Screening for Depression Among Pregnant and Postpartum Women

Mosack, Victoria; Shore, Elsie R.

doi:10.1207/s15327655jchn2301_4

Cited by 72 publications

(51 citation statements)

References 20 publications

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“…Scores range from 0 to 30, with a higher score representing greater depressive symptom severity. The EPDS has been extensively used and validated across multiple community, cultural, and ethnically diverse populations, 39,[45][46][47][48][49] has validated English and Spanish versions, 48,49 and has been used to identify the prevalence of depression in pregnant 49,50 and postpartum Latinas living in the United States. 51 Cutoff scores range from 9 to 13.…”

Section: Methodsmentioning

confidence: 99%

Is Screening for Depression in the Perinatal Period Enough? The Co-Occurrence of Depression, Substance Abuse, and Intimate Partner Violence in Culturally Diverse Pregnant Women

Connelly

Hazen

Baker-Ericzén

et al. 2013

Journal of Women's Health

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Background: The perinatal period provides unique opportunities to identify and intervene with the co-occurrence of perinatal depression, intimate partner violence (IPV), and substance use problems. Psychosocial screening recommended for women seen in maternal child health settings tends to target single rather than multiple risk factors; there is limited research examining the co-occurrence of these issues especially in racially and ethnically diverse women across the perinatal period. These analyses explore the relationships of sociodemographic, psychosocial, and behavioral characteristics in a large, diverse sample of women. Method: Women receiving perinatal services at routinely scheduled visits, including the 6-week postpartum visit, were recruited from 10 community obstetric/gynecologic clinics. Data were collected on perinatal depression, IPV, maternal substance use, and sociodemographic characteristics by bilingual, bicultural research assistants. Results: A total of 1868 women were screened, 1526 (82%) Latina, 1099 (58.8%) interviewed in Spanish; 20.4% (n = 382) screened positive for depressive symptoms based on an Edinburgh Postnatal Depression Scale score of 10 or above, 20.9% reported harmful drinking, 4.3% reported drug use, 23% reported substance use problems, and 3.5% reported current or recent IPV. Women who were Black, Asian, Pacific Islander, or other race/ethnicity had greater odds for depressive symptoms relative to women who were Hispanic or Latino (odds ratio [OR] = 1.81, p = 0.005). Women reporting substance use problems (OR = 2.37, p < 0.0001) and IPV (OR = 3.98, p < 0.0001) had higher odds for depressive symptoms. Conclusion: In a predominately Latina sample, 1 in 5 mothers (20.4%) screened positive for depressive symptoms and over one third (36.7%) reported one or more psychosocial issues during the perinatal period. Screening for multiple risk factors rather than just one can help clinicians tailor interventions for the successful management of psychosocial issues.

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Section: Methodsmentioning

confidence: 99%

Is Screening for Depression in the Perinatal Period Enough? The Co-Occurrence of Depression, Substance Abuse, and Intimate Partner Violence in Culturally Diverse Pregnant Women

Connelly

Hazen

Baker-Ericzén

et al. 2013

Journal of Women's Health

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“…It was developed for assessing postpartum depression but has been validated for assessing depressive symptom severity during pregnancy 48 and across multiple community, cultural, and ethnically diverse populations. [49][50][51] Spanish versions have been validated 52,53 and used to identify the prevalence of depression among pregnant 53,54 and postpartum Latinas living in the United States. 55,56 The EPDS does not include items related to physical symptoms of depression that may be affected by the perinatal period rather than by mood.…”

Section: Methodsmentioning

confidence: 99%

Factors Associated with Clinically Significant Insomnia Among Pregnant Low-Income Latinas

Manber

Steidtmann

Chambers

et al. 2013

Journal of Women's Health

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Background: Poor sleep, common during pregnancy, is associated with negative health risks. The study aimed to identify predictors of clinically significant insomnia among pregnant Latinas. Methods: A total of 1289 pregnant Latinas recruited from obstetric clinics completed the Insomnia Severity Index (ISI) and questions about demographics and sleep. Results: Clinically significant insomnia (ISI ‡ 10) was present among 17% of participants. Significant correlates of clinically significant insomnia were higher scores on the Edinburgh Postnatal Depression Scale (EPDS) after removing the sleep item (47% of women with EPDS ‡ 9 and 9% with EPDS < 9), completing measures in English (rather than Spanish: 26% versus 13%), and income but not pregnancy week, age, highest education level, or marital status. The highest percentage of clinically significant insomnia (59%) was experienced by women with EPDS ‡ 9 who completed measures in English. The lowest percentage of clinically significant insomnia (6.2%) was experienced by women with EPDS < 9 who completed measures in Spanish. Conclusions: In this sample of low-income, mostly Spanish-speaking pregnant Latinas, rates of clinically significant insomnia appear to be higher than rates among nonpregnant Latinas. Rates of clinically significant insomnia are particularly high among Latinas with elevated depressive symptom severity, a known risk for insomnia. Acculturation, as indicated by completing measures in English, may be another risk specific to Latinas, possibly owing to loss of some ethnicity-specific protective factors (e.g., social support, strong family ties, and group identity). It will be important to directly test this explanation in future research.

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“…It has been widely used in research with postpartum women and women of color [25,26]. It is a 20-point scale that assesses mood, somatic symptoms, interactions with others, and motor functioning.…”

Section: Measures Witnessed Community Violence (Wcv) Was Measured Usmentioning

confidence: 99%

The Structure of Witnessed Community Violence amongst Urban African American Mothers: Latent Class Analysis of a Community Sample

Ronzio

Mitchell

Wang

2011

Urban Studies Research

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The prevalence of witnessed community violence (WCV) amongst urban populations in the USA is striking. WCV can be harmful to one's psychological health, and for mothers, the consequences may be more far-reaching as their mental health affects parenting and child development. This study used telephone interviews (n = 209) to explore the patterns and covariates of WCV amongst a sample of urban, African American mothers of infants. Mothers reported whether they had witnessed 11 different forms of violence in their current neighborhoods. A latent class analysis revealed two distinct groups of mothers, those with higher versus lower-exposure to WCV. Mothers in the higher-exposure group were more likely to be low-income, to have a high school education or less, and to have higher anxiety scores than those in the lower-exposure group. Depression was not associated with higher exposure to WCV. Distinguishing between higher- and lower-exposure samples can inform the development of targeted prevention and intervention strategies for metropolitan areas.

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Screening for Depression Among Pregnant and Postpartum Women

Cited by 72 publications

References 20 publications

Is Screening for Depression in the Perinatal Period Enough? The Co-Occurrence of Depression, Substance Abuse, and Intimate Partner Violence in Culturally Diverse Pregnant Women

Is Screening for Depression in the Perinatal Period Enough? The Co-Occurrence of Depression, Substance Abuse, and Intimate Partner Violence in Culturally Diverse Pregnant Women

Factors Associated with Clinically Significant Insomnia Among Pregnant Low-Income Latinas

The Structure of Witnessed Community Violence amongst Urban African American Mothers: Latent Class Analysis of a Community Sample

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