Postpartum depression screening: Treatment engagement, barriers to care, and change in depressive symptoms.

IF 1.5 4区医学 Q3 PSYCHIATRY

Annals of Clinical Psychiatry Pub Date : 2021-11-01 DOI:10.12788/acp.0044

Rachel Vanderkruik, Marlene P Freeman, Lauren D Claypoole, Miranda Arakelian, Anjali J Kaimal, Hiyam Nadel, Lee S Cohen

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引用次数: 3

Abstract

Background: Postpartum depression (PPD) is a common condition associated with childbirth, yet many women do not receive the treatment they need. Despite the growing practice of PPD screening, treatment and clinical outcomes among patients identified as likely having PPD remain unclear.

Method: Women who were systematically screened and scored ≥12 on the Edinburgh Postnatal Depression Scale (EPDS)-indicative of possible PPD-at their routine 6-week postpartum visit were eligible to participate and were contacted after 3 months for a follow-up interview and assessment.

Results: A total of 33 women participated in the study, out of 100 who scored ≥12 on the EPDS. Among the participants, 70% reported they received a referral to a health care provider for PPD, and nearly one-half said that they received psychotherapy and/or were prescribed a psychotropic. The 2 most commonly described barriers to treatment were perceptions of not needing or wanting help and concerns about breastfeeding while taking psychotropics. Nearly 40% of women scored ≥12 on the EPDS at the follow-up interview.

Conclusions: Further systematic research on outcomes after PPD screening is needed to ensure that screening translates into meaningfully improved clinical outcomes.

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产后抑郁症筛查:治疗参与、护理障碍和抑郁症状的变化。

背景:产后抑郁症(PPD)是一种与分娩相关的常见疾病，但许多妇女没有得到她们需要的治疗。尽管PPD筛查的实践越来越多，但确定可能患有PPD的患者的治疗和临床结果仍不清楚。方法:在产后6周的例行访问中，系统筛选并在爱丁堡产后抑郁量表(EPDS)得分≥12分(表明可能的产后抑郁)的妇女有资格参加，并在3个月后联系进行随访访谈和评估。结果:共有33名妇女参与研究，其中100名妇女EPDS评分≥12分。在参与者中，70%的人报告说他们接受了PPD的医疗服务提供者的转诊，近一半的人说他们接受了心理治疗和/或开了精神药物。最常见的两个治疗障碍是认为不需要或不想要帮助，以及对服用精神药物时母乳喂养的担忧。近40%的女性在随访中EPDS得分≥12分。结论:需要对PPD筛查后的结果进行进一步的系统研究，以确保筛查转化为有意义的改善临床结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Clinical Psychiatry PSYCHIATRY-

CiteScore

1.80

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： The ANNALS publishes up-to-date information regarding the diagnosis and /or treatment of persons with mental disorders. Preferred manuscripts are those that report the results of controlled clinical trials, timely and thorough evidence-based reviews, letters to the editor, and case reports that present new appraisals of pertinent clinical topics.