Best Practices: Community-Based Postpartum Depression Screening: Results From the CARE Study

Horowitz, R.; Murphy, Rinki; Gregory, Katherine E.; Wojcik, Rachel

doi:10.1176/appi.ps.60.11.1432

Cited by 16 publications

(10 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On-site assessment or treatment Mental health assessment or treatment at current clinic, mainly provided by perinatal care provider (eg, obstetrician or midwife), on-site social worker or researcher (Fergerson et al, 2002;Chaudron et al, 2004;Carter et al, 2005;Flynn et al, 2006;Ingadottir and Thome, 2006;Harvey and Pun, 2007;Horowitz et al, 2009;Miller et al, 2009;Chen et al, 2011;Leung et al, 2011;Honikman et al, 2012;Miller et al, 2012;Segre et al, 2012;Stock et al, 2013;Wisner et al, 2013;Mestad et al, 2016;Venkatesh et al, 2016).…”

Section: Educationmentioning

confidence: 99%

Uptake of referrals for women with positive perinatal depression screening results and the effectiveness of interventions to increase uptake: a systematic review and meta-analysis

Xue

Cheng

et al. 2020

Epidemiol Psychiatr Sci

View full text Add to dashboard Cite

Aims Perinatal depression threatens the health of maternal women and their offspring. Although screening programs for perinatal depression exist, non-uptake of referral to further mental health care after screening reduces the utility of these programs. Uptake rates among women with positive screening varied widely across studies and little is known about how to improve the uptake rate. This study aimed to systematically review the available evidence on uptake rates, estimate the pooled rate, identify interventions to improve uptake of referral and explore the effectiveness of those interventions. Methods This systematic review has been registered in PROSPERO (registration number: CRD42019138095). We searched Pubmed, Web of Science, Cochrane Library, Ovid, Embase, CNKI, Wanfang Database and VIP Databases from database inception to January 13, 2019 and scanned reference lists of relevant researches for studies published in English or Chinese. Studies providing information on uptake rate and/or effectiveness of interventions on uptake of referral were eligible for inclusion. Studies were excluded if they did not report the details of the referral process or did not provide exact uptake rate. Data provided by observational studies and quasi-experimental studies were used to estimate the pooled uptake rate through meta-analysis. We also performed meta-regression and subgroup analyses to explore the potential source of heterogeneity. To evaluate the effectiveness of interventions, we conducted descriptive analyses instead of meta-analyses since there was only one randomised controlled trial (RCT). Results Of 2302 records identified, 41 studies were eligible for inclusion, including 39 observational studies (n = 9337), one quasi-experimental study (n = 43) and one RCT (n = 555). All but two studies were conducted in high-income countries. The uptake rates reported by included studies varied widely and the pooled uptake rate of referral was 43% (95% confidence intervals [CI] 35–50%) by a random-effect model. Meta-regression and subgroup analyses both showed that referral to on-site assessment or treatment (60%, 95% CI 51–69%) had a significantly higher uptake rate than referral to mental health service (32%, 95% CI 23–41%) (odds ratio 1.31, 95% CI 1.13–1.52). The included RCT showed that the referral intervention significantly improved the uptake rate (p ＜ 0.01). Conclusions Almost three-fifths of women with positive screening results do not take up the referral offers after perinatal depression screening. Referral to on-site assessment and treatment may improve uptake of referral, but the quality of evidence on interventions to increase uptake was weak. More robust studies are needed, especially in low-and middle-income countries.

show abstract

Section: Educationmentioning

confidence: 99%

Uptake of referrals for women with positive perinatal depression screening results and the effectiveness of interventions to increase uptake: a systematic review and meta-analysis

Xue

Cheng

et al. 2020

Epidemiol Psychiatr Sci

View full text Add to dashboard Cite

show abstract

“…As postpartum depression (PPD) is a common complication of childbirth, anticipatory guidance and education about PPD are important aspects of care (Association of Women’s Health Obstetric and Neonatal Nurses [AWHONN], 2015; Segre, O’Hara, Arndt, & Beck, 2010a). The first few days postpartum may not be the most appropriate time for identifying PPD (Horowitz, Murphy, Gregory, & Wojcik, 2009; Logsdon, Tomasulo, Eckert, Beck, & Dennis, 2012), however, postpartum nurses may be the only healthcare provider who addresses PPD (Logsdon et al, 2012). …”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Discharge Education on Postpartum Depression

McCarter‐Spaulding

Shea

2016

McN: The American Journal of Maternal/Child Nursing

View full text Add to dashboard Cite

Purpose To determine effectiveness of an educational intervention in reducing or preventing symptoms of postpartum depression (PPD). Study Design and Methods English-speaking women age 18 or older with a singleton, term, healthy newborn were recruited from an 11-bed maternity unit in Southern New Hampshire. Using a quasi experimental design, the first 120 respondents received usual care (control), and the following 120 respondents received the education (treatment) including PPD predictors, symptoms, prevention and management. Current risk factors were measured using the Postpartum Depression Predictors Inventory-Revised (PDPI-R-R). Symptoms of depression were measured using the Edinburgh Postnatal Depression Scale (EPDS) at 6 weeks, 3 months and 6 months postpartum. Two proportion z-tests were used to determine whether the education significantly impacted EPDS scores at each of the three follow ups. Results There was no significant difference in symptoms of depression as measured by the EPDS between the treatment and control group at 6 weeks, 3 months or 6 months postpartum. However, consistent with previous studies, low socioeconomic status and a history of depression or anxiety prior to or during the pregnancy were significant predictors of PPD. Clinical implications Postpartum nursing discharge education did not decrease depression symptoms up to 6 months after discharge. More research is needed to determine the most appropriate timing and content of education about PPD. Many women at risk can be identified prior to birth. Education to improve literacy about PPD may need to be provided prenatally and reinforced during postpartum hospitalization and after discharge.

show abstract

“…In the USA, a number of comprehensive and integrated services have been established to cater maternal mental health [ 6 , 7 ]. Beyondblue , the Australian National Depression Initiative also includes a programme targeting the postpartum depression [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Identifying Mothers with Postpartum Depression Early: Integrating Perinatal Mental Health Care into the Obstetric Setting

Chen

Wang

Ch’ng

et al. 2011

ISRN Obstetrics and Gynecology

View full text Add to dashboard Cite

With prevalence rates of postnatal depression (PND) as high as at least 7%, there was a need for early detection and intervention of postpartum mental illness amongst Singaporean mothers. This is a report on the first year results of our country's first PND Intervention Programme. The programme consists of two phases: (1) postpartum women were screened with the Edinburgh Postnatal Depression Scale and provided appropriate care plans; (2) individualized clinical intervention using a case management multidisciplinary team model. Screening for PND was generally acceptable, as 64% eligible women participated voluntarily. Nine percent (126) were identified as probable cases from 1369 women. Forty-one women accepted intervention and achieved 78% reduction in the EPDS symptom scores to below the cutoff of 13, 76% had improvement in GAF functioning scores, and 68% had improved health quality scores. Preliminary results are promising, and this intervention model can be replicated.

show abstract

Best Practices: Community-Based Postpartum Depression Screening: Results From the CARE Study

Cited by 16 publications

References 6 publications

Uptake of referrals for women with positive perinatal depression screening results and the effectiveness of interventions to increase uptake: a systematic review and meta-analysis

Uptake of referrals for women with positive perinatal depression screening results and the effectiveness of interventions to increase uptake: a systematic review and meta-analysis

Effectiveness of Discharge Education on Postpartum Depression

Identifying Mothers with Postpartum Depression Early: Integrating Perinatal Mental Health Care into the Obstetric Setting

Contact Info

Product

Resources

About