PMID: 8961408Dec 1, 1996Paper

Depression in the work of British health visitors: clinical facets

Social Science & Medicine
M Sheppard

Abstract

The primary health care setting has been established as a key venue for identifying and working with depression. Despite this, and the high risk of depression experienced by women in the post-natal period, maternal depression has been little examined in the work of health visitors. This study focuses on clinical facets of this work, including the rate and content of depression amongst health visitor attenders, the capacity of health visitors to identify accurately the presence of depression, the relationship between depression and child abuse and child behavioural issues, variations in the practice of health visitors and work with other professionals. In a cohort of 701, 11% of women were depressed, with distinguishing symptoms including fatigability, disgust/hate of herself and a sense of failure. Health visitors were not generally accurate in their identification of depression, were significantly more likely to see depressed women at home (than at clinic), but there was little difference in mean frequency of consultations according to whether or not the women were depressed. Urban health visitors had a higher mean frequency of consultations, but rural health visitors showed a rather greater tendency to increase frequency of c...Continue Reading

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Citations

Dec 31, 1997·Journal of Advanced Nursing·M Sheppard
Oct 18, 2006·Journal of Advanced Nursing·Anne Lazenbatt, Ruth Freeman
Oct 9, 2002·Social Work in Health Care·Wes SheraShula Ramon
Feb 13, 1999·American Journal of Industrial Medicine·J D Meyer, C Muntaner

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