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There is a danger of ‘channelling’ women into certain diagnoses when we use symptom checklists or a ‘tick box’ approach. Some tools, particularly the medically-derived ones, don’t always allow for the complexity of the situation to become apparent, being uni-dimensional in their approach. The benefit of a good quality of life instrument is that it can allow the woman to specify a range of opinions or emotions, something we are trying to develop with the Mother-Generated Index (MGI). This multi- dimensional approach is far more holistic, and offers a good way of understanding how the women feels. Andrew Symon University of Dundee On 10 Mar 2003, at 23:42, Jane Sandall wrote: > Exhaustion vs. depressionI found this in my research which eaxmined burnout in midwives in the UK. The maslach burnout inventory is a 22 item inventory which breaks down into three separate sub-scales, 2 measuring burnout and one measuring positive emotion 1) depersonalisation/extreme end of burnout, 2)emotional exhaustion 3) personal accomplishment > > I found some midwives scored high on personal accomplishment and emotional exhaustion. In the piloting, the typical situation was following a long hard birthing. I think it is very very important when looking at negative emotions, that we also have a measure of positive emotions and dont assume that that they are dichotomous. > regards > Jane Sandall > > ----- Original Message ----- > From: Debbie Sen > To: [log in to unmask] > Sent: Monday, March 10, 2003 1:08 PM > Subject: Exhaustion vs. depression > > > Dear All > I was wondering if anyone could help. I am getting some very interesting data from my PhD work on Parents Coping with Twins, however a very interesting concept is emerging. This relates to a dilemma about mothers in particular who self report exhaustion but state they don't feel depressed. Interestingly these mothers are scoring "positive" on the EPNDS and if seen by their GP are prescribe d anti-depressants. Could I ask if anyone is aware of literature pertaining to this issue. > > Many thanks > > Debbie Sen > > Debbie Sen > Senior Research Midwife/NHSE Fellow > Newcastle Midwifery Research Team > 4th Floor, Leazes Wing > Royal Victoria Infirmary > Queen Victoria Rd > Newcastle upon Tyne > NE1 4LP > > Work No: 0191 282 5781 > Fax No: 0191 282 0444 > Mobile No: 07734 681127 > > > > --- > Outgoing mail is certified Virus Free. > Checked by AVG anti-virus system (http://www.grisoft.com). > Version: 6.0.459 / Virus Database: 258 - Release Date: 25/02/03 > > >