (1999). Postpartum depression: Stopping the thief that steals motherhood. AWHONN Lifelines, 3(4), 41–44.

    Article  Google Scholar 

  • Beck, C. T. (2002). Theoretical perspectives of postpartum depression and their treatment implications. The American Journal of Maternal/Child Nursing, 27(5), 282–287.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • Borjesson, B., Paperin, C., & Lindell, M. (2004). Maternal support during the first year of infancy. Journal of Advanced Nursing, 45(6), 588–594.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Brown, G. W. (1998). Genetic and population perspectives on life events and depression. Social Psychiatry & Psychiatric Epidemiology, 33, 363–372.

    Article  Google Scholar 

  • Brown, G. W., & Harris, T. (1978). Social origins of depression. A study of psychiatric disorder in women. London: Tavistock Publications Limited.

    Google Scholar 

  • Brown, G. W., Andrews, B., & Harris, T. O. (1986). Social support, self esteem and depression. Psychological Medicine, 16, 813–831.

    Article  Google Scholar 

  • Brown, S., Lumley, J., Small, R., & Astbury, J. (1994). Missing voices. The experience of motherhood. Australia: Oxford University Press.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Brown, M. A. (1986). Social support during pregnancy: A unidimensional or multidimensional construct? Nursing Research, 35(1), 4–9.

    Article  Google Scholar 

  • Brugha, T. S. (1995). Social support and psychiatric disorder: Research findings and guidelines for clinical practice. Cambridge: Cambridge University Press.

    Book  Google Scholar 

  • Buist, A. (2006). Perinatal depression. Assessment and management. Australian Family Physician, 35(9), 670–673.

    Google Scholar 

  • 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.

    Google Scholar 

  • Burrows, G, & Norman, T. (2001). Depressive disorders. MediMedia, 1–6.

    Google Scholar 

  • Busfield, J. (1996). Men, women and madness. Understanding gender and mental disorder. London: MacMillan.

    Google Scholar 

  • Cacioppo, J. T. (1994). Social neuroscience: Autonomic, neuroendocrine, and immune responses to stress. Psychophysiology, 31, 113–128.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Cleare, A. J., Murray, R. M., & O’Keane, V. (1997). Do noradrenergic reuptake inhibitors affect serotonergic function in depression? Psychopharmacology, 134, 406–410.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • Davar, B. (1999). The mental Health of Indian women: A feminist agenda. New Delhi: Sage.

    Google Scholar 

  • Drew, S. (2003). Stranger in the community- life after cancer in childhood. Unpublished PhD, University of Melbourne, Melbourne.

    Google Scholar 

  • Eaker, E. D. (2005). Social support and physical health: Understanding the health consequences of relationships. American Journal of Epidemiology, 161(3), 297–298.

    Article  Google Scholar 

  • Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196, 129–136.

    Article  Google Scholar 

  • Engel, G. L. (1980). The clinical application of the biopsychosocial model. American Journal of Psychiatry, 137(5), 535–544.

    Google Scholar 

  • Eriksen, K., & Kress, V. E. (2005). Beyond the DSM story. Thousand Oaks: Sage.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Finlay-Jones, R. (1989). Anxiety. In G. W. Brown & T. O. Harris (Eds.), Life events and illness. New York: Guilford Press.

    Google Scholar 

  • 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.

    Google Scholar 

  • Gordon, J. H., Borison, R. L., & Diamond, B. I. (1980). Modulation of dopamine receptor sensitivity by estrogen. Biological Psychiatry, 15, 389–396.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Harris, T. (2001). Recent developments in understanding the psychosocial aspects of depression. British Medical Bulletin, 57, 17–32.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Kitzinger, S. (1992). Ourselves as mothers. The universal experience of motherhood. London: Doubleday.

    Google Scholar 

  • Kwok, W. L. (2003). Postnatal depression in Whittlesea. A discussion paper, The North Central Metropolitan Primary Care Partnership.

    Google Scholar 

  • 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.

    Google Scholar 

  • Leonard, B. E. (2001). Stress, norepinephrine and depression. Journal of Psychiatry and Neuroscience, 26, S11–S16.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Mauthner, N. S. (2002). The darkest days of my life. Stories of postpartum depression. Cambridge: Harvard University Press.

    Google Scholar 

  • Mercer, R. T. (1981). A theoretical framework for studying factors that impact on the maternal role. Nursing Research, 30, 73–77.

    Article  Google Scholar 

  • Milgrom, J., Martin, P. R., & Negri, L. M. (1999). Treating postnatal depression. A psychological approach for health care practitioners. Chichester: Wiley.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Novack, D. H. (2003). Realizing Engel’s vision: Psychosomatic medicine and the education of physician-healers. Psychosomatic Medicine, 65, 925–930.

    Article  Google Scholar 

  • Oakley, A. (1992). Social support and motherhood. The natural history of a research project. Oxford: Blackwell.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Patel, V. (2001). Cultural factors and international epidemiology. British Medical Bulletin, 57, 33–45.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Ray, K. L, & Hodnett, E. D. (2006). Caregiver support for postpartum depression. Cochrane Database for Systematic Reviews, 1, No page number.

    Google Scholar 

  • Rubin, R. (1984). Maternal identity and the maternal experience. New York: Springer.

    Google Scholar 

  • Sagud, M., Hotujac, L., Peles, A. M., & Jakovljevic, M. (2002). Gender differences in depression. Colegium Antropologicum, 26(1), 149–157.

    Google Scholar 

  • Seligman, M. E., & Rosenhan, D. L. (1998). Abnormality. New York: W.W. Norton & Company.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Stewart, S., & Jambunathan, J. (1996). Hmong women and postpartum depression. Health Care for Women International, 17, 319–330.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • Stoppard, J. M. (1999). Why new perspectives are needed for understanding depression in women. Canadian Psychology, 40(2), 79–90.

    Article  Google Scholar 

  • Tracey, E. M., & Abell, N. (1994). Social network mapping: Some future refinements on administration. Social Work Research, 18, 57–60.

    Google Scholar 

  • Ugarriza, D. N. (2002). Postpartum depressed women’’s explanation of depression. Journal of Nursing Scholarship, 34(3), 227–233.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • WHO. (2000). Women’s mental health. An evidenced based review. Geneva: WHO.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Wisner, K. L., Parry, B. L., & Piontek, C. M. (2002). Postpartum depression. The New England Journal of Medicine, 347(3), 194–199.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

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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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