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BMJ. 1989 Jan 28;298(6668):223-6.

Counselling in a general practice setting: controlled study of health visitor intervention in treatment of postnatal depression.

Author information

1
Department of Psychiatry, University of Edinburgh.

Abstract

OBJECTIVE:

To determine whether counselling by health visitors is helpful in managing postnatal depression.

DESIGN:

Controlled, random order trial.

SETTING:

Health centres in Edinburgh and Livingston.

PATIENTS:

Sixty women identified as depressed by screening at six weeks post partum and by psychiatric interview at about 13 weeks post partum. Five women did not wish to participate, and a further five did not complete the trial. Age, social and obstetric factors, and diagnosis were similar in women who completed the trial and those who withdrew.

INTERVENTION:

Eight weekly counselling visits by health visitors who had been given a short training in counselling for postnatal depression.

END POINT:

Reduction of depression. MEASUREMENTS and main results--Standardised psychiatric interviews and a 10 point self report scale were used to identify depression before and after intervention. The psychiatrist was not told to which group women were allocated. After three months 18 (69%) of the 26 women in the treatment group had fully recovered compared with nine (38%) of the 24 in the control group. The difference between the groups was thus 32% (95% confidence interval 5 to 58).

CONCLUSIONS:

Counselling by health visitors is valuable in managing non-psychotic postnatal depression.

PMID:
2493868
PMCID:
PMC1835559
[Indexed for MEDLINE]
Free PMC Article
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