Support preferences among women with and without postpartum depression and anxiety disorder
Bibliographic record
Abstract
Abstract Background Some women struggle with mental health problems such as postpartum depression (PPD) or postpartum anxiety disorder (PAD) after giving birth. This can have a negative impact on the new mother, the infant, and the whole family. However, many women experiencing PPD and/or PAD go unrecognized and untreated. Since appropriate support is essential, efforts should be made to facilitate women’s help-seeking behavior. The purpose of this study was to improve the mental health of postpartum women by understanding their specific support preferences. To this end, the preferences for counseling and treatment services, as well as the service delivery mode among women with PPD, PAD, comorbid PPD and PAD, and women with neither PPD nor PAD were examined. Methods In the cross-sectional study INVITE, mothers (n = 2,031) were interviewed via telephone about three to four months after birth. PPD was assessed using the Edinburgh Postnatal Depression Scale (EPDS), PAD was assessed using the anxiety scale of the Symptom-Checklist-90-Revised (SCL-90-R), and preferences for services and delivery modes were assessed using self-generated questionnaires. Analyses of covariance were performed to examine differences between the symptom groups. Results All women preferred the support of (family) midwives and family, friends, or colleagues and to talk to someone in person. Analysis of covariance showed that, overall, women with PPD preferred all services less than women with neither PPD nor PAD. Furthermore, women with PPD preferred psychotherapeutic services (e.g., inpatient clinic and outpatient clinic/treatment) less, and women with comorbid PPD and PAD preferred professional and personal confidants (e.g., midwife and women in the same situation) less than all other women. Women did not differ in their preferences for service delivery mode. Conclusions This study provides unique insight into postpartum women’s preferences for various services and delivery modes. Results showed that women differ in their preferences for services depending on their symptoms. This should be considered when making referrals, and postpartum support should be better tailored to mothers’ wishes and needs to improve help-seeking behavior and ultimately postpartum mental health.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.073 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".