Joan Webster BA, RM, Margo A Pritchard BA, RN, John WJ Linnane MBBS, Janice A Roberts MSocWk, Janis K Hinson MSocWk, Suzanne E Starrenburg MSocWk
{"title":"Postnatal depression: Use of health services and satisfaction with health-care providers","authors":"Joan Webster BA, RM, Margo A Pritchard BA, RN, John WJ Linnane MBBS, Janice A Roberts MSocWk, Janis K Hinson MSocWk, Suzanne E Starrenburg MSocWk","doi":"10.1046/j.1440-1762.2001.00432.x","DOIUrl":null,"url":null,"abstract":"<p> <b>Abstract</b> The objective of this study was to compare health-care use and satisfaction with health-care providers between depressed and non-depressed women in the first 4 months after childbirth. Sixteen weeks after delivery a questionnaire, which included the Edinburgh Postnatal Depression Scale (EPDS) and items about health-care use and satisfaction, was mailed to women who attended the antenatal clinic, Royal Women’s Hospital, Brisbane. Completed questionnaires were returned by 574 (86.4%) of the 664 women surveyed. During the study period most women (91%) visited a general practitioner at least once and 117 (12%) saw their doctor on five or more occasions. A total of 118 (20.7%) scored above 12 on the EPDS. Depressed women were more likely to visit a psychiatrist (OR, 9.2; 95% CI, 4.3–19.6), social worker (OR, 6.1; 95% CI, 3.3–11.1), postnatal depression group (OR, 4.0; 95% CI, 1.3–12.6), paediatrician (OR, 2.5; 95% CI, 1.6–3.9), or a general practitioner (OR, 2.1; 95% CI, 1.4–3.2) than non-depressed women. Twenty-two (18.5%) of the depressed women had contact with a psychiatrist. Compared with non-depressed women, those scoring above 12 on the EPDS were less satisfied with the services of general practitioners (<i>P</i> = < 0.000), paediatricians (<i>P</i> = 0.002), Nursing Mothers’ Associations of Australia (<i>P</i> = 0.043) and obstetricians (<i>P</i> = 0.045). Postpartum depression leads to an increase use of health-care services and has a negative effect on satisfaction with some services.</p>","PeriodicalId":79407,"journal":{"name":"Journal of quality in clinical practice","volume":"21 4","pages":"144-148"},"PeriodicalIF":0.0000,"publicationDate":"2002-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1440-1762.2001.00432.x","citationCount":"70","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of quality in clinical practice","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1046/j.1440-1762.2001.00432.x","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 70
Abstract The objective of this study was to compare health-care use and satisfaction with health-care providers between depressed and non-depressed women in the first 4 months after childbirth. Sixteen weeks after delivery a questionnaire, which included the Edinburgh Postnatal Depression Scale (EPDS) and items about health-care use and satisfaction, was mailed to women who attended the antenatal clinic, Royal Women’s Hospital, Brisbane. Completed questionnaires were returned by 574 (86.4%) of the 664 women surveyed. During the study period most women (91%) visited a general practitioner at least once and 117 (12%) saw their doctor on five or more occasions. A total of 118 (20.7%) scored above 12 on the EPDS. Depressed women were more likely to visit a psychiatrist (OR, 9.2; 95% CI, 4.3–19.6), social worker (OR, 6.1; 95% CI, 3.3–11.1), postnatal depression group (OR, 4.0; 95% CI, 1.3–12.6), paediatrician (OR, 2.5; 95% CI, 1.6–3.9), or a general practitioner (OR, 2.1; 95% CI, 1.4–3.2) than non-depressed women. Twenty-two (18.5%) of the depressed women had contact with a psychiatrist. Compared with non-depressed women, those scoring above 12 on the EPDS were less satisfied with the services of general practitioners (P = < 0.000), paediatricians (P = 0.002), Nursing Mothers’ Associations of Australia (P = 0.043) and obstetricians (P = 0.045). Postpartum depression leads to an increase use of health-care services and has a negative effect on satisfaction with some services.
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