The DOI matches its Crossref record; 94 of the 94 references it cites were found in a registry or an index.
Primary Care Screening for and Treatment of Depression in Pregnant and Postpartum Women: Evidence Report and Systematic Review for the US Preventive Services Task Force
Open accessAbstract
IMPORTANCE: Depression is a source of substantial burden for individuals and their families, including women during the pregnant and postpartum period. OBJECTIVE: To systematically review the benefits and harms of depression screening and treatment, and accuracy of selected screening instruments, for pregnant and postpartum women. Evidence for depression screening in adults in general is available in the full report. DATA SOURCES: MEDLINE, PubMed, PsycINFO, and the Cochrane Collaboration Registry of Controlled Trials through January 20, 2015; references; and government websites. STUDY SELECTION: English-language trials of benefits and harms of depression screening, depression treatment in pregnant and postpartum women with screen-detected depression, and diagnostic accuracy studies of depression screening instruments in pregnant and postpartum women. DATA EXTRACTION AND SYNTHESIS: Two investigators independently reviewed abstracts and full-text articles and extracted data from fair- and good-quality studies. Random-effects meta-analysis was used to estimate the benefit of cognitive behavioral therapy (CBT) in pregnant and postpartum women. MAIN OUTCOMES AND MEASURES: Depression remission, prevalence, symptoms, and related measures of depression recovery or response; sensitivity and specificity of selected screening measures to detect depression; and serious adverse effects of antidepressant treatment. RESULTS: Among pregnant and postpartum women 18 years and older, 6 trials (n = 11,869) showed 18% to 59% relative reductions with screening programs, or 2.1% to 9.1% absolute reductions, in the risk of depression at follow-up (3-5 months) after participation in programs involving depression screening, with or without additional treatment components, compared with usual care. Based on 23 studies (n = 5398), a cutoff of 13 on the English-language Edinburgh Postnatal Depression Scale demonstrated sensitivity ranging from 0.67 (95% CI, 0.18-0.96) to 1.00 (95% CI, 0.67-1.00) and specificity consistently 0.87 or higher. Data were sparse for Patient Health Questionnaire instruments. Pooled results for the benefit of CBT for pregnant and postpartum women with screen-detected depression showed an increase in the likelihood of remission (pooled relative risk, 1.34 [95% CI, 1.19-1.50]; No. of studies [K] = 10, I2 = 7.9%) compared with usual care, with absolute increases ranging from 6.2% to 34.6%. Observational evidence showed that second-generation antidepressant use during pregnancy may be associated with small increases in the risks of potentially serious harms. CONCLUSIONS AND RELEVANCE: Direct and indirect evidence suggested that screening pregnant and postpartum women for depression may reduce depressive symptoms in women with depression and reduce the prevalence of depression in a given population. Evidence for pregnant women was sparser but was consistent with the evidence for postpartum women regarding the benefits of screening, the benefits of treatment, and screening instrument accuracy.
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“cognitive behavioural therapy (CBT) and interpersonal psychotherapy (IPT) are recommended for the treatment of antenatal and postnatal depression (Matrics Cymru, 2017;NICE, 2014;O'Connor et al., 2016).”
From Acceptance and Commitment Therapy for perinatal mood and anxiety disorders: A feasibility and proof of concept study. (2020) · cites this paper as O'Connor et al., 2016
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“The evidence base for psychological therapies in the perinatal context has largely focused on the prevention and treatment of mild-to-moderate depressionparticularly postnatal depression (Dennis, & Hodnett, 2007;O'Connor et al., 2016).”
From Acceptance and Commitment Therapy for perinatal mood and anxiety disorders: A feasibility and proof of concept study. (2020) · cites this paper as O'Connor et al., 2016
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“Stigma, risks of using antidepressant medications during pregnancy, lack of time, childcare issues, as well as limited resources, particularly in rural regions, high amounts of stress, lack of transportation and inadequate support were identified as impeding barriers to care [6, 21, 25].”
From Mental health-related telemedicine interventions for pregnant women and new mothers: a systematic literature review (2023) · cites this paper as [21]
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“and particularly pertinent in the perinatal context given the potential risks to foetal and infant development associated with psychotropic medication exposure (Howard et al., 2014;O'Connor, Rossom, Henninger, Groom, & Burda, 2016;Waters, Hay, Simmonds, & vanGoozen, 2014).”
From Acceptance and Commitment Therapy for perinatal mood and anxiety disorders: A feasibility and proof of concept study. (2020) · cites this paper as O'Connor, Rossom, Henninger, Groom, & Burda, 2016
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“Evidence suggests that screening for PPD can reduce depressive symptoms in women with depression and decrease the prevalence of depression in the population, especially when combined with treatment [12].”
From Challenges in diagnosing and treating postpartum depression in the primary care Setting- a qualitative study (2025) · cites this paper as [12]
In the citing paper
“The systematic review conducted to support the USPSTF guideline reported the range of accuracy estimates for EPDS cut-off values of 10 or higher (14 studies) and 13 or higher (17 studies) in 23 primary studies, but did not include a meta-analysis.14 15”
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Roche, D., Rafferty, A. R., Holden, S., Killeen, S. L., Kennelly, M. A., & McAuliffe, F. M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20010034 · Cited by 17
Antenatal Depression and its Associated Factors: Findings from Kuwait Birth Cohort Study
Al‐Sabah, R., Al‐Taiar, A., Ziyab, A. H., Akhtar, S., & Hammoud, M. S. (2024) · Journal of Epidemiology and Global Health · doi:10.1007/s44197-024-00223-7 · Cited by 22
“Despite the well-accepted recommendation of screening for depression during pregnancy [60, 61], this is not systematically implemented in Kuwait.”
Farooq, B., Allen, K., Russell, A. E., Howe, L. D., & Mars, B. (2024) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2024.107014 · Cited by 21
Highet, N. J., Gamble, J. A., & Creedy, D. K. (2018) · Primary Health Care Research & Development · doi:10.1017/s1463423618000336 · Cited by 17
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BackgroundInfluentialCochran, A. L., Pingeton, B. C., Goodman, S. H., Laurent, H. K., Rathouz, P. J., Newport, D. J., & Stowe, Z. N. (2020) · Journal of Abnormal Psychology · doi:10.1037/abn0000612 · Cited by 18
“…depression during the perinatal period (ACOG Committee Opinion No. 757., 2018; Earls & Committee on Psychosocial Aspects of Child and Family Health American Academy of Pediatrics, 2010; Hagan et al., 2008; O’Connor et al., 2016; US Preventive Services Task Force et al., 2019; Yonkers et al., 2009).”
BackgroundDo, H. P., Baker, P., Vo, T. V., Luong-Thanh, B.-Y., Nguyen, H. L., Valdebenito, S., Eisner, M., Tran, B. X., Hoang, T. D., & Dunne, M. P. (2020) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2020.100047 · Cited by 20
Lilliecreutz, C., Josefsson, A., Mohammed, H., Josefsson, A., & Sydsjö, G. (2021) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/aogs.14051 · Cited by 17
Indirect Identification of Perinatal Psychosocial Risks From Natural Language
Allen, K., Davis, A. L., & Krishnamurti, T. (2021) · IEEE Transactions on Affective Computing · doi:10.1109/taffc.2021.3079282 · Cited by 17
“or without additional treatment components [8], and primary care physicians are equipped to implement meaningful interventions in cases of IPV [9].”
BackgroundOwora, A. H., Carabin, H., Reese, J. A., & Garwe, T. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.08.014 · Cited by 16
“…consequence, these previous systematic reviews only provided a qualitative synthesis of the diagnostic performance of maternal MDD case-finding instruments (Gaynes et al., 2005; Agency for Healthcare Research and Quality AHRQ, 2014; Pignone et al., 2002; O’Connor et al., 2016; Gibson et al., 2009).”
BackgroundMethodInfluentialA Literature Review of Alternative Therapies for Postpartum Depression
Nguyen, J. (2017) · Nursing for Women s Health · doi:10.1016/j.nwh.2017.07.003 · Cited by 19
Dyadic Adjustment and Prenatal Parental Depression: A Study with Expectant Mothers and Fathers
Mangialavori, S., Terrone, G., Cantiano, A., Franquillo, A. C., di Scalea, G. L., Ducci, G., & Cacioppo, M. (2019) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2019.38.10.860 · Cited by 17
Hamidia, A., Kheirkhah, F., Faramarzi, M., Basirat, Z., Ghadimi, R., Chehrazi, M., Barat, S., Cuijpers, P., O’Connor, E., & Mirtabar, S. M. (2021) · Indian Journal of Psychiatry · doi:10.4103/indianjpsychiatry.indianjpsychiatry_1272_20 · Cited by 16
“[31] Brief symptom inventory 53‑items Derogatis and Melisaratos (1983) developed BSI-53 as a short alternative for Symptom Checklist-90-Revised.”
Davis, E. P., Demers, C. H., Deer, L. K., Gallop, R., Hoffman, M. C., Grote, N. K., & Hankin, B. L. (2024) · EClinicalMedicine · doi:10.1016/j.eclinm.2024.102601 · Cited by 19
“26 – 28 Here, we implement a longitudinal randomized clinical trial (RCT) design to reduce depression trajectories among pregnant individuals.”
MethodBuchholz, M., Burnett, B., Margolis, K. L., Millar, A. M., & Talmi, A. (2018) · Clinical Practice in Pediatric Psychology · doi:10.1037/cpp0000239 · Cited by 16
Premji, S., McDonald, S., Metcalfe, A., Faris, P., Quan, H., Tough, S., & Mcneil, D. (2019) · Preventive medicine reports · doi:10.1016/j.pmedr.2019.100888 · Cited by 14
Evaluation of the CORE-10 to assess psychological distress in pregnancy
Coates, R., Ayers, S., de Visser, R. O., & Thornton, A. (2019) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2019.1702631 · Cited by 19
Stressful life events and postpartum depressive symptoms among women with disabilities
Booth, E. J., Kitsantas, P., Min, H., & Pollack, A. Z. (2021) · Women s Health · doi:10.1177/17455065211066186 · Cited by 16
“The SLEs were listed as follows: (1) I moved to a new address; (2) I lost my job even though I wanted to go on working; (3) my husband or partner lost their job; (4) my husband, partner, or I had a cut in work hours or pay; (5) I had problems paying the rent, mortgage, or other bills; (6) I got separated or divorced f…”
Pinheiro, R. T., Souza, L. D. D. M., Trettim, J. P., de Matos, M. B., Pinheiro, K. A. T., da Cunha, G. K., Rubin, B. B., Scholl, C. C., Stigger, R. S., Motta, J. V. D. S., et al. (2022) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2022.01.061 · Cited by 16
Venkatesh, K. K., Kaimal, A. J., Castro, V. M., & Perlis, R. H. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.01.042 · Cited by 19
Postpartum depression in older women
Strelow, B., Fellows, N., Fink, S. R., O’Laughlin, D. J., Radke, G., Stevens, J., & Tweedy, J. (2018) · JAAPA · doi:10.1097/01.jaa.0000530288.83376.8e · Cited by 16
Froeliger, A., Deneux‐Tharaux, C., Sutter‐Dallay, A., Bouchghoul, H., Loussert, L., Madar, H., & Sentilhes, L. (2026) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2025.03.040 · Cited by 17
Postpartum Depression in American Indian/Alaska Native Women
Heck, J. L. (2020) · MCN The American Journal of Maternal/Child Nursing · doi:10.1097/nmc.0000000000000671 · Cited by 15
Vaillancourt, M., Lane, V., Ditto, B., & Costa, D. D. (2021) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-021-01284-7 · Cited by 19
The impact of antidepressants on human neurodevelopment: Brain organoids as experimental tools
Marinho, L. S. R., Chiarantin, G. M. D., Ikebara, J. M., Cardoso, D. S., de Lima-Vasconcellos, T. H., Higa, G. S. V., Ferraz, M. S. A., Pasquale, R. D., Takada, S. H., Papes, F., et al. (2022) · Seminars in Cell and Developmental Biology · doi:10.1016/j.semcdb.2022.09.007 · Cited by 35
Discrimination and Adverse Perinatal Health Outcomes: A Latent Class Analysis
Doherty, E. A., Cartmell, K. B., Griffin, S. F., Heo, M., Chen, L., Britt, J. L., & Crockett, A. H. (2023) · Preventing Chronic Disease · doi:10.5888/pcd20.230094 · Cited by 18
Quality assurance assessment of a specialized perinatal mental health clinic
Caropreso, L., Saliba, S., Hasegawa, L., Lawrence, J., Davey, C. J., & Frey, B. N. (2020) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-020-03174-6 · Cited by 23
“The sensitivity of the EPDS at a cut-off score of ≥13 was estimated to be approximately 86% and specificity was about 78%, with a positive predictive value of 73% [29, 32, 33].”
BackgroundScorza, P., Monk, C. E., Lee, S., Feng, T., Berry, O. O., & Werner, E. A. (2020) · American Journal of Obstetrics & Gynecology MFM · doi:10.1016/j.ajogmf.2020.100230 · Cited by 16
Premji, S., McDonald, S., McNeil, D. A., & Spackman, E. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.11.051 · Cited by 15
Lee, L., & Hung, C. (2022) · Worldviews on Evidence-Based Nursing · doi:10.1111/wvn.12559 · Cited by 19
Sleep, Anxiety, and Vitamin D Status and Risk for Peripartum Depression
King, C. E., Wilkerson, A. K., Newman, R., Wagner, C. L., & Guille, C. (2022) · Reproductive Sciences · doi:10.1007/s43032-022-00922-1 · Cited by 15
Playfair, R., Salami, B. O., & Hegadoren, K. (2017) · International Journal of Mental Health Nursing · doi:10.1111/inm.12347 · Cited by 15
“O’Connor et al. (2016) conducted a systematic review on screening and treating maternal depression symptoms and reported that screening resulted in a decreased prevalence rate of MDD compared to usual care.”
BackgroundHuberty, J., Matthews, J., Leiferman, J. A., Cacciatore, J., & Gold, K. J. (2017) · Pilot and Feasibility Studies · doi:10.1186/s40814-017-0162-7 · Cited by 17
Women's Knowledge of Postpartum Anxiety Disorders, Depression, and Cognitive Behavioral Therapy
Ponzini, G. T., Snider, M. D. H., Evey, K. J., & Steinman, S. A. (2021) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0000000000001315 · Cited by 14
“Extant legislation in several states promotes routine screening for PPD, which has led to reduced prevalence rates and improved treatment response (O'Connor et al., 2016).”
BackgroundSalehi, L., Mohmoodi, Z., Rajati, F., & Pop, V. J. M. (2021) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-021-03745-1 · Cited by 13
“The EDS has been validated in pregnant women, showing adequate sensitivity and specificity to detect women at risk for depression during pregnancy [28].”
MethodDisparities in postpartum depression screening participation between immigrant and Danish-born women
Castaner, M. M., Hvidtfeldt, C., Villadsen, S. F., Laursen, B., Pedersen, T. P., & Nørredam, M. L. (2021) · European Journal of Public Health · doi:10.1093/eurpub/ckab197 · Cited by 14
Hulsbosch, L. P., Boekhorst, M., Lodder, P., Potharst, E., Nyklíček, I., Bergink, V., Oei, S., Verhoeven, C., & Pop, V. (2022) · BJOG: an International Journal of Obstetrics and Gynaecology · doi:10.1111/1471-0528.17273 · Cited by 13
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Effect of eHealth interventions on perinatal depression: A meta-analysis
Xie, H., Cong, S., Wang, R., Sun, X., Han, J., Ni, S., & Zhang, A. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.03.027 · Cited by 17
James, K. F., Chen, K., Hindra, S. S., Gray, S., Robinson, M. N., Tobin, C. S. T., Choi, K. R., & Arnault, D. S. (2024) · Archives of Women s Mental Health · doi:10.1007/s00737-024-01458-w · Cited by 14
“While the findings in this study were likely not affected by these differences since separate analyses were conducted for each, clinicians should repeat screening, conduct a detailed health history assessment, and follow-up (O’Connor et al. 2016).”
ResultAssociation of Pregnancy Contexts with Depression and Low Social Support in Early Pregnancy
Lundsberg, L. S., Cutler, A. S., Stanwood, N. L., Yonkers, K. A., & Gariepy, A. M. (2020) · Perspectives on Sexual and Reproductive Health · doi:10.1363/psrh.12155 · Cited by 15
Waqas, A., Malik, A., Atif, N., Nisar, A., Nazir, H., Sikander, S., & Rahman, A. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18136693 · Cited by 14
“Following a two-step approach, Yawn et al. [34] implemented a multistep depression screening program utilizing postal EPDS followed by physician administered PHQ-9, for the assessment of perinatal depression in the US.”
BackgroundInfluentialBaran, J., Kalandyk-Osinko, K., & Baran, R. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19042284 · Cited by 14
“The EPDS questionnaire was used to assess the presence of postnatal depression, as it is the most commonly used screening tool for depression in perinatal care [28,29].”
MethodLifetime prevalence and correlates of perinatal depression in a case-cohort study of depression
Kiewa, J., Meltzer-Brody, S. E., Milgrom, J., Bennett, E., Mackle, T., Guintivano, J., Hickie, I. B., Colodro‐Conde, L., Medland, S. E., Martin, N., et al. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-059300 · Cited by 16
Giving Voice to the Psychological in the NICU: A Relational Model
Steinberg, Z., & Patterson, C. A. (2017) · Journal of Infant Child and Adolescent Psychotherapy · doi:10.1080/15289168.2016.1267539 · Cited by 14
Kingston, D. E., Biringer, A. B., van Zanten, S. V., Giallo, R., McDonald, S. D., MacQUEEN, G. M., Vermeyden, L., & Austin, M. (2017) · JMIR Mental Health · doi:10.2196/mental.6888 · Cited by 14
“Such evidence has been used to support recommendations for routine prenatal and postnatal mental health screening by international guidelines from the United Kingdom [5], Australia [6], and the United States [7,8], prompting major shifts in global perinatal mental health care.”
Rojas, G., Guajardo, V., Martínez, P., & Fritsch, R. (2018) · Revista médica de Chile · doi:10.4067/s0034-98872018000901001 · Cited by 13
A Review of Treatments and Clinical Guidelines for Perinatal Depression
McDonald, M., & Alhusen, J. L. (2022) · The Journal of Perinatal & Neonatal Nursing · doi:10.1097/jpn.0000000000000661 · Cited by 13
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JAMAWelcomes the US Preventive Services Task Force
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“Routine, standardized screening in pregnancy for mental health disorders is recommended in high-income countries, including the United Kingdom [13], the United States [14], and Australia [1].”
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“Fluoxetine was the medication typically prescribed because it is well tolerated and has been extensively researched in the perinatal context [37, 38], although imipramine was also available.”
Social media use as a risk factor for depressive symptoms during pregnancy
Muskens, L., Hulsbosch, L. P., van den Heuvel, M. I., Croes, E. A. J., Kop, W. J., Pop, V. J. M., & Boekhorst, M. G. B. M. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.06.045 · Cited by 12
Leung, B. M. Y., Letourneau, N. L., Bright, K. S., Giesbrecht, G. F., Ntanda, H. N., Gagnon, L. M., & The APrON Team (2017) · Scandinavian Journal of Public Health · doi:10.1177/1403494817717835 · Cited by 13
“[6], less available are measures to assess other psychiatric disorders of pregnant and postpartum women.”
BackgroundElucidating posttraumatic stress symptom dimensions and health correlates among postpartum women
Thomas, J. L., Cleveland, S., Pietrzak, R. H., Schetter, C. D., & Sumner, J. A. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.07.025 · Cited by 14
“Leading organizations in obstetrics-gynecology (e.g., the American College of Obstetricians and Gynecologists) presently recommend screening for depression and anxiety during the perinatal period (American College of Obstetricians and Gynecologists (ACOG) 2018; O’Connor et al., 2016).”
BackgroundLarsen, A., Pintye, J. C., Bhat, A. S., Kumar, M., Kinuthia, J., Collins, P. Y., & John-Stewart, G. C. (2021) · SSM - Mental Health · doi:10.1016/j.ssmmh.2021.100015 · Cited by 13
“A lower cut-point of ≥10 produced equivalent diagnostic performance metrics (>80% sensitivity/specificity) to the standard higher cut-points of ≥12 or ≥13 among Western groups (O’Connor et al., 2016; Tsai et al., 2013).”
InfluentialBarber, C. C., & Masters‐Awatere, B. (2021) · Applied Psychology Health and Well-Being · doi:10.1111/aphw.12333 · Cited by 14
Maternal expectations of fetal gender and risk of postpartum depression
Rong, X.-F., Li, M., Pérez-López, F. R., Wu, J., & Zhang, B. (2023) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-023-05419-6 · Cited by 14
“Screening and treatment for depression may reduce depressive symptoms and then decline the prevalence of PPD [2, 4].”
BackgroundPerinatal depression and mental health uptake referral rate in an obstetric service
Fernandes, F. T., de Almeida, A. B., Fernandes, M., Correia, R., Magalhães, R., Buchner, G., Braga, J. S., & Freitas, P. (2023) · Scientific Reports · doi:10.1038/s41598-023-33832-6 · Cited by 11
Perinatal anxiety disorders screening study: a study protocol
Fairbrother, N., Stagg, B., Scoten, O. C., Keeney, C., & Cargnelli, C. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05575-9 · Cited by 13
“Although screening for mental health conditions has been shown to lead to improved mental health even in the absence of a clear pathway to treatment [11, 12], there are still several gaps in screening for mental health conditions in Canada, particularly in the perinatal period [13].”
BackgroundKing, C. E., Hayes, M., Maldonado, L., Monter, E., Aujla, R., Phlegar, E., Smith, C., Parker, L., Blome, K., Sandford, A., et al. (2025) · BMC Women s Health · doi:10.1186/s12905-025-03561-1 · Cited by 11
The effect of antenatal screening for depression on neonatal birthweight and gestation
Porter, M. A. S. M., Kisely, S. R., Betts, K. S., & Alati, R. (2020) · Women and Birth · doi:10.1016/j.wombi.2020.06.007 · Cited by 12
States Transitions Inference of Postpartum Depression Based on Multi-State Markov Model
Xiong, J., Fang, Q., Chen, J., Li, Y., Li, H., Li, W., & Zheng, X. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18147449 · Cited by 11
Antidepressant use in pregnancy: are we closer to consensus?
Campagne, D. M. (2018) · Archives of Women s Mental Health · doi:10.1007/s00737-018-0906-2 · Cited by 15
Depression and its associated factors among pregnant women in central Vietnam
Luong-Thanh, B.-Y., Nguyen, H. L., Murray, L., Eisner, M., Valdebenito, S., Hoang, T. D., Do, H. P., & Vo, T. V. (2021) · Health Psychology Open · doi:10.1177/2055102920988445 · Cited by 13
Prevención de la depresión perinatal
Muñoz, M. D. L. F. R., Olivares, M. E., Izquierdo, N., Balbuena, C. S., & Le, H. (2016) · Clínica y Salud · doi:10.1016/j.clysa.2016.10.001 · Cited by 11
Ugarte, A., López-Peña, P., Vangeneberg, C. S., Royo, J. G. T., Ugarte, M. A. A., Compains, M. T. Z., Medrano, M. P. R., Toyos, N. M., Lamo, E. A., Dueñas, M. B. B., et al. (2017) · BMC Psychiatry · doi:10.1186/s12888-016-1162-5 · Cited by 11
January, J., & Chimbari, M. J. (2018) · South African Journal of Psychiatry · doi:10.4102/sajpsychiatry.v24i0.1127 · Cited by 11
“Results from the review were grouped into two main thematic areas: (1) opportunities for screening and (2) challenges faced in screening.”
BackgroundPostpartum Depression Risk following Prenatal Diagnosis of Major Fetal Structural Anomalies
Herrera, C. L., Byrne, J. J., Nelson, D. B., Schell, R. C., & Dashe, J. S. (2021) · American Journal of Perinatology · doi:10.1055/s-0041-1739265 · Cited by 10
Henshaw, E. J., Cooper, M. A., Wood, T., Doan, S. N., Krishna, S., & Lockhart, M. M. (2023) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-023-05506-8 · Cited by 14
Lamsal, R., Yeh, E. A., Pullenayegum, E., & Ungar, W. J. (2024) · PharmacoEconomics · doi:10.1007/s40273-024-01397-5 · Cited by 12
Relationship Between Oxidative Stress Concentration and Postpartum Depression: A Cohort Study
Alamolhoda, S. H., Kariman, N., & Mirabi, P. (2020) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.5812/ijpbs.84188 · Cited by 10
Sari, D. N., Diatri, H., Siregar, K. N., & Pratomo, H. (2021) · Open Access Macedonian Journal of Medical Sciences · doi:10.3889/oamjms.2021.7783 · Cited by 18
“Health facilities have not been able to provide optimum services to detect symptoms of anxiety and depression in pregnant women so that about 50%–70% of pregnant women who have symptoms of anxiety disorders and/or depression are not identified in antenatal care [7], [8], [9].”
BackgroundDenis, F., Maurier, L., Carillo, K., Ologeanu‐Taddei, R., Septans, A.-L., Gepner, A., Goff, F. L., Desbois, M., Demurger, B., Silber, D., et al. (2022) · JMIR mhealth and uhealth · doi:10.2196/38181 · Cited by 11
Neuraxial analgesia during labor and postpartum depression: Systematic review and meta-analysis
Li, B., Tang, X., & Wang, T. (2023) · Medicine · doi:10.1097/md.0000000000033039 · Cited by 10
“81, which validated the accuracy of this screening instrument.[35] This meta-analysis had 3 limitations.”
BackgroundGilbert, A. L., Balio, C. P., & Bauer, N. S. (2017) · Current problems in pediatric and adolescent health care · doi:10.1016/j.cppeds.2017.08.001 · Cited by 10
Depressive Symptoms and Influencing Factors in Low-Risk Mothers
Shelton, S. L., & Cormier, E. (2018) · Issues in Mental Health Nursing · doi:10.1080/01612840.2017.1404170 · Cited by 10
Prenatal maternal personality as an early predictor of vulnerable parenting style
Raine, K. H., Cockshaw, W. D., Boyce, P. M., & Thorpe, K. J. (2019) · Archives of Women s Mental Health · doi:10.1007/s00737-019-00963-7 · Cited by 10
“Depression symptoms, whilst linked to diagnosed perinatal depression (O'Connor et al. 2016), may also be an indicator of a woman’s vulnerability to lifetime mental health problems (Patton et al.”
BackgroundForma, F. M., Green, T., Kim, S., & Teigland, C. L. (2020) · ClinicoEconomics and Outcomes Research · doi:10.2147/ceor.s231000 · Cited by 10
Petersen, J. M., Esposito, D. B., & Werler, M. M. (2020) · Archives of Women s Mental Health · doi:10.1007/s00737-020-01027-x · Cited by 10
Gerbasi, M. E., Eldar‐Lissai, A., Acaster, S., Fridman, M., Bonthapally, V., Hodgkins, P., Kanes, S., & Meltzer-Brody, S. E. (2020) · Archives of Women s Mental Health · doi:10.1007/s00737-020-01042-y · Cited by 11
Management of depression during the perinatal period: state of the evidence
Falek, I., Acri, M. C., Dominguez, J., Havens, J. F., McCord, M., Sisco, S., Wilcox, W. C., & Hoagwood, K. (2022) · International Journal of Mental Health Systems · doi:10.1186/s13033-022-00531-0 · Cited by 10
Aliaga, A., Cunillera, O., Amador, M. D. C., Aliaga, M., Arquerons, M., & Almeda, J. (2018) · Atención Primaria · doi:10.1016/j.aprim.2018.06.009 · Cited by 9
Lara-Cinisomo, S., Plott, J., Grewen, K., & Meltzer-Brody, S. E. (2016) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-016-0411-5 · Cited by 10
Muzik, M., Menke, R. A., Issa, M., Fisk, C. S., Charles, J., & Jester, J. M. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12144836 · Cited by 8
Johnson, A., Swenson, K. S., Dillner, E., Klie, K. A., Duncan, R. W., Brandspigel, S., & Breen, K. (2024) · Journal of Midwifery & Women s Health · doi:10.1111/jmwh.13615 · Cited by 9
Wang, J., Liu, H., & Wei, X. (2024) · Psychiatry Research · doi:10.1016/j.psychres.2024.115890 · Cited by 9
Disparities in Utilization and Delivery Outcomes for Women with Perinatal Mood and Anxiety Disorders
Zivin, K., & Courant, A. (2024) · Journal of Psychiatry and Brain Science · doi:10.20900/jpbs.20240003 · Cited by 12
Verschuuren, A. E. H., Soldati, E., Stekelenburg, J., Jong, E. F., & Postma, I. R. (2025) · Archives of Women s Mental Health · doi:10.1007/s00737-024-01552-z · Cited by 10
“…with enhanced support have proven to be both clinically valuable and cost-effective and therefore have the potential to improve perinatal outcomes in high-risk populations, such as migrant women (Howard et al. 2014; Iliadou et al. 2019; Magwood et al. 2022; O’Connor et al. 2016; Willey 2020).”
Jimènez-Barragan, M., del Pino‐Gutiérrez, A., Valmaña, G. S., Monistrol, O., Marcet, C. M., Badia, M. P., Garrido-Ribas, I., Ruiz, A. C., Roda, O. P., Esquinas, C., et al. (2025) · JMIR Human Factors · doi:10.2196/71708 · Cited by 16
Depression Screening During Pregnancy: Compliance and Effectiveness in a Military Population
Gisseman, J., Fletcher, T., Schmolze, A., Cooper, D., Aden, J. K., & Bauer, C. M. C. (2020) · Military Medicine · doi:10.1093/milmed/usaa509 · Cited by 9
Fischbein, R. L., Cook, H. L., Baughman, K. R., & Díaz, S. (2022) · Women s Health · doi:10.1177/17455057221139664 · Cited by 12
Trajectories of clinical and parenting outcomes following admission to an inpatient mother-baby unit
Reilly, N. M., Brake, E., Briggs, N., & Austin, M. (2019) · BMC Psychiatry · doi:10.1186/s12888-019-2331-0 · Cited by 9
“87 or above) for detecting possible major depression in postpartum women [12].”
BackgroundDamme, R. V., Parys, A.-S. V., Vogels, C., Roelens, K., & Lemmens, G. M. D. (2019) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2019.109865 · Cited by 12
Metadata
- Authors
- O’Connor, E., Rossom, R. C., Henninger, M., Groom, H. C., & Burda, B. U.
- Affiliations
- Kaiser Permanente (US)
- Corresponding author
- O’Connor, Elizabeth
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2016-01-26
- Volume
- 315
- Issue
- 4
- Pages
- 388
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2264673320
- Cited by
- 563
- References
- 94
- Citations by year
- 2026: 42 · 2025: 47 · 2024: 43 · 2023: 58 · 2022: 55 · 2021: 75 · 2020: 65 · 2019: 60 · 2018: 52 · 2017: 47 · 2016: 19
- FWCI
- 8.77
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Agency for Healthcare Research and Quality
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- depression screening, postpartum depression, pregnancy, primary care, cognitive behavioral therapy, antidepressants, Edinburgh Postnatal Depression Scale, Patient Health Questionnaire, depression remission, maternal mental health
- MeSH terms
- Adult, Antidepressive Agents, Depression, Female, Humans, Mass Screening, Pregnancy, Pregnancy Complications, Surveys and Questionnaires, Remission Induction, Sensitivity and Specificity, United States, Cognitive Behavioral Therapy, Antidepressive Agents, Second-Generation, Depression, Postpartum, Advisory Committees
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