Dawn Zinga

Postpartum depression: we know the risks, can it be prevented?

In the past 20 years, there has been increasing recognition that for some women, pregnancy may be burdened with mood problems, in particular depression, that may impact both mother and child. With identification of risk factors for postpartum depression and a growing knowledge about a biologic vulnerability for mood change following delivery, research has accumulated on attempts to prevent postpartum depression using various psychosocial, psychopharmacologic, and hormonal strategies. The majority of psychosocial and hormonal strategies have shown little effect on postpartum depression. Notwithstanding, results from preliminary trials of interpersonal therapy, cognitive-behavioural therapy, and antidepressants indicate that these strategies may be of benefit. Information on prevention of postpartum depression using dietary supplements is sparse and the available evidence is inconclusive. Although a few studies show promising results, more rigorous trials are required. The abounding negative evidence in the literature indicates that postpartum depression cannot be easily prevented, yet.

'Racism under the radar': student perceptions of school experiences in a multicultural context

In this study focus groups were conducted to explore Aboriginal and Caucasian student perceptions of school experiences within a multicultural context. Five major themes emerged from students’ dialogues that pose several questions about what sort of racist atmosphere the members of this community are being exposed to on a daily basis. The findings of this study underscore an understanding of Aboriginal student resiliency within a school setting that employs successful school initiatives that aim to promote student success. Further inquiry into these findings is needed.

Update on the treatment of depression during pregnancy

Approximately one in four women will experience depressive symptoms during pregnancy. Untreated depression is associated with diminished prenatal care and can adversely affect the course of pregnancy, the developing fetus and birth outcomes. There is a pressing need therefore for safe, well tolerated, efficacious treatments. Risk–benefit decisions are best made on an individual case basis by an informed patient in consultation with her family and healthcare provider(s). Illness severity, course of illness, stage of pregnancy and patient preferences shape the decision-making process. This review summarizes recent literature on the course and impact of major depression and dysthymia during pregnancy, as well as providing an update on treatment strategies including complementary/alternative medicine, psychoeducation, psychotherapy and pharmacotherapy.

Journeying With Youth: Re-Centering Indigeneity in Child and Youth Care

It is difficult, given the societal and systemic realities within Canada, to have open and frank discussions about social inequalities and impacts of equity and diversity in lived experiences. In this article, I offer a frank discussion about re-centering Indigeneity within Child and Youth Care. The discussion focuses on the challenges associated with re-centering Indigeneity and is illustrated by personal reflections and the reflections of Indigenous individuals involved with a mentorship program for First Nations youth, By drawing upon Indigenous theorists (Alfred, 2009; Archibald, 2008; Black Elk, 1953; Ermine, 2004; Smith, 2012; Wilson, 2008) and grounding the discussion in lived realities, I provide readers with both a theoretically based and practical understanding of how Indigeneity can be re-centered within CYC and well as a consideration of whether this should be done and by whom. Particular attention will be paid to how mainstream Child and Youth Care can support such efforts while operating within a colonial state.