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Biomedical subjects

Janice H Goodman

Publications and source records attributed to Janice H Goodman.

6 recordsLinked to original sources
PubMed2004

Paternal postpartum depression, its relationship to maternal postpartum depression, and implications for family health.

BACKGROUND: Much attention has been paid to the problem of postpartum depression in women. However, there is some indication that men also experience depression after the birth of a child, and that paternal depression is linked to maternal depression. AIMS: The purpose of this integrative review was to examine current knowledge about postpartum depression in fathers. Specific aims were (1) to examine the incidence of paternal depression in the first year after the birth of a child, (2) to identify the characteristics and predictors of paternal postpartum depression, (3) to describe the relationship between maternal and paternal postpartum depression, and (4) to discuss the influence of paternal depression on the family and infant. METHODS: A literature search from 1980 to 2002 was carried out using the CINAHL, PsychInfo, and Medline electronic databases. Twenty research studies were identified that included incidence rates of paternal depression during the first year postpartum. These were further examined and synthesized regarding onset, severity, duration, and predictors of paternal depressive symptoms, and for information about the relationship between maternal and paternal depression. FINDINGS: During the first postpartum year, the incidence of paternal depression ranged from 1.2% to 25.5% in community samples, and from 24% to 50% among men whose partners were experiencing postpartum depression. Maternal depression was identified as the strongest predictor of paternal depression during the postpartum period. The implications of parental depression for family health were discussed. CONCLUSIONS: Postpartum depression in men is a significant problem. The strong correlation of paternal postpartum depression with maternal postpartum depression has important implications for family health and well-being. Consideration of postpartum depression in fathers as well as mothers, and consideration of co-occurrence of depression in couples, is an important next step in research and practice involving childbearing families.

Depression, Postpartum↗
PubMed2004

Coping with trauma and hardship among unaccompanied refugee youths from Sudan.

The purpose of this study was to explore how unaccompanied refugee youths from Sudan, who grew up amid violence and loss, coped with trauma and hardship in their lives. The author used a case-centered, comparative, narrative approach to analyze the narratives of 14 male unaccompanied refugee youths from Sudan recently resettled in the United States. She analyzed narratives for both content and form and identified four themes that reflect coping strategies used by the participants: (a) collectivity and the communal self, (b) suppression and distraction, (c) making meaning, and (d) emerging from hopelessness to hope. The findings underscore the importance of understanding the cultural variations in responses to trauma and are discussed in relation to the concept of resilience.

Adaptation, Psychological↗
PubMedDate not supplied

Postpartum depression beyond the early postpartum period.

OBJECTIVE: To review the literature concerning maternal postpartum depression beyond the early postpartum period. DATA SOURCES: A literature search was conducted using Cinahl, Medline, and PsychInfo electronic databases. Keywords included postpartum depression, postpartum depressive symptoms, course, prevalence, incidence, and remission. STUDY SELECTION: Studies selected included incidence of maternal depression or depressive symptoms, existing in the early postpartum period, and measured again at postpartum points from 6 months through 2 1/2 years after delivery. Only studies published in English were included. Twenty-three articles were located, and a recent relevant study conducted by the current author also was included. DATA EXTRACTION: Studies were reviewed and data organized according to year, sample characteristics, time of depression assessment, instrument used, cutoff score, rate of depression, and factors associated with depression at later postpartum time points. DATA SYNTHESIS: For a significant percentage of women, postpartum depressive symptoms continue for months or even years after giving birth. Factors associated with postpartum depression at later time points are identified. CONCLUSIONS: Continued evaluation of women with elevated depression levels at initial screening, and treatment for women whose depression does not remit spontaneously within the first few weeks or months postpartum is recommended. Further research is needed to understand the phenomenon of persistent postpartum depression.

Chronic Disease↗
PubMedDate not supplied

Becoming an involved father of an infant.

UNLABELLED: DATA OBJECTIVE: To describe the experience of fatherhood in the early months after the birth of an infant through a metasynthesis of relevant qualitative studies. DATA SOURCES: Cinahl, PsychInfo, MEDLINE, and Social Work Abstracts electronic databases from 1990 through 2001 were searched using the terms qualitative, fathers, fatherhood, infants, father-infant relationship, and postpartum. STUDY SELECTION: Ten published articles, representing seven qualitative studies, focusing on the experiences of fathers of healthy infants were reviewed. Only studies published from 1990 through 2001 were selected to reflect more recent representations of fatherhood. DATA EXTRACTION AND SYNTHESIS: Using Noblit and Hare's metasynthesis approach, each study was carefully read, and key metaphors from each study were compared and translated by applying each of the metaphors to all the other studies. The study translations were synthesized into a whole, and the synthesis refined, leading to a description of the experience of being the father of an infant. CONCLUSIONS: The metasynthesis revealed that fathers of infants experienced four phases, represented by the following characteristics: (a) entering with expectations and intentions, (b) confronting reality, (c) creating one's role of involved father, and (d) reaping rewards. Contextual factors that influenced the father-infant relationship were identified. Implications for theory development, research, and clinical practice are discussed.

Adult↗
PubMedDate not supplied

Identifying and treating postpartum depression.

Postpartum depression affects 10% to 20% of women in the United States and negatively influences maternal, infant, and family health. Assessment of risk factors and depression symptoms is needed to identify women at risk for postpartum depression for early referral and treatment. Individual and group psychotherapy have demonstrated efficacy as treatments, and some complementary/alternative therapies show promise. Treatment considerations include severity of depression, whether a mother is breastfeeding, and mother's preference. Nurses who work with childbearing women can advise depressed mothers regarding treatment options, make appropriate recommendations, provide timely and accessible referrals, and encourage engagement in treatment.

Antidepressive Agents↗