Exploring Recovery Outcomes in Perinatal Mental Health and Psychosis Populations

Smallman, Victoria (2023) Exploring Recovery Outcomes in Perinatal Mental Health and Psychosis Populations. Doctoral thesis, University of East Anglia.

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Abstract

Background
The perinatal period is important and mental health difficulties during this time can have long-term consequences for mother and baby. Perinatal mental health research has grown considerably over the last 10 years and sits alongside marked increases in NHS funding. However, there are gaps in understanding longer term functional outcomes. Conversely, research exploring novel interventions for functional recovery in psychosis outside of the perinatal period continues to grow. This portfolio aims to explore the recovery outcomes in both perinatal mental health and psychosis populations, exploring long-term outcomes in perinatal mothers with clinical mental health diagnoses, and exploring variations in delivery of Social Recovery Therapy (SRT) in the SUPEREDEN trial (Fowler et al., 2018).

Method
The review within this portfolio follows a systematic approach to searching and screening the research literature, including 17 studies with 4452 perinatal mothers with clinical mental health diagnoses. The empirical paper is a secondary analysis exploring the delivery of SRT in people recovering from first episode psychosis.

Results
The systematic review shows a wide range of recovery rates for mothers with perinatal mental health difficulties across a long-term follow-up period, with 35-94% mothers experiencing remission in depression and 36-66% in postpartum psychosis samples. The empirical paper found significant baseline differences between groups who received different types of SRT. Compared to the ‘full’ and ‘partial’ groups, the ‘no dose’ group reported significantly lower premorbid levels of scholastic achievement and lower levels of higher education.

Conclusion
The systematic review shows varying symptomatic recovery rates in the long term, however, less is known about functional recovery. For mothers with postpartum psychosis, research shows mothers can recover and we could consider using psychosis literature to further understand and promote functional recovery. Interventions like SRT could support functional recovery in this population, however further research would be needed.

Item Type:	Thesis (Doctoral)
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User:	Chris White
Date Deposited:	31 May 2023 14:47
Last Modified:	31 May 2023 14:47
URI:	https://ueaeprints.uea.ac.uk/id/eprint/92216
DOI:

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