Dissertation/Thesis Abstract

Seeking Help for Postpartum Depression: The Behavioral Model of Health Service Use as a framework for predicting Treatment Utilization for Postpartum Depression
by Bina, Rena, Ph.D., University of Maryland, Baltimore, 2011, 190; 3454676
Abstract (Summary)

Postpartum depression is a serious disorder that affects many women globally, as well as their children and entire families. Although various treatment methods for postpartum depression have been found to be helpful, very few women actually utilize these treatments. The Jewish Israeli ultra-orthodox community (48.5% of the sample) is known for its utmost under-utilization of mental health services, therefore putting the ultra-orthodox postpartum depressed women at high risk for going untreated. The reasons for the under-utilization of treatment for postpartum depression are unclear, and deserve a close investigation. The Behavioral Model of Health Service Use was used as a comprehensive framework for predicting and explaining seeking help for postpartum depression.

One thousand and fifty nine (1059) women who were recruited from a large hospital in Jerusalem, Israel one to two days postpartum completed the baseline survey; 805 (76%) of them participated at the 6-week follow up, of which 12% (N= 94) screened positive for postpartum depression symptoms and were referred for help. Of the 88 referred for help, 69% utilized some sort of help (34% utilized professional help and 90% utilized non-professional help); 31% of the women did not utilize any form of help. Predictors of screening positive for postpartum depression at the 6-week follow-up included being older, having fewer previous pregnancies, a lower income, and a history of depression. Levels of postpartum depression symptomatology significantly decreased from 6-weeks to 6-months postpartum, overall. Utilization of non-professional help and lower postpartum depression symptomatology at 6-weeks postpartum predicted lower depression symptoms at the 6-month follow-up. Finally, confidence in mental health professionals and higher level of postpartum depression symptomatology predicted utilization of professional help. Several implications for future research, theory building and social work practice are provided.

Indexing (document details)
Advisor: Harrington, Donna
Commitee: DeForge, Bruce, Lindsey, Michael, Pecukonis, Edward, Scrandis, Debra
School: University of Maryland, Baltimore
Department: Social Work
School Location: United States -- Maryland
Source: DAI-A 72/08, Dissertation Abstracts International
Source Type: DISSERTATION
Subjects: Mental health, Social work, Clinical psychology
Keywords: EPDS, Health service, Help-seeking, Postpartum depression, Seeking help, Treatment utilization, Ultra-orthodox, Women's mental health
Publication Number: 3454676
ISBN: 9781124645704
Copyright © 2019 ProQuest LLC. All rights reserved. Terms and Conditions Privacy Policy Cookie Policy
ProQuest