Stepped care for maternal mental health: a case study of the perinatal mental health project in South Africa

dc.contributor.authorHonikman, Simoneen_ZA
dc.contributor.authorvan Heyningen, Thandien_ZA
dc.contributor.authorField, Sallyen_ZA
dc.contributor.authorBaron, Emilyen_ZA
dc.contributor.authorTomlinson, Marken_ZA
dc.date.accessioned2016-01-11T06:52:38Z
dc.date.available2016-01-11T06:52:38Z
dc.date.issued2012en_ZA
dc.description.abstractCommon mental disorders such as anxiety and depression are the third leading causes of disease burden globally for women between 14 and 44 years of age [1]. By 2030, these are expected to rise to first place, ranked above heart disease and road traffic injuries [2]. A recent systematic review reveals that maternal mental disorders are approximately three times more prevalent in low- and middle-income countries (LMICs) than in high-income countries (HICs), where the related burden of disease estimates range between 5.2% and 32.9% [3],4. In HICs, maternal suicide is the leading cause of death during the perinatal period, and while there is a relative dearth of information about maternal suicide in LMICs, the estimates are similarly high [5],[6]. Untreated maternal mental illness affects infant and child growth [7] and the quality of child care [8], resulting in compromised child development [4],[9]. Community-based epidemiological studies in South Africa have shown high prevalence rates of depressed mood amongst pregnant and postnatal women. In a low-income, informal settlement outside of Cape Town, 39% of pregnant women screened positive on the Edinburgh Postnatal Depression Scale (EPDS) for depressed mood [10] and 34.7% of postnatal women were diagnosed with depression [11]. In a rural area of KwaZulu-Natal province with high HIV prevalence, 47% of women were diagnosed with depression in their third trimester of pregnancy [12].en_ZA
dc.identifier.apacitationHonikman, S., van Heyningen, T., Field, S., Baron, E., & Tomlinson, M. (2012). Stepped care for maternal mental health: a case study of the perinatal mental health project in South Africa. <i>PLOS Medicince</i>, http://hdl.handle.net/11427/16265en_ZA
dc.identifier.chicagocitationHonikman, Simone, Thandi van Heyningen, Sally Field, Emily Baron, and Mark Tomlinson "Stepped care for maternal mental health: a case study of the perinatal mental health project in South Africa." <i>PLOS Medicince</i> (2012) http://hdl.handle.net/11427/16265en_ZA
dc.identifier.citationHonikman, S., van Heyningen, T., Field, S., Baron, E., & Tomlinson, M. (2012). Stepped care for maternal mental health: a case study of the perinatal mental health project in South Africa. PLoS Med, 9(5), e1001222. doi:10.1371/journal.pmed.1001222en_ZA
dc.identifier.ris TY - Journal Article AU - Honikman, Simone AU - van Heyningen, Thandi AU - Field, Sally AU - Baron, Emily AU - Tomlinson, Mark AB - Common mental disorders such as anxiety and depression are the third leading causes of disease burden globally for women between 14 and 44 years of age [1]. By 2030, these are expected to rise to first place, ranked above heart disease and road traffic injuries [2]. A recent systematic review reveals that maternal mental disorders are approximately three times more prevalent in low- and middle-income countries (LMICs) than in high-income countries (HICs), where the related burden of disease estimates range between 5.2% and 32.9% [3],4. In HICs, maternal suicide is the leading cause of death during the perinatal period, and while there is a relative dearth of information about maternal suicide in LMICs, the estimates are similarly high [5],[6]. Untreated maternal mental illness affects infant and child growth [7] and the quality of child care [8], resulting in compromised child development [4],[9]. Community-based epidemiological studies in South Africa have shown high prevalence rates of depressed mood amongst pregnant and postnatal women. In a low-income, informal settlement outside of Cape Town, 39% of pregnant women screened positive on the Edinburgh Postnatal Depression Scale (EPDS) for depressed mood [10] and 34.7% of postnatal women were diagnosed with depression [11]. In a rural area of KwaZulu-Natal province with high HIV prevalence, 47% of women were diagnosed with depression in their third trimester of pregnancy [12]. DA - 2012 DB - OpenUCT DO - 10.1371/journal.pmed.1001222 DP - University of Cape Town J1 - PLOS Medicince LK - https://open.uct.ac.za PB - University of Cape Town PY - 2012 T1 - Stepped care for maternal mental health: a case study of the perinatal mental health project in South Africa TI - Stepped care for maternal mental health: a case study of the perinatal mental health project in South Africa UR - http://hdl.handle.net/11427/16265 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/16265
dc.identifier.urihttp://dx.doi.org/10.1371/journal.pmed.1001222
dc.identifier.vancouvercitationHonikman S, van Heyningen T, Field S, Baron E, Tomlinson M. Stepped care for maternal mental health: a case study of the perinatal mental health project in South Africa. PLOS Medicince. 2012; http://hdl.handle.net/11427/16265.en_ZA
dc.language.isoengen_ZA
dc.publisherPublic Library of Scienceen_ZA
dc.publisher.departmentCentre for Public Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_ZA
dc.rights.holder© 2012 Honikman et alen_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/4.0en_ZA
dc.sourcePLOS Medicinceen_ZA
dc.source.urihttp://journals.plos.org/plosmedicineen_ZA
dc.subject.otherMental health and psychiatryen_ZA
dc.subject.otherHealth screeningen_ZA
dc.subject.otherPregnancyen_ZA
dc.subject.otherAntenatal careen_ZA
dc.subject.otherPrimary careen_ZA
dc.subject.otherAllied health care professionalsen_ZA
dc.subject.otherMidwivesen_ZA
dc.subject.otherObstetrics and gynecologyen_ZA
dc.titleStepped care for maternal mental health: a case study of the perinatal mental health project in South Africaen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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