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NewsEighth
Newsletter of the Australasian Branch of the Marcé Society Conference ReportManchester does have more than a soccer team! I can vouch for a good (well, by English standards) Turkish and Japanese restaurant, and those of us who attended the conference dinner were impressed by the town hall (even by European standards an impressive piece of architecture). The conference - the real reason we were all there - had an impressive Australian and New Zealand contingent, as well as a mixture of old and new faces from UK, USA, France, South Africa, Canada and Hong Kong. The new Executive has a strong Australasian representation, with Philip Boyce as President and Jane Fisher as Secretary. Under Louis Appleby, the outgoing President, staff have been appointed to help with administration, and hopefully this will result in a functional web site, as well as the newsletters which are already far more regular than they have been in previous years. The new President elect, Lynn Murray will see a return of the International conference to the UK in 2004 (she is currently based in Reading), after the 2002 conference in Sydney. The biannual general meeting saw some discussion about the spending of funds and in particular members were keen to see some plan presented for future spending and direction, presented at these meetings. The conference had a number of plenary session speakers. These included Cheryl Tatano Beck, Kathy Wisner and Michael O'Hara from USA, Michael Meaney from Canada and a British contingent including Peter Cooper, Lynn Murray and Eugene Paykel. From the biological perspective the conference provided a few interesting perspectives. Michael Meaney provided interesting data, largely from rat studies, looking at differences in maternal care (this means licking in rats!) and whether this was genetic or learnt. Of particular interest was the rats that were licked more, handled stress as an adult significantly better, suggesting neural development issues for this early behaviour, which may be applicable to humans. Louis Appleby's research team provided some very early data (three patients only) of a neuroimaging study looking at cerebral blood flow in women with schizophrenia (vs controls) whilst actually interacting with their infants. The differences clinically observed between the interactions of normal versus mothers with schizophrenia was powerfully correlated in the functional magnetic resonance images presented. Anterior sulcate gyrus and temporal highlighting was prominent in the normal mother, but diminished or absent in the other two women. Katherine Wisner presented the paper she had been called away from presenting in Iowa two years ago with some more clinical biological research. She has abandoned her study of prophylactic nortriptyline in at risk women, concluding it does not work, and that the exposure via breastmilk to the infant with no benefit to the mother, made it unethical. She is however, now trying sertraline to see if it is effective. From a non-biological perspective Lynn Murray presented more interesting video footage of childhood interactions, presenting data on differing cognitions of children of depressed mothers. Dominic Lee from Hong Kong alerted us to cultural differences, of relevance in Australasia given our large population of Vietnamese-Chinese immigrants; I was left with a vivid picture of frantic postpartum women fleeing into mainland China when the Hong Kong chicken flu meant they couldn't get the required daily chicken, believed to be an important part of postpartum healing. As always, the meeting was a friendly one and a great chance to catch up with international (and interstate) colleagues. If you weren't able to make this one, I certainly recommend that you try to get to the next - either the Australasian one in Christchurch next year, or Sydney 2002. Presentations at Marcé Conference 2000Below is a list of titles of papers presented at the above conference. If you wish to have a copy of any of the papers please contact: A/Professor Anne Buist, 61 3 9496 2940(P), 61 3 9496 2360 (F) or email: a.buist@medicine.unimelb.edu.au A randomised controlled trial to assess the effect of specialised midwifery care on rates of postnatal depression in high risk women. M.Marks, K. Siddle et al. Perinatal Section, Department of Psychiatry, King's College Hospital Postpartum blues: a risk factor for postpartum depression. CA Henshaw, DM Foreman et al. Department of Psychiatry, School of Postgraduate Medicine, Keele University, United Kingdom. Exhaustion, anxiety or depression? Nature, severity and correlates of psychological distress in women admitted to a private hospital Mother Baby Unit. J Fisher and C Feekery. Key Centre for Women's Health in Society, University of Melbourne, Victoria. Randomised Trial of Antenatal Intervention to Prevent Maternal Depression and Negative Child Outcomes: findings at one year and implications for theory and practice. Brugha TS, Wheatley S et al. Section of Social and Epidemi9ological Psychiatry, Department of Psychiatry, University of Leicester. Childbirth events, postnatal physical health and symptoms of postnatal depression. D Ellwood, J Thompson et al. Department of Obstetrics & Gynaecology, University of Sydney, Canberra Clinical School, Canberra ACT Australia The epidemiology of puerperal psychosis. Terp IM, Mortensen PB et al. Department of Psychiatry, KAS Glostrup, Nordre Ringvej DK-2600 Glostrup, Denmark. Functioning and well-being at 24 weeks postpartum of women with postnatal depression. P Boyce, S Johnstone et al. Department of Psychological Medicine, University of Sydney, Nepean Hospital, Orange, New South Wales Australia. The psychosocial characteristics of mothers with psychosis. L Howard, G Thornicroft et al. Sections of Perinatal Psychiatry and Community Psychiatry, Institute of Psychiatry, De Crespigny Park, London SE5 8AF Puerperal psychosis: 23 year follow-up. SA Robling, ES Paykel et al. Department of Psychiatry, University of Cambridge, Addenbrooke's Hospital, Cambridge. Predictors of Clinical Outcome, Other Outcomes and Risk of Harm to Babies using Data from the National Audit of Mother and Baby Admissions to Psychiatric Hospitals. MP Salmon and L Appleby. School of Psychiatry and Behavioural Sciences, University of Manchester, Manchester M20 2LR Neonaticide in America: a systematic investigation. M Spinelli. College of Physicians and Surgeons of Columbia University, The New York State, Psychiatric Institute, New York 10032. Box #123 Postnatal depression - a paediatric perspective. D Hall, Community Services Centre. Northern General Hospital, Herries Road, Sheffield UK Molecular genetic approaches to puerperal psychosis. I Jones, C Lendon et al. Division of Neuroscience, University of Birmingham, Queen Elizabeth Psychiatric Hospital, Birmingham B15 2QZ What does "doing the month" tell us about Chinese women, modernity and depression? L Dominic, The Chinese University of Hong Kong Childhood sexual abuse, postpartum depression and parenting. A Buist. Department of Psychiatry, repatriation Campus, Austin and Repatriation medical Centre, Locked Bag 1, West Heidelberg Victoria Australia An investigation of the mental health of men during the postnatal period. J Condon, P Boyce et al. Repatriation Hospital, Daw Park, South Australia, Australia. Maternal Responsiveness to Infants: A Pilot Neuroimaging Study. S Ranote, L Appleby et al. Deakin Department of Psychiatry, Withington Hospital, Nell Lane, W Didsbury, Manchester M20 8LR. The long-term impact of postnatal depression mood on the Mother-Child Interaction. M Edhborg, W Lundh et al. Karolinska Institute, Stockholm, Sweden Benefits of infant massage for mother infant interaction in mothers with postnatal depression. V Glover, K Taniguchi et al. Queen Charlotte's and Chelsea Hospital, London W6 OXG Psychotropic medications in pregnant and breastfeeding women: a review of the literature and treatment guidelines. MP Austin, P Mitchell. Liaison Psychiatry, Prince of Wales Hospital, Randwick Sydney Australia. A randomised controlled trial of non-pharmacological intervention for postnatal depression. J Milgrom, P Martin et al. Department of Clinical Health and Psychology, Austin and Repatriation Medical Centre, West Heidelberg Vic 3081 Australia Does a protocol improve health visitor adherence to guidelines for detection and management of postnatal depression? A Gregoire, Salisbury Health Care NHS Trust, Perinatal Mental Health Service, Salisbury, Wiltshire SP2 7EP Cognitive behavioural counselling: implications of a training project on Health Visitor practice. E Hirst, L Appleby. Department of Psychiatry, Withington Hospital, West Didsbury, Manchester, M20 8LR Interpersonal psychotherapy for antepartum depression: a controlled clinical treatment trial. M Spinelli College of Physicians and Surgeons of Columbia University, New York State Psychiatric Institute. New York 10032 Perinatal maternal mental health services: The Royal College of Psychiatrists report on recommendations for the provision of mental health services for childbearing women. M Oates, Department of Psychiatry, Queens Medical Centre, Notts NG7 2UH The Cost and Effectiveness of Two Alternative Approaches to the treatment of Postnatal Depression. E Boath, K Major et al. Centre for Health Policy & Practice, School of Health Staffordshire University, Staffordshire England ST 18 0AD Prevention of recurrent postpartum depression: a randomised clinical trial. K Wisner, J Perel et al. Departments of Psychiatry and Reproductive Biology, Case Western Reserve University School of Medicine, Cleveland. ReminderHave you paid your subscription? If not, please forward A$40.00 to: Ms L Clarke Address for correspondence/contributors: A/Professor
A Buist
Contributions should be signed by all authors and forwarded as one hard copy, and on a disk with a covering letter detailing the word processing program and the name. Contributions from all members are welcomed on research, information on clinical services, relevant meetings and book reviews. The editor retains the right to accept or reject any article and to make editorial changes.
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