Listening Visits for maternal depression: a meta-analysis

McCabe, Jennifer E.; Wickberg, Birgitta; DeBerg, Jennifer; Davila, Rebecca Chuffo; Segre, Lisa S.

doi:10.1007/s00737-020-01101-4

Cited by 11 publications

(12 citation statements)

References 41 publications

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“…With regard to effectiveness of Listening Visits delivered by a nurse over Zoom, the small sample of women in this pilot realized a significant pre to post treatment decrease in depression symptoms. This preliminary finding aligns with the substantial empirical support for in-person Listening Visits ( 20 ) as well as evidence indicating that synchronous telehealth modality is as effective as psychotherapy delivered in person ( 31 ). In addition to reporting a significant decrease in depression symptoms across the trial, participants also reported high satisfaction with the intervention.…”

Section: Discussionsupporting

confidence: 81%

“…The efficacy of Listening Visits delivered by home visiting nurses has been empirically demonstrated in subsequent randomized controlled trials in the UK ( 15 , 16 ), Sweden ( 17 ), Norway ( 18 ), and the United States ( 19 ). A meta-analysis of these trials found a moderate effect size for Listening Visits as provided by home visitors to depressed postpartum women of full term infants ( 20 ).…”

Section: Introductionmentioning

confidence: 99%

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Telehealth Listening Visits for emotionally distressed mothers of hospitalized newborns: Proof-of-concept

et al. 2022

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ProblemNewborn admission to the neonatal intensive care unit (NICU) is stressful. Yet in clinical practice, at best, NICU mothers are screened for depression and if indicated, referred to a mental-health specialist. At worst, no action is taken. Listening Visits, an empirically supported nurse-delivered intervention addressing emotional distress, can be conveniently provided by a NICU nurse. Prompted by the need to minimize face-to-face contacts during the pandemic, the primary purpose of this small pilot trial was to assess the feasibility of having nurses provide Listening Visits to NICU mothers over Zoom. Secondarily, we assessed pre-to post-Listening Visits depression symptom scores as a preliminary evaluation of the effectiveness of this type of support.Materials and methodsNine NICU mothers with mildly to moderately severe depression symptoms received up to six Listening Visits sessions from a NICU nurse via Zoom. Participants completed the Inventory Depression and Anxiety Symptoms-General Depression scale (IDAS-GD) at study entry and 4- and 8-weeks post enrollment. They completed the Client Satisfaction Questionnaire (CSQ) at the 8-week assessment.ResultsUsing an intent-to-treat approach, the effect of time from the mixed model analysis of IDAS-GD was statistically significant (F(2,26) = 10.50, p < 0.001), indicating improvement in IDAS-GD scores from baseline to follow-up. The average CSQ score was high (M = 29.0, SD = 3.3), with 75% of participants rating the quality of help they received as “excellent”.DiscussionIn this pilot trial, we learned it is feasible to provide Listening Visits over Zoom, that this mode of delivery is associated with a significant decrease in depression symptom scores, and that women value this approach.Clinical trial registration[https://clinicaltrials.gov/], identifier [#201805961].

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Telehealth Listening Visits for emotionally distressed mothers of hospitalized newborns: Proof-of-concept

et al. 2022

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“…No one judged or laughed at their decision to give DHM or questioned its value – all experiences that breastfeeding women have reported [ 39 – 41 ]. Instead, mothers felt heard, validated, and reassured, key components in protecting maternal mental health [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Receiving screened donor human milk for their infant supports parental wellbeing: a mixed-methods study

Brown

Shenker

2022

BMC Pregnancy Childbirth

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Background Access to donor human milk (DHM) has primarily been based on the health and development outcomes of premature infants but there has been little examination of the broader impact of an infant receiving it upon parental mental health. Breastfeeding and mental health are closely tied with women who experience breastfeeding difficulties or are unable to meet their own breastfeeding goals often experiencing feelings of guilt, sadness and anger, alongside an increased risk of postnatal depression. The aim of the current study was to explore how experience of receiving DHM for their baby affected the wellbeing of parents. Methods UK parents of infants aged 0 – 12 months who had received screened DHM from a milk bank (typically on the neonatal unit or in some cases in the community) completed an online questionnaire exploring their experiences. The questionnaire included Likert scale items examining perceived impact upon infant health, own wellbeing and family functioning alongside open-ended questions exploring perceptions of how receiving DHM affected wellbeing. Results Almost all of the 107 participants (women = 102) agreed that receiving DHM had a positive impact upon infant health and development, their own mental and physical health, and their family’s wellbeing. Parents felt relieved that their infant was receiving DHM for health reasons but also due to the experience of being listened to, supported and having their infant feeding decisions facilitated. Receiving DHM helped mothers to process some of their emotions at not being able to breastfeed, in part because knowing their baby was being fed gave them the space to focus on recovery and bonding with their baby. Some parents did experience challenges, feeling guilty at receiving DHM, insecure that another woman was able to feed their baby when they could not, or negative reactions from family. Although the impact of receiving DHM upon breastfeeding was not measured, some women who were working to build their own milk supply noted that it helped motivate them to continue. Conclusions DHM may play an important role not only in protecting infant health and development but in supporting the mental health and wellbeing of mothers for whom their infant receiving human milk is important.

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“…Access to psychologists, psychiatrists, or family physicians if women present with depressive symptoms is important, for women to get adequate help. Another important treatment might be to further introduce Listening Visits, an option suggested as an effective, first-line treatment of maternal depression for mothers with mild to moderately severe depression symptoms, as shown in a recent metaanalysis of six studies (McCabe et al 2021). Research shows that a majority of women prefer to talk about their feelings with a non-judgmental empathic listener with knowledge about mental health in the post-partum period (Dennis and Chung-Lee 2006).…”

Section: Discussionmentioning

confidence: 99%

Depressive symptoms during pregnancy and after birth in women living in Sweden who received treatments for fear of birth

Hildingsson

Rubertsson

2022

Arch Womens Ment Health

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The aim of this study was to investigate the prevalence of depressive symptoms and associated factors in women who underwent treatments for fear of birth; internet-based cognitive therapy, counseling with midwives, continuity with a known midwife or standard care. A secondary analysis was performed using data collected from four samples of women identified with fear of birth and receiving treatment with different methods. A questionnaire was used to collect data in mid-pregnancy and at follow-up 2 months after birth. Depressive symptoms were assessed using the Edinburgh Postnatal Depressive Scale. In mid-pregnancy, 32% of the 422 women with fear of birth also reported a co-morbidity with depressive symptoms. At postpartum follow-up, 19% reported depressive symptoms 2 months after birth, and 12% showed continued or recurrent depressive symptoms identified both during pregnancy and postpartum. A history of mental health problems was the strongest risk factor for presenting with depressive symptoms. None of the treatment options in this study was superior in reducing depressive symptoms. This study showed a significant co-morbidity and overlap between fear of birth and depressive symptoms. Screening for depressive symptoms and fear of birth during pregnancy is important to identify women at risk and offer specific treatment.

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Listening Visits for maternal depression: a meta-analysis

Cited by 11 publications

References 41 publications

Telehealth Listening Visits for emotionally distressed mothers of hospitalized newborns: Proof-of-concept

Telehealth Listening Visits for emotionally distressed mothers of hospitalized newborns: Proof-of-concept

Receiving screened donor human milk for their infant supports parental wellbeing: a mixed-methods study

Depressive symptoms during pregnancy and after birth in women living in Sweden who received treatments for fear of birth

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