Repeated depression screening during the first postpartum year.
نویسندگان
چکیده
PURPOSE Postpartum depression (PPD) screening at 4 to 12 weeks' postpartum can improve outcomes for women when linked to in-practice management programs. The benefit of repeated PPD screening during the first year postpartum remains unclear. METHODS We report a substudy of a large pragmatic trial of early PPD screening and practice management, the Translating Research into Practice for Postpartum Depression (TRIPPD) study. Outcome analyses were based on demographic information and Patient Health Questionnaire (PHQ-9) screening scores from questionnaires mailed to all enrolled women at baseline (4 to 12 weeks' postpartum) and again at 6 and at 12 months' postpartum. The main outcomes of this substudy were the 6- and 12-month rates of PHQ-9 scores that were 10 or greater for women whose baseline PHQ-9 scores were less than 10. Women whose scores were 10 or greater would be considered at high risk of PPD and appropriate for further evaluation. RESULTS At 6 months, 134 (10.9%) of the 1,235 women who did not have PHQ-9 scores greater than 10 at baseline had elevated scores appropriate for further evaluation. At 12 months, 59 (6.1%) of the 969 women who did not have PHQ-9 scores greater than 10 at baseline or at 6 months had elevated scores. Together the 6- and 12-month repeated screenings identified 193 women at high risk of depression. This finding represents 13.5% of the 1,432 women whose screening results were negative for PPD at baseline. CONCLUSIONS Repeated PPD screening at 6 and 12 months' postpartum increases the percentage of women identified as being at high risk of PPD. Further work will be required to understand the impact of this repeated screening on patient outcomes.
منابع مشابه
O-23: Postpartum Depression: Related Factors, in Clients, Whom Had Been Visited in Clinics of West of Tehran, Year 2009- 2010
Background: Postpartum depression is the most common mood disorder of postpartum period of women's life and seems multivariate are associated with it. The aim of this study was to identify correlation between personal characteristics and scale of Edinburgh postnatal depression Materials and Methods: In this cross-sectional study, 597 volunteer postnatal women, whom had been visited in 6 pr...
متن کاملPrevalence of Postpartum Depression; a longitudinal study
Background: Mothers are highly vulnerable to depression within the first year after childbirth. Approximately 10-20% of mothers suffer from depression during this period, and half of these women with symptoms of prominent postpartum depression (PPD) remain undiagnosed. The Edinburgh Postnatal Depression Scale (EPDS) is the most widely applied screening instrument for PPD evaluation. In this stu...
متن کاملIdentifying postpartum depression: are 3 questions as good as 10?
BACKGROUND Postpartum depression is the most common medical problem that new mothers face. Anxiety is a more prominent feature of postpartum depression than of depression that occurs at other times in life. Routine, universal screening significantly improves detection in primary health care settings. Thus, an ultrabrief scale that could be incorporated into a general health survey or interview ...
متن کاملPostpartum depression: a comparison of screening and routine clinical evaluation.
OBJECTIVE This study compared the efficacy of routine clinical evaluation with that of screening with the Edinburgh Postnatal Depression Scale for the detection of postpartum depression in a residency training program practice. STUDY DESIGN Three hundred ninety-one patients during a period of 1 year were assigned according to delivery date to screening for postpartum depression with the Edinb...
متن کاملMissed Opportunities for Postpartum Behavioral and Psychosocial Health Care and Acceptability of Screening Options.
OBJECTIVE To examine occurrence of health care provider discussion of postpartum women's behavioral and psychosocial health, acceptability of screening, and access to a provider with whom to comfortably discuss sensitive topics. DESIGN Mail survey during the first postpartum year. SETTING Community dwelling. PARTICIPANTS Postpartum women (N = 168) from diverse backgrounds. METHODS Using...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Annals of family medicine
دوره 13 3 شماره
صفحات -
تاریخ انتشار 2015