A mental health care protocol for the screening, detection and treatment of perinatal anxiety and depressive disorders in Flanders

Damme, Rita Van; Parys, An Sofie Van; Vogels, Caroline; Roelens, Kristien; Gmd, Lemmens

doi:10.1016/j.jpsychores.2019.109865

Cited by 6 publications

(2 citation statements)

References 21 publications

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“…Belgium and Sweden used protocols or guidelines for screening and treatment of peripartum depression based on international guidelines (NICE). However, pharmacotherapy interventions are not mentioned [ 15 , 16 ]. Of the searches in PubMed and the GIN database, we screened three CPGs from Spain, Poland, and the UK, which were duplicates of the ones obtained via the contact persons in these countries.…”

Section: Resultsmentioning

confidence: 99%

Treatment of Peripartum Depression with Antidepressants and Other Psychotropic Medications: A Synthesis of Clinical Practice Guidelines in Europe

Kittel‐Schneider

Felice

Buhagiar

et al. 2022

IJERPH

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This study examined (1) the availability and content of national CPGs for treatment of peripartum depression, including comorbid anxiety, with antidepressants and other psychotropics across Europe and (2) antidepressant and other psychotropic utilization data as an indicator of prescribers’ compliance to the guidelines. We conducted a search using Medline and the Guidelines International Network database, combined with direct e-mail contact with national Riseup-PPD COST ACTION members and researchers within psychiatry. Of the 48 European countries examined, we screened 41 records and included 14 of them for full-text evaluation. After exclusion of ineligible and duplicate records, we included 12 CPGs. Multiple CPGs recommend antidepressant initiation or continuation based on maternal disease severity, non-response to first-line non-pharmacological interventions, and after risk-benefit assessment. Advice on treatment of comorbid anxiety is largely missing or unspecific. Antidepressant dispensing data suggest general prescribers’ compliance with the preferred substances of the CPG, although country-specific differences were noted. To conclude, there is an urgent need for harmonized, up-to-date CPGs for pharmacological management of peripartum depression and comorbid anxiety in Europe. The recommendations need to be informed by the latest available evidence so that healthcare providers and women can make informed, evidence-based decisions about treatment choices.

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Section: Resultsmentioning

confidence: 99%

Treatment of Peripartum Depression with Antidepressants and Other Psychotropic Medications: A Synthesis of Clinical Practice Guidelines in Europe

Kittel‐Schneider

Felice

Buhagiar

et al. 2022

IJERPH

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“…Dit artikel beschrijft een leidraad die perinatale hulpverleners (zoals artsen, vroedvrouwen, verpleegkundigen, sociaal werkers en psychologen) aan de hand van korte screeningsvragenlijsten wil helpen bij het identificeren van depressieve en angstklachten en sneller wil begeleiden naar de juiste zorg (27). De leidraad is gebaseerd op internationale richtlijnen en werd ontwikkeld door een multidisciplinaire werkgroep op basis van het zevenfasenmodel (1,2,28).…”

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Leidraad voor de screening en detectie van perinatale depressieve en angststoornissen tijdens de zwangerschap tot 1 jaar na de bevalling

Damme¹,

Parys²,

Vogels³

et al. 2021

Tijdschr Geneesk

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A protocol for the screening, detection and treatment of perinatal anxiety and depressive disorders Importance. With a prevalence of 20%, mental health problems are considered as one of the most frequent complications during pregnancy and the postnatal period. Despite their high prevalence, these mental health problems often remain underdiagnosed and undertreated. Objective. The protocol aims to offer perinatal health care workers (health care and mental health care workers) a framework helping them to detect and discuss depressive and anxiety complaints of women during the perinatal period (up to 1 year after childbirth) and to refer them for treatment. Evidence acquisition. The protocol, which was based on international guidelines and recent scientific evidence, was developed by an interdisciplinary task force taking into account concerns about its daily practicability and current perinatal health care. Results. The protocol guides staff through a psychosocial assessment, a stepped screening, a clinical assessment and treatment steps. It is currently being implemented throughout Flanders (Belgium) with support of the Flemish Ministry of Welfare, Public Health and Family. Conclusion. Integrating mental health screening and treatment in standard perinatal care will improve the mental health care for women, their partners and their offspring.

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Women’s interpretation, understanding and attribution of the anhedonia question in the PHQ-4 and modified-Whooley questions in the antenatal period

Matthey

Robinson

Vedova

2021

Journal of Reproductive and Infant Psychology

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A mental health care protocol for the screening, detection and treatment of perinatal anxiety and depressive disorders in Flanders

Cited by 6 publications

References 21 publications

Treatment of Peripartum Depression with Antidepressants and Other Psychotropic Medications: A Synthesis of Clinical Practice Guidelines in Europe

Treatment of Peripartum Depression with Antidepressants and Other Psychotropic Medications: A Synthesis of Clinical Practice Guidelines in Europe

Leidraad voor de screening en detectie van perinatale depressieve en angststoornissen tijdens de zwangerschap tot 1 jaar na de bevalling

Women’s interpretation, understanding and attribution of the anhedonia question in the PHQ-4 and modified-Whooley questions in the antenatal period

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