Population-based screening for postpartum depression*1

Georgiopoulos, Anna M.; Bryan, Tonya L; Yawn, Barbara P.; Houston, Margaret S.; Rummans, Teresa A.; Therneau, Terry M.

doi:10.1016/s0029-7844(98)00543-2

Cited by 55 publications

(12 citation statements)

References 14 publications

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“…We reviewed PPD screening programs described in the English language peer-reviewed literature between 1998 and 2011 [20–24, 27–32]. Studies were identified from Medline/PubMed, PsychINFO, and Cinahl using title, abstract and keyword searches for the terms “postpartum depression,” “maternal depression,” and “perinatal depression,” each independently and then linked to “screening.” We also identified work published in the same time frame from the references in the Institute of Medicine's (IOM's) report on parental depression [1].…”

Section: Methodsmentioning

confidence: 99%

“…For example, the screening programs in Australia, New Jersey, and Olmsted County, MN, US [23, 24, 28–32] did not report any specific follow-up procedures for further evaluation of elevated screening scores. In three programs procedures for evaluation of women with elevated screening scores required referral to an offsite mental health clinics or to delayed visits to staff at the screening site [20, 22, 33].…”

Section: Program Characteristicsmentioning

confidence: 99%

“…This paper also reviews the published evidence regarding PPD screening and follow up, describing the methods and outcomes reported for recent published PPD studies [20–24, 27–30]. Unlike the reviews completed for the guidelines panels, our goal is to summarize elements of program design, program setting, and program components as they may relate to program success in not only providing PPD screening but improving outcomes of women judged to have PPD.…”

Section: Introductionmentioning

confidence: 99%

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Postpartum Depression: Screening, Diagnosis, and Management Programs 2000 through 2010

Yawn

Bertram

Pace

et al. 2012

Depression Research and Treatment

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The value and appropriateness of universal postpartum depression (PPD) screening remains controversial in the United States. To date, several PPD screening programs have been introduced and a few have been evaluated. Among those programs that have been evaluated, most report screening rates, diagnosis rates, or treatment initiation rates. Only four studies included patient outcomes such as the level of depressive symptoms at 6 to 12 months postpartum, and only two reported success in improving outcomes. Program characteristics that appear to result in low rates of diagnosis and followup after PPD screening include requirements for a formal psychiatric evaluation, the need to refer women to another site for therapy, and failure to integrate the PPD screening into the care provided at the woman's or her child's medical home. The two programs that reported improved outcomes were both self-contained within primary care and included specific followup, management, and therapy procedures. Both resulted in the need for outside referrals in less than 10% of women diagnosed with postpartum depression. Future studies should be based on the successful programs and their identified facilitators while avoiding identified barriers. To affect policies, the future program must report maternal outcomes going beyond the often reported process outcomes of screening, referral, and therapy initiation rates.

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Section: Methodsmentioning

confidence: 99%

Section: Program Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Postpartum Depression: Screening, Diagnosis, and Management Programs 2000 through 2010

Yawn

Bertram

Pace

et al. 2012

Depression Research and Treatment

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“…In its summary, the U.S. Preventive Services Task Force recommended screening for depression only if further diagnostic and treatment procedures are in place to follow up on screening results (9). To our knowledge, the one study that specifically addressed screening perinatal women for depression (10,11) found that it led to higher detection and treatment rates. Of note is that the women in this cohort had incomes and education levels that were above the national average, and procedures took place in a large multispecialty health care group that had resources for mental health care.…”

mentioning

confidence: 99%

Depression Screening of Perinatal Women: An Evaluation of the Healthy Start Depression Initiative

Yonkers¹,

Smith²,

Lin³

et al. 2009

Psychiatric Services

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Objective: To address problems with low rates of detection and treatment of depression of pregnant and postpartum women, many advocate depression screening in obstetrical settings. This study evaluated the Healthy Start depression initiative to assess whether it resulted in diminished rates of depressive symptoms and increased rates of detection, referral, and treatment among pregnant and postpartum women. Methods: Three cohorts were used to examine the program impact: a pre–Healthy Start depression initiative cohort, a post–Healthy Start depression initiative cohort that was enrolled in New Haven Healthy Start, and a post–Healthy Start depression initiative cohort not enrolled in the New Haven program. Participants included 1,336 pregnant and postpartum women receiving obstetrical care at publicly funded health care clinics. Measures included the Primary Care Evaluation of Mental Disorders Brief Patient Health Questionnaire; the PTSD Symptom Scale; a five-item modification of the Conflict Tactics Scale; and questions regarding alcohol, illicit substances, and general medical and obstetrical history. Results: The Healthy Start depression initiative changed neither levels of depressive symptoms nor use of depression treatment in unselected populations. The initiative may have decreased the rate of referral for depression in the cohort under study. Conclusions: Universal screening and support for treatment referral by paraprofessionals did not reduce the overall rates of depressive symptoms of perinatal women who received care at publicly funded obstetrical clinics. Future work on depression screening should consider strategies to engage women who are more severely affected by a depressive disorder in behavioral health treatment.

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mentioning

confidence: 99%

Depression Screening of Perinatal Women: An Evaluation of the Healthy Start Depression Initiative

Yonkers¹,

Smith²,

Lin³

et al. 2009

View full text Add to dashboard Cite

show abstract

Population-based screening for postpartum depression*1

Cited by 55 publications

References 14 publications

Postpartum Depression: Screening, Diagnosis, and Management Programs 2000 through 2010

Postpartum Depression: Screening, Diagnosis, and Management Programs 2000 through 2010

Depression Screening of Perinatal Women: An Evaluation of the Healthy Start Depression Initiative

Depression Screening of Perinatal Women: An Evaluation of the Healthy Start Depression Initiative

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