The primary health care setting has been established as a key venue for identifying and working with depression.
Despite this, and the high risk of depression experienced by women in the post-natal period, maternal depression has been little examined in the work of health visitors.
This study focuses on clinical facets of this work, including the rate and content of depression amongst health visitor attenders, the capacity of health visitors to identify accurately the presence of depression, the relationship between depression and child abuse and child behavioural issues, variations in the practice of health visitors and work with other professionals.
In a cohort of 701,11% of women were depressed, with distinguishing symptoms including fatigability, disgust/hate of herself and a sense of failure.
Health visitors were not generally accurate in their identification of depression, were significantly more likely to see depressed women at home (than at clinic), but there was little difference in mean frequency of consultations according to whether or not the women were depressed.
Urban health visitors had a higher mean frequency of consultations, but rural health visitors showed a rather greater tendency to increase frequency of consultation with the presence of depression. (...)
Mots-clés Pascal : Etat dépressif, Postpartum, Mère, Victimologie, Abus sexuel, Enfant, Homme, Personnel sanitaire, Diagnostic, Femme, Grande Bretagne, Royaume Uni, Europe, Trouble humeur
Mots-clés Pascal anglais : Depression, Puerperium, Mother, Victimology, Sexual abuse, Child, Human, Health staff, Diagnosis, Woman, Great Britain, United Kingdom, Europe, Mood disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0055508
Code Inist : 002B18C07A. Création : 21/05/1997.