Development of a screening and recruitment registry to facilitate perinatal depression research in obstetrics settings in the USA

Allbaugh, Lucy J.; Ford, Eleanor C.; Flynn, Heather A.

doi:10.1016/j.ijgo.2014.09.015

Cited by 17 publications

(8 citation statements)

References 30 publications

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“…As we show here, a resilient response characterizes the experience of most women and only a small group of women endorse persistent and chronic elevated PPD symptoms, in accordance with previous work (Evans et al, 2001). Our finding of a PPD rate of 12% is also consistent with several studies (Allbaugh et al, 2015;Ashley et al, 2016;Castro e Couto et al, 2016;Lara et al, 2015;Quispel et al, 2014).…”

Section: Discussionsupporting

confidence: 93%

The dynamic course of peripartum depression across pregnancy and childbirth

Dekel

Ein‐Dor

Ruohomäki

et al. 2019

Journal of Psychiatric Research

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Objective. Peripartum depression (PPD) pertaining to depression in pregnancy and postpartum is one of the most common complications around childbirth with enduring adverse effects on mother and child health. Although psychiatric symptoms may improve or worsen over time, relatively little is known about the course of PPD symptoms and possible fluctuations. Methods. We applied a person-centered approach to examine PPD symptom patterns across pregnancy and childbirth. 824 women were assessed at three time points: first trimester (T1), third trimester (T2), and again at eight weeks (T3) postpartum. We assessed PPD symptoms, maternal mental health history, and childbirth variables. Results. Growth mixture modeling (GMM) analysis revealed four discrete PPD symptom trajectory classes including chronic PPD (1.1%), delayed (10.2%), recovered (7.2%), and resilient (81.5%). Delivery complications were associated with chronic PPD but also with the recovered PPD trajectory class. History of mental health disorders was associated with chronic PPD and the delayed PPD class. Conclusion. The findings underscore that significant changes in a woman's depression level can occur across pregnancy and childbirth. While a minority of women experience chronic PDD, for others depression symptoms appear to significantly alleviate over time, suggesting a form of recovery. Our findings support a personalized medicine approach based on the woman's symptom trajectory. Future research is warranted to identify the mechanisms underlying modifications in PPD symptoms severity and those implicated in recovery.

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Section: Discussionsupporting

confidence: 93%

The dynamic course of peripartum depression across pregnancy and childbirth

Dekel

Ein‐Dor

Ruohomäki

et al. 2019

Journal of Psychiatric Research

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“…Overall scores between 10 and 12 points suggest increased risk for depression; scores of 13 points or more suggest that the diagnostic criteria for major depression disorder have probably been met. 24 In addition, special attention should be paid to item 10, as it deals with suicidal thoughts. On the basis of these scores, a clinician would be prompted to refer a woman to a mental health professional.…”

Section: Methods and Analysismentioning

confidence: 99%

Tablet computers for implementing NICE antenatal mental health guidelines: protocol of a feasibility study

et al. 2016

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IntroductionDepression is one of the most common mental health disorders that may affect women during pregnancy. The prompt identification of this disorder, and the provision of treatment, may help to reduce the likelihood of post-partum depression, prevent severe forms of the disease, and reduce its intergenerational impact. Despite women's repeated encounters with health services throughout their antenatal care, depression often goes undiagnosed. This is one area where mobile health could prove useful. We will assess the feasibility of using tablets to incorporate depression screening into antenatal pathways. We will also assess if survey layout could affect the quality of the data collected through these devices.Methods and analysisWe will test the feasibility of using iPad Airs for the administration of the Whooley questions and the Edinburgh Postnatal Depression Scale (EPDS) to pregnant women attending antenatal clinics in England. We will assess the impact of survey layout on the quality of the responses given to these screening scales using a parallel, randomised controlled study design. We will calculate the positive predictive value, the negative predictive value and the false omission rate of the Whooley questions in comparison with the EPDS. We will calculate differences in data equivalence, time needed to complete the surveys, break-off rates, data completeness and requests for help between the 2 experimental groups: using all questions in one screen and navigation by vertical scrolling, or a single question per screen and navigation by multiple pages.Ethics and disseminationThis study has been approved by the National Research Ethics Service Committee South East Coast—Surrey. Our findings will be disseminated through academic peer-reviewed publications, conferences and discussion with peers.

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“… 28 Screening for depression has been widely supported as a component of routine obstetric care. 29 In 2015, the American Congress of Obstetricians and Gynecologists (ACOG) released a committee opinion recommending that clinicians screen patients for depression and anxiety symptoms at least once during the perinatal period using a validated tool. 30 …”

Section: Screening For Perinatal Depressionmentioning

confidence: 99%

“…Despite the prevalence and sequelae of perinatal depression, most women who present with depressive symptoms are not screened and do not receive adequate treatment. 5 Even in health systems that perform “universal screening” for antenatal depression, only about a third of the charts have documented depression screening scores and provider counseling. 6 These shortcomings are disconcerting, as research suggests that effective treatment is available for antenatal depression and that diagnosed women are more likely to receive treatment.…”

mentioning

confidence: 99%