Perinatal Depression Knowledge, Attitudes, and Beliefs Among Graduate Social Work Students

  • Deepika Goyal San Jose State University
  • Meekyung Han San Jose State University
Keywords: Social work students, perinatal depression, knowledge, attitudes, identification, Social work training, postpartum depression, antenatal depression


The purpose of this study was to identify the proportion of Master of Social Work (MSW) students who received perinatal depression (PD) training as part of their coursework. Additionally, we sought to identify differences in PD knowledge, attitudes, beliefs, and openness to further education between students who had received PD training compared to students without PD training. Using a cross-sectional design and convenience sampling, 177 largely female (91.0%), Hispanic (46%), and Caucasian (28.2%) MSW students from five public California universities electronically provided demographic data and completed the Depression in Women's Health Settings scale. Most MSW students reported health/mental health (38%) or children/youth/and families (47.5%) as their field of practice. Twenty-nine MSW students (16.4%) reported receiving PD training, 61% child abuse/neglect training, and 50% domestic violence training. Students with PD training were significantly more knowledgeable and reported having the skills to assess, screen, identify, and care for women with PD symptoms versus students without PD training. Given the well-documented association of PD with child abuse/neglect and domestic violence, early PD screening, identification, and referral information must be incorporated into MSW curricula and continuing education in order to promote maternal-infant well-being outcomes.

Author Biographies

Deepika Goyal, San Jose State University



Meekyung Han, San Jose State University


Social Work


American College of Obstetricians and Gynecologists [ACOG]. (2015). Committee Opinion Number 630: Screening for perinatal depression. Retrieved from

American Medical Assocation [AMA]. (2018). Reducing health issues associated with births. Retrieved from

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

AWHONN Position Statement. (2015). Mood and anxiety disorders in pregnant and postpartum women. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 44(5), 687-689. doi:

Balbierz, A., Bodnar-Deren, S., Wang, J. J., & Howell, E. A. (2015). Maternal depressive symptoms and parenting practices 3-months postpartum. Maternal and Child Health Journal, 19(6), 1212-1219. doi:

Centers for Disease Control and Prevention. (2017). Depression among women. Retrieved from

Collins, C. H., Zimmerman, C., & Howard, L. M. (2011). Refugee, asylum seeker, immigrant women and postnatal depression: Rates and risk factors. Archives of Women's Mental Health, 14(1), 3-11. doi:

Council on Social Work Education. (2015). Educational policy and accreditation standards for baccelaureate and master’s social work programs. Retrieved from 2015/Accreditation/2015EPAS_Web_FINAL.pdf.aspx

Faisal-Cury, A., & Menezes, P. R. (2012). Antenatal depression strongly predicts postnatal depression in primary health care. Revista Brasileira de Psiquiatria, 34(4), 446-450. doi:

Falah-Hassani, K., Shiri, R., & Dennis, C. L. (2017). The prevalence of antenatal and postnatal co-morbid anxiety and depression: A meta-analysis. Psychological Medicine, 47(12), 2041-2053. doi:

Gaynes, B. N., Gavin, N., Meltzer-Brody, S., Lohr, K. N., Swinson, T., Gartlehner, G.,...Miller, W. C. (2005). Perinatal depression: Prevalence, screening accuracy, and screening outcomes. Evidence Report/Technology Assessment, 119, 1-8.

Goyal, D., Park, V. T., & McNiesh, S. (2015). Postpartum depression among Asian Indian mothers. MCN American Journal of Maternal Child Nursing, 40(4), 256-261. doi:

Goyal, D., Wang, E. J., Shen, J., Wong, E. C., & Palaniappan, L. P. (2012). Clinically identified postpartum depression in Asian American mothers. Journal of Obstetric, Gynecology & Neonatal Nursing, 41(3), 408-416. doi:

Hutto, H. F., Kim-Godwin, Y., Pollard, D., & Kemppainen, J. (2011). Postpartum depression among White, African American, and Hispanic low-income mothers in rural southeastern North Carolina. Journal of Community Health Nursing, 28(1), 41-53. doi:

Keefe, R. H., Brownstein-Evans, C., Lane, S. D., Carter, B., & Rouland Polmanteer, R. (2015). Postpartum depression and the Affordable Care Act: Recommendations for social work educators. Advances in Social Work, 16(2), 202-213. doi:

Kendig, S., Keats, J. P., Hoffman, M. C., Kay, L. B., Miller, E. S., Simas, T. A. M.,...Lemieux, L. A. (2017). Consensus bundle on maternal mental health: Perinatal depression and anxiety. Journal of Midwifery Womens' Health, 62(2), 232-239. doi:

Kingston, D., McDonald, S., Austin, M.-P., & Tough, S. (2015). Association between prenatal and postnatal psychological distress and toddler cognitive development: A systematic review. PLoS One, 10(5), e0126929. doi:

Ko, J. Y., Rockhill, K. M., Tong, V. T., Morrow, B., & Farr, S. L. (2017). Trends in postpartum depressive symptoms - 27 states, 2004, 2008, and 2012. MMWR Morbidity and Mortality Weekly Report, 66(6), 153-158. doi:

Kothari, C. L., Liepman, M. R., Shama Tareen, R., Florian, P., Charoth, R. M., Haas, S. S.,...Curtis, A. (2016). Intimate partner violence sssociated with postpartum depression, regardless of socioeconomic status. Maternal and Child Health Journal, 20(6), 1237-1246. doi:

Leahy-Warren, P., McCarthy, G., & Corcoran, P. (2012). First-time mothers: Social support, maternal parental self-efficacy and postnatal depression. Journal of Clinical Nursing, 21(3-4), 388-397. doi:

Leiferman, J. A., Dauber, S. E., Heisler, K., & Paulson, J. F. (2008). Primary care physicians' beliefs and practices toward maternal depression. Journal of Womens Health (Larchmt), 17(7), 1143-1150. doi:

National Association of Perinatal Social Workers [NAPSW]. (2009). Standards for perinatal social workers working with patients experiencing postpartum depression. Retreived from

National Association of Social Workers. (2017). Mental health. Retrieved from

Netsi, E., Pearson, R. M., Murray, L., Cooper, P., Craske, M. G., & Stein, A. (2018). Association of persistent and severe postnatal depression with child outcomes. JAMA Psychiatry. doi:

O'Hara, M. W., & Wisner, K. L. (2014). Perinatal mental illness: Definition, description and aetiology. Best Practice and Research Clinical Obstetrics & Gynaecology, 28(1), 3-12. doi:

Raisanen, S., Lehto, S. M., Nielsen, H. S., Gissler, M., Kramer, M. R., & Heinonen, S. (2014). Risk factors for and perinatal outcomes of major depression during pregnancy: A population-based analysis during 2002-2010 in Finland. BMJ Open, 4(11), e004883. doi:

Rouland Polmanteer, R., Keefe, R. H., & Brownstein-Evans, C. (2016). Social workers’ screening practices for postpartum depression. Advances in Social Work, 17(2), 273-284. doi:

Schury, K., Zimmermann, J., Umlauft, M., Hulbert, A. L., Guendel, H., Ziegenhain, U., & Kolassa, I. T. (2017). Childhood maltreatment, postnatal distress and the protective role of social support. Child Abuse & Neglect, 67, 228-239. doi:

Selix, N., Henshaw, E., Barrera, A., Botcheva, L., Huie, E., & Kaufman, G. (2017). Interdisciplinary collaboration in maternal mental health. MCN: The American Journal of Maternal/Child Nursing, 42(4), 226-231. doi:

Sit, D., Luther, J., Buysse, D., Dills, J. L., Eng, H., Okun, M.,...Wisner, K. L. (2015). Suicidal ideation in depressed postpartum women: Associations with childhood trauma, sleep disturbance and anxiety. Journal of Psychiatric Research, 66-67, 95-104. doi:

Siu, A. L., Bibbins-Domingo, K., Grossman, D. C., Baumann, L. C., Davidson, K. W., Ebell, M.,...Pignone, M. P. (2016). Screening for depression in adults: US Preventive Services Task Force Recommendation Statement. Journal of the American Medical Association, 315(4), 380-387. doi:

Smith-Nielsen, J., Tharner, A., Krogh, M. T., & Væver, M. S. (2016). Effects of maternal postpartum depression in a well-resourced sample: Early concurrent and long-term effects on infant cognitive, language, and motor development. Scandinavian Journal of Psychology, 57(6), 571-583. doi:

Sockol, L. E., Epperson, C. N., & Barber, J. P. (2013). Preventing postpartum depression: A meta-analytic review. Clinical Psychology Review, 33(8), 1205-1217. doi:

Sofronas, M., Feeley, N., Zelkowitz, P., & Sabbagh, M. (2011). Obstetric and neonatology nurses' attitudes, beliefs, and practices related to the management of symptoms of maternal depression. Issues in Mental Health Nursing, 32(12), 735-744. doi:

Ta Park, V. M., Goyal, D., Nguyen, T., Lien, H., & Rosidi, D. (2015). Postpartum traditions, mental health, and help-seeking considerations among Vietnamese American women: A mixed-methods pilot study. Journal of Behavial Health Services & Research, 44(3), 428-441. doi:

Torres, R., Goyal, D., Burke-Aaronson, A. C., Gay, C. L., & Lee, K. A. (2017). Patterns of symptoms of perinatal depression and stress in late adolescent and young adult mothers. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 46(6), 814-823. doi:

US Government Publishing Office. (2010). The Patient Protection and Affordable Care Act: Subtitle L- Maternal and Child Health Services, Sec. 2952 Retrieved from

Wouk, K., Stuebe, A. M., & Meltzer-Brody, S. (2017). Postpartum mental health and breastfeeding practices: An analysis using the 2010–2011 Pregnancy Risk Assessment Monitoring System. Maternal and Child Health Journal, 21(3), 636-647. doi: