Depression care attitudes and practices of newer obstetrician-gynecologists: A national survey

Dietrich, Allen J.; Williams, John W; Ciotti, Mary C.; Schulkin, Jay; Stotland, Nada L.; Rost, Kathryn; Baram, David A.; Cornell, John E.

doi:10.1067/mob.2003.410

Cited by 45 publications

(26 citation statements)

References 11 publications

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“…However, the lower prevalence of diagnosis among pregnant women suggests that prenatal care providers may miss opportunities to identify and connect pregnant women with MDE to mental health services or that pregnant women are receiving screening and referrals but not seeking specialized care for diagnosis and treatment. Other studies have found that psychiatric disorders often go unrecognized and undiagnosed by obstetricians 27 and gynecologists [27][28][29] and that depression screening rates among their patients are low, with one study finding that only 9%-12% of obstetricians and gynecologists routinely ask or screen for depressive symptoms. 29 The rates of depression diagnosis may be low in part because the U.S. Preventive Services Task Force (USPSTF) recommends screening adults for depression only when staff-assisted depression care supports are in place to ensure accurate diagnosis, effective treatment, and follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…Other studies have found that psychiatric disorders often go unrecognized and undiagnosed by obstetricians 27 and gynecologists [27][28][29] and that depression screening rates among their patients are low, with one study finding that only 9%-12% of obstetricians and gynecologists routinely ask or screen for depressive symptoms. 29 The rates of depression diagnosis may be low in part because the U.S. Preventive Services Task Force (USPSTF) recommends screening adults for depression only when staff-assisted depression care supports are in place to ensure accurate diagnosis, effective treatment, and follow-up. 30 Clinicians who are unprepared to treat depression and have no place to refer uninsured women appropriately may not screen.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Depression and Treatment Among U.S. Pregnant and Nonpregnant Women of Reproductive Age, 2005–2009

Farr²,

Dietz³

et al. 2012

Journal of Women's Health

260

207

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Background-Depression is often undiagnosed and untreated. It is not clear if differences exist in the diagnosis and treatment of depression among pregnant and nonpregnant women. We sought to estimate the prevalence of undiagnosed depression, treatment by modality, and treatment barriers by pregnancy status among U.S. reproductive-aged women.Methods-We identified 375 pregnant and 8,657 nonpregnant women 18-44 years of age who met criteria for past-year major depressive episode (MDE) from 2005-2009 nationally representative data. Chi-square statistics and adjusted prevalence ratios (aPR) were calculated.Results-MDE in pregnant women (65.9%) went undiagnosed more often than in nonpregnant women (58.6%) (aPR 1.1, 95% confidence interval [CI] 1.0-1.3). Half of depressed pregnant (49.6%) and nonpregnant (53.7%) women received treatment (aPR 1.0, 95% CI 0.90-1.1), with prescription medication the most common form for both pregnant (39.6%) and nonpregnant (47.4%) women. Treatment barriers did not differ by pregnancy status and were cost (54.8%), opposition to treatment (41.7%), and stigma (26.3%).Conclusions-Pregnant women with MDE were no more likely than nonpregnant women to be diagnosed with or treated for their depression. IntroductionDepression is a leading cause of global disability and the second leading cause of global disease burden among people 15-44 years of age. 1 Women are disproportionately affected, as they are almost twice as likely as men to report lifetime history of major depressive episode (MDE). 2,3 Depression affects 8%-16% of U.S. reproductive-aged women 2,4-6 and © Mary Ann Liebert, Inc. HHS Public Access MeasuresMajor depressive episode-MDE was assessed using nine questions about MDE symptoms, as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 24 A respondent met DSM-IV criteria for past-year MDE if she reported experiencing ≥5 symptoms nearly every day in the same 2-week period in the past 12 months, with at least 1 of the 5 symptoms being depressed mood or loss of interest or pleasure in daily Women also self-reported whether a doctor or other medical professional had told them that they had depression in the past year, which was asked separately from MDE symptoms and is referred to hereafter as having a clinical diagnosis of depression.Mental health treatment-Three NSDUH questions assessed past-year treatment.Respondents were asked: "During the past 12 months, did you take any prescription medication that was prescribed for you to treat a mental or emotional condition? During the past 12 months, did you receive any outpatient treatment or counseling for any problem you were having with your emotions, nerves, or mental health? During the past 12 months, have you stayed overnight or longer in a hospital or other facility to receive treatment or counseling for any problem you were having with your emotions, nerves, or mental health? Mental health treatment was defined as receiving prescription medication, counseling, or inpatient care in the past year.Res...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Depression and Treatment Among U.S. Pregnant and Nonpregnant Women of Reproductive Age, 2005–2009

Farr²,

Dietz³

et al. 2012

Journal of Women's Health

260

207

View full text Add to dashboard Cite

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“…Over the past years, more positive attitudes towards depression screening, increasing interest and improved training to recognize and treat depression have become evident among obstetricians and gynecologists [11,27,28]. Also, care management interventions for depressed patients in obstetric-gynecologic settings have been implemented with high overall scores of patient satisfaction and participation rates [2].…”

Section: Discussionmentioning

confidence: 98%

Patients with psychiatric disorders in gynecologic practice—a three year follow-up

Malmenström

Bixo

Björn

et al. 2006

Journal of Psychosomatic Obstetrics & Gynecology

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“…bez f=0) individualno variranje ispitanica (n=34; 5, 63% od svih 604; 7, 42% od 458) po 6 kategorija obeležja vrste pojedinačnih komplikacija i dva vremena posmatranja (pre i u sadašnjoj trudnoći) rezultiralo je novom empirijskom raspodelom tj. 66 ) koje čine opadajuću dijagonalu tablice kontingencije (6x6) pokazuju slaganje kategorija tj. vrsta pojedinačnih komplikacije pre i u sadašnjoj trudnoći.…”

Section: Tabelarno (Tabela 31) I Grafički (Grafik 19)unclassified

“…S druge strane, pošto se trudnice prevashodno obraćaju akušerskim odeljenjima, treba imati na umu da edukacija akušera u oblasti dijagnostike i terapije depresije nije uvek suficijentna. Prema podacima jedne studije, manje od polovine akušera je izjavilo da su ih specijalističke studije pripremile za dijagnostiku depresije (Dietrich 2003). Budućim majkama treba, pored toga, obezbediti detaljne informacije o promenama očekivanim tokom trudnoće, čime se otvora put da optimalnije prihvate trudnoću.…”

Section: Diskusija Studije Determinanti Zdravstvenogunclassified

Study of determinants of health status and quality of life in pregnancy

Dotlić¹

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Depression care attitudes and practices of newer obstetrician-gynecologists: A national survey

Cited by 45 publications

References 11 publications

Depression and Treatment Among U.S. Pregnant and Nonpregnant Women of Reproductive Age, 2005–2009

Depression and Treatment Among U.S. Pregnant and Nonpregnant Women of Reproductive Age, 2005–2009

Patients with psychiatric disorders in gynecologic practice—a three year follow-up

Study of determinants of health status and quality of life in pregnancy

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