Spitzer Department of Social Work and the Center for Women's Health Studies and Promotion, Ben Gurion University of the Negev, POB 653, 84105, Beer Sheva, Israel.
Isr J Health Policy Res. 2019 Dec 5;8(1):84. doi: 10.1186/s13584-019-0354-0.
The prevalence rate of postpartum depression (PPD) is 9 to 17% among mothers, with higher rates among low income and immigrant populations. Due to the negative effects of PPD symptoms on both the mother and baby, treating mothers with depression symptoms is of great importance. This study examined treatment preferences for PPD among Israeli mothers with and without PPD symptoms, specifically focusing on treatment centers, type of professional and mode of treatment, to help develop relevant policies to promote the health of mothers by reaching a deeper understanding of their preferences.
1000 mothers who attended Maternal Child Health Clinics (MCHCs) in Israel for their infant's first medical exam participated in a cross-sectional survey.
In this sample, 8.4% of the participants suffered from PPD. Mothers with PPD compared to those without symptoms had lower economic status, were more likely to be single, to be first-time mothers, have an unemployed partner and to have immigrated to Israel. Mothers with PPD preferred private mental health practice and community treatment centers by mental healthcare professionals. They also preferred group interventions and personal psychotherapy rather than technology-based interventions.
The study findings support the formulation of mother-sensitive health policies based on understanding mothers' preferences, and thus, help prepare treatment alternatives that will suit different groups of mothers with PPD, for the benefit of mothers, newborns, and families. Disseminating the results of this study among professionals as part of professional training, can promote appropriate treatment facilities and modes of care for mothers with PPD.
产后抑郁症（PPD）在母亲中的患病率为 9%至 17%，在低收入和移民群体中患病率更高。由于 PPD 症状对母亲和婴儿都有负面影响，因此治疗有抑郁症状的母亲非常重要。本研究调查了以色列有和没有 PPD 症状的母亲对 PPD 的治疗偏好，特别是关注治疗中心、专业类型和治疗模式，以帮助制定相关政策，通过深入了解她们的偏好来促进母亲的健康。
1000 名在以色列为婴儿首次体检而前往母婴健康诊所（MCHC）的母亲参加了横断面调查。
在该样本中，8.4%的参与者患有 PPD。与无症状的母亲相比，患有 PPD 的母亲经济状况较差，更有可能是单身、初为人母、失业伴侣和移民到以色列。患有 PPD 的母亲更喜欢私人心理健康实践和社区心理健康治疗中心的精神健康专业人员。她们还更喜欢小组干预和个人心理治疗，而不是基于技术的干预。
研究结果支持制定基于了解母亲偏好的母亲敏感型卫生政策，并因此帮助为不同群体的患有 PPD 的母亲制定适合的治疗选择，造福于母亲、新生儿和家庭。在专业培训中向专业人员传播本研究的结果，可以促进为患有 PPD 的母亲提供适当的治疗设施和护理模式。
