Longer wait time after identification of peripartum depression symptoms is associated with increased symptom burden at psychiatric assessment

Koire, Amanda; Nong, Yen H.; Cain, Cary; Greeley, Christopher S.; Puryear, Lucy J.; Horne, Bethanie S. Van

doi:10.1016/j.jpsychires.2022.06.046

Cited by 7 publications

(5 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, evidence-based guidelines such as those from ACOG encourage high-risk providers to assess maternal mental health and create referral paths for patients who have positive antepartum screening test results or other concerning factors in their social history. Promptly making a diagnosis and managing mental health symptoms has affected the health of these at-risk patients, as delays in referral can lead to further decompensation in mental wellbeing [24]. In this study, women who were diagnosed with a fetal anomaly and needed to transfer their obstetric care have a higher risk of screening positive for depression and anxiety.…”

Section: Discussionmentioning

confidence: 99%

Impact of Transfer of Maternal Care for Fetal Anomalies on Maternal Depression and Anxiety Screening: A Prospective Cohort at a Tertiary Care Center

Buskmiller,

Greenwood,

Alpuing Radilla

et al. 2023

Fetal Diagn Ther

View full text Add to dashboard Cite

Introduction: Perinatal depression and anxiety are major causes of maternal morbidity, and are more common in high-risk pregnancies compared to low-risk pregnancies. This study used validated screening tools to assess the prevalence of depression and anxiety symptoms in pregnant patients who transferred their obstetric care to a specialized fetal center for fetal anomaly. Methods: This is a prospective cohort of patients with a fetal anomaly prompting transfer of obstetric care to Texas Children’s Hospital Fetal Center between January 2021 and February 2022. The primary outcome was a self-assessed Edinburgh Postnatal Depression Scale score of 13 or higher, either antepartum or postpartum (“ever-positive EPDS”). Secondary outcomes included self-assessed Perinatal Anxiety Screening Scale (PASS) scores of 21 or higher (“ever-positive PASS”), obstetric outcomes, and neonatal outcomes. A frequentist analysis was performed. Results: Of 149 women who transferred to Texas Children’s Hospital during the study period, 94 enrolled in this study. Twenty-six percent of women had an ever-positive EPDS; 20% of patients had an ever-positive PASS. Patients were more likely to have an ever-positive EPDS if they were single (46% compared to 20%, p = 0.025). Women who had an ever-positive EPDS were more likely to be referred to psychiatry (46% compared to 14%, p = 0.004) and psychotherapy (29% compared to 1%, p < 0.001). Surprisingly, patients were more likely to have an ever-positive PASS if they reported good social support (p = 0.03). Antepartum EPDS and PASS scores had no relationship with postpartum EPDS scores. Conclusion: Women who transfer care to a tertiary setting have positive EPDS scores at double the rate of the general population, but tend to experience this either antepartum or postpartum (not both). Fetal centers should be prepared to screen for mental health symptoms before and after delivery and provide appropriate referral or treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

Impact of Transfer of Maternal Care for Fetal Anomalies on Maternal Depression and Anxiety Screening: A Prospective Cohort at a Tertiary Care Center

Buskmiller,

Greenwood,

Alpuing Radilla

et al. 2023

Fetal Diagn Ther

View full text Add to dashboard Cite

show abstract

“…[1] Longer wait time also predicts worse psychiatric outcomes, including more severe symptoms, reduced treatment response, and lower remission in both patients with mood and psychotic disorders. [31][32][33][34] Timely psychiatric interventions are therefore key to recovery.…”

Section: Discussionmentioning

confidence: 99%

Low availability, long wait times, and high geographic disparity of psychiatric outpatient care in the US

Sun,

Correll,

Trestman

et al. 2023

General Hospital Psychiatry

View full text Add to dashboard Cite

“…Therefore, ensuring that the psychological needs of a population are met by establishing adequate services and providers and mental health professionals per population is necessary. It is worth mentioning that longer waiting time can have grave consequences on the mental and physical health of patients; it may worsen the symptoms of depression and develop self-harm ideation [23,24,33].…”

Section: Covid-19 Cases Up In the Third Wave In Dubaimentioning

confidence: 99%

Who is More Likely to Complete the Appointments, and What Factors Determine the Appointment Wait Time?

Alnakhi¹,

Mamdouh²,

Hussain³

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

Longer wait time after identification of peripartum depression symptoms is associated with increased symptom burden at psychiatric assessment

Cited by 7 publications

References 40 publications

Impact of Transfer of Maternal Care for Fetal Anomalies on Maternal Depression and Anxiety Screening: A Prospective Cohort at a Tertiary Care Center

Impact of Transfer of Maternal Care for Fetal Anomalies on Maternal Depression and Anxiety Screening: A Prospective Cohort at a Tertiary Care Center

Low availability, long wait times, and high geographic disparity of psychiatric outpatient care in the US

Who is More Likely to Complete the Appointments, and What Factors Determine the Appointment Wait Time?

Contact Info

Product

Resources

About