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Psychosocial Intervention for Mood Disorders in Postpartum Women

Psychosocial Intervention for Mood Disorders in Postpartum Women

The provision of quality and safe care is based on the availability of evidence in a given intervention. In reviewing the significance of psychosocial interventions in the management and reduction of mood disorders’ symptoms as described in the PICOT statement, it is essential to understand the different interventions for addressing mental disorders such as depression associated with pregnancy. The analysis reviews a study by Yongmei Hou et al. titled “Cognitive behavioural therapy in combination with systemic family therapy improves mild to moderate postpartum depression.” Further, the paper relates study findings to the PICOT question for the research.

Credentials

Hou Yongmei has extensive knowledge of mental health and psychological issues as the author attended Guangdong medical college. As a member of the Department of psychology at Guangdong Medical College, Hou is well suited to research issues related to mental health and possibly intervention for addressing mental illnesses. He is a professor at Peking University’s health science center. He is also a clinical doctor in the Medical Psychology department of parking university. Zhang is a professor working in the Maternal and child health hospital of Dongguan. Zhang focuses on factors that influence the lives of children under the age of five years, including factors related to their mothers. Qiaoyun et al. is also excellent researchers with background knowledge in nursing, postnatal care, and medical areas providing their valuable expertise in these areas to address the goals of the study.

Further, they all work in the Department of Psychology at Guangdong medical college, positions that give them extensive experience in exploring the issue of depression and specifically in pregnant mothers. Finally, Zou, as part of the authors in the research, works in the department of psychology at the affiliated hospital of Guangdong medical college. All the authors have background knowledge in psychology giving them the ability to explore all important areas of the research.

Study Purpose

Postpartum depression is common among women who are pregnant or those with little children. At this point, it is important for healthcare providers to identify strategies for addressing issues of depression as they result in significant negative effects. Adopting effective therapeutic interventions for postpartum depression is essential in improving mild to moderate postpartum depression. A therapy may work for a given patient, but combinations of therapies at times would yield significant positive impacts. The study by Hou et al. (2014) focused on exploring the effects of combining systemic family therapy and cognitive behavioral therapy pm sleep quality, and postpartum depression. In determining the impact of systemic family therapy and cognitive behavioral therapy, the researchers used a sample of 249 women with mild to moderate postpartum depression and assigned them to the intervention and control groups.

Study Outcomes

By diving the 249 women with mild to moderate postpartum depression into two groups, 128 into the control group and 121 into the intervention group, the researchers provided postpartum care (combined interventions) to the intervention group. Afterward, the Pittsburgh sleep quality index (PDQI) and Edinburgh postnatal depression scale (EPDS) was administered to the groups to evaluate the impact of the intervention (Hou et al. 2014). Before the intervention, there were no changes in PSQI and EPDS scores for the two groups. However, when a combination of systemic family therapy and cognitive behavioral therapy was administered, the PSQI and EPDS scores in the intervention group were significantly lower compared to those of the control group. The study findings indicate that the interventions were effective as a result, indicated that the combination of SFT and CBT could improve the symptoms of quality of sleep and depression in women with postpartum depression for three months (Hou et al. 2014).

Relation to the PICOT

The PICOT seeks to determine the impact of psychological interventions on improving the mental status of postpartum women with mood disorders. At postpartum, women tend to develop depression and other mood disorders. It is the responsibility of healthcare providers to identify the best approaches for addressing these issues. The study focused on determining the impact of a combination of systemic family therapy and cognitive behavioral therapy on improving postpartum depression (Hou et al., 2014). The study findings indicate that the combination improves sleep quality and decreases depression in patients with postpartum depression. The findings are in support of the PICOT as they identify the interventions that could help address issues of mood disorders.

Conclusion

It is important to identify the best approaches to addressing issues of mood disorders for the attainment of the project objectives. The study by Hou et al. (2014) identifies two important medical interventions for addressing depression, a mood disorder that is common among postnatal women. The study findings demonstrate that a combination of therapies has a significant impact on influencing the mental state of postnatal women.

Reference

Hou, Y., Hu, P., Zhang, Y., Lu, Q., Wang, D., Yin, L., … & Zou, X. (2014). Cognitive behavioral therapy, in combination with systemic family therapy, improves mild to moderate postpartum depression. Revista Brasileira de Psiquiatria, 36(1), 47-52.

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Question 


Directions:

In this discussion, you’ll describe a patient with a mood disorder and the appropriate nursing interventions. Please answer the following questions in your initial posting:

Describe a client from your clinical setting or previous experience who experienced depression or mania. Include a brief history and 3-5 most pertinent medications.

Psychosocial Intervention for Mood Disorders in Postpartum Women

Psychosocial Intervention for Mood Disorders in Postpartum Women

Identify one problem that was not resolved with the treatment regimen. What are the reasons it may not have been successful? Include nursing as well as other team members.

Identify one effective nursing intervention and why you feel it worked.

Overall, do you feel this client was kept safe? Why or why not?

Please provide supporting evidence for your answers.

Respond to at least two other classmates and explain if you agree or disagree with how they would handle a client who was having those symptoms. If you do not agree, please provide how they could have approached the client differently.

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