Screening for and Detection of Depression, Panic Disorder, and PTSD in Public-Sector Obstetric Clinics

Smith, Megan V.; Rosenheck, Robert A.; Cavaleri, Mary A.; Howell, Heather; Poschman, Karalee; Yonkers, Kimberly A.

doi:10.1176/appi.ps.55.4.407

Cited by 129 publications

(85 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Yet antenatal depression is equally important. In a recent US study screening for antenatal psychiatric illness, only 26% of patients who screened positive for a psychiatric illness had this illness recognised by their health care provider, only 12% of patients who showed evidence of suicidal ideation has this detected by clinicians, and only 26% of women who screened positive for major or minor depression had received or were currently receiving treatment [42].…”

Section: The Importance Of Detecting Depression In the Perinatal Periodmentioning

confidence: 98%

“…Twelve studies establishing the prevalence of anxiety disorders in the perinatal period were identified (Table 7 [ 42,97,128,[206][207][208][209][210][211][212][213][214] In addition to the studies listed in Table 7, a number of studies have looked specifically at the incidence of postnatal PTSD with childbirth specified as the traumatic event [207,212,[215][216][217][218]. These studies, assessing for childbirth-specific PTSD occurring anywhere from 4 weeks to 1 year postpartum, found an incidence ranging from 0 to 6.9% with a mean of 3.8%.…”

Section: Anxiety Disordersmentioning

confidence: 99%

“…41 Option 2 assumes a more rapid rate of program uptake (target workforce to be trained by Year 3 and a more accelerated rate of program coverage). 42 For the purposes of the costing model, all ACT is assumed to be metro Appendix 5: Feasibility of doing a cost-benefit analysis of universal and routine psychosocial assessment and subsequent treatment and missed cases in the perinatal period…”

Section: Modelling Costsmentioning

confidence: 99%

See 2 more Smart Citations

Maternal mortality trends in Australia

Humphrey

2016

Medical Journal of Australia

View full text Add to dashboard Cite

Section: The Importance Of Detecting Depression In the Perinatal Periodmentioning

confidence: 98%

Section: Anxiety Disordersmentioning

confidence: 99%

Section: Modelling Costsmentioning

confidence: 99%

See 1 more Smart Citation

Maternal mortality trends in Australia

Humphrey

2016

Medical Journal of Australia

View full text Add to dashboard Cite

“…19 Women who experience IPV during or outside of pregnancy were found to have a ninefold increase in risk for mood and anxiety disorders. 20 In addition, women who experience mental health problems during pregnancy are more likely to have an adverse newborn outcome. 21 Women who are victims of IPV often do not seek health care services.…”

Section: Intimate Partner Violencementioning

confidence: 99%

A review of research and nursing management of mental health problems in pregnancy and motherhood

Jarosinski¹,

Fox²

2016

NRR

View full text Add to dashboard Cite

Abstract:In this article, the authors explore the risks pregnant women experience due to mental illness and intimate partner violence (IPV) and discuss the nursing role involved in the management of their care. For many women, pregnancy is a time of hopeful anticipation, yet for others, pregnancy reflects a new or an ongoing struggle with mental illness. The sequelae of untreated mental illness can be as severe as infanticide, maternal suicide, lack of maternal attachment, and inability to parent. Newborns whose mothers misuse alcohol and drugs are at risk of fetal alcohol spectrum disorders and neonatal addiction syndrome. Women who live with IPV risk their physical and mental well-being as well as the safety of their newborn. Implications for practice include the use of assessment tools early and during the treatment trajectory; otherwise, mental illness and IPV in pregnancy would go undetected/untreated. Identifying postpartum depression early is key toward providing timely care for both the mother and infant; yet, few obstetric practices use a depression assessment tool such as the Edinburgh Postnatal Depression Scale. During the initial intake assessment, the Edinburgh Postnatal Depression Scale can provide the means of early treatment through targeted assessment. Further implications include specialized services for substance-misusing pregnant women whose issues are different and separate from those of men, integration of services to address their multifaceted needs, and educating nurses to the reality of comorbidity as the norm rather than the rare occurrence, with a truly holistic approach that diminishes stigma.

show abstract

“…Although a large group of women are likely to experience PD during their childbearing years, the incidence-prevalence and correlation of panic during the pregnancy period are not well defined. Limited data indicate that PD consequently affects approximately 1.5%-2.5% of pregnancies during pregnancy (10,11,12). Similarly, there are limited data on the comorbidity of PD, including Axis II disorders, during gestation.…”

Section: Introductionmentioning

confidence: 99%

Pregnancy-Onset Panic Disorder: Incidence, Comorbidity and Associated Factors

Güler

Kaya

Gezginç

et al. 2015

Arch Neuropsychiatr

View full text Add to dashboard Cite

Introduction: The present study aimed to investigate the incidence rate of pregnancy-onset panic disorder (POPD) among Turkish pregnant women using a diagnostic interview. Additionally, we examined whether the independent socio-demographic or clinical risk factors were associated with the risk of panic disorder in these women.Methods: The study sample comprised 1475 consecutive pregnant women who presented to the obstetric outpatient clinics of two research centers. The rate of POPD in these participants was 1.3% (Group 1, n=20). The 20 women with POPD were compared with 250 pregnant women without pregnancy-onset depression or anxiety (Group 2; controls). Panic disorder and other anxiety or mood disorders were determined by means of the Structured Clinical Interview for DSM-IV. Comorbid Axis II disorders were diagnosed with the Structured Clinical Interview for DSM-III-R Personality Disorders. Results:The incidence rate of panic disorder was 1.3% (n=20). In group 1, 55% (n=11) of the women with POPD had an additional mood or anxiety disorder. In addition, the prevalence rate of any cluster C personality disorder, including avoidant, passive-aggressive and obsessivecompulsive personality disorders, were significantly greater in the group 1 women with POPD than the control pregnant women without a panic disorder (group 2). Conclusion:The women with POPD were more likely than the controls to have a cluster C Axis II disorder and a history of a pre-existing anxiety or mood disorder.Keywords: Pregnancy, panic, comorbidity, personality ABSTRACTResearch Article

show abstract

Screening for and Detection of Depression, Panic Disorder, and PTSD in Public-Sector Obstetric Clinics

Cited by 129 publications

References 49 publications

Maternal mortality trends in Australia

Maternal mortality trends in Australia

A review of research and nursing management of mental health problems in pregnancy and motherhood

Pregnancy-Onset Panic Disorder: Incidence, Comorbidity and Associated Factors

Contact Info

Product

Resources

About