CoChat
Sign Up
Cited by 1,091Maternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal HealthcarePersonality Disorders and Psychopathology

The DOI matches its Crossref record; 59 of the 59 references it cites were found in a registry or an index.

Onset Timing, Thoughts of Self-harm, and Diagnoses in Postpartum Women With Screen-Positive Depression Findings

Open access
Wisner, Katherine L., Sit, Dorothy K. Y., McShea, Mary C., Rizzo, David M., Zoretich, Rebecca A., Hughes, Carolyn L., Eng, Heather F., Luther, James F., Wisniewski, Stephen R., Costantino, Michelle L., Confer, Andrea L., Moses-Kolko, Eydie L., Famy, Christopher S., Hanusa, Barbara H.·2013·JAMA Psychiatry
DOI 10.1001/jamapsychiatry.2013.87PMC PMC4440326
Open this paper in CoChat — free account

Abstract

IMPORTANCE: The period prevalence of depression among women is 21.9% during the first postpartum year; however, questions remain about the value of screening for depression. OBJECTIVES: To screen for depression in postpartum women and evaluate positive screen findings to determine the timing of episode onset, rate and intensity of self-harm ideation, and primary and secondary DSM-IV disorders to inform treatment and policy decisions. DESIGN: Sequential case series of women who recently gave birth. SETTING: Urban academic women's hospital. PARTICIPANTS: During the maternity hospitalization, women were offered screening at 4 to 6 weeks post partum by telephone. Screen-positive women were invited to undergo psychiatric evaluations in their homes. MAIN OUTCOMES AND MEASURES: A positive screen finding was an Edinburgh Postnatal Depression Scale (EPDS) score of 10 or higher. Self-harm ideation was assessed on EPDS item 10: "The thought of harming myself has occurred to me" (yes, quite often; sometimes; hardly ever; never). Screen-positive women underwent evaluation with the Structured Clinical Interview for DSM-IV for Axis I primary and secondary diagnoses. RESULTS: Ten thousand mothers underwent screening, with positive findings in 1396 (14.0%); of these, 826 (59.2%) completed the home visits and 147 (10.5%) completed a telephone diagnostic interview. Screen-positive women were more likely to be younger, African American, publicly insured, single, and less well educated. More episodes began post partum (40.1%), followed by during pregnancy (33.4%) and before pregnancy (26.5%). In this population, 19.3% had self-harm ideation. All mothers with the highest intensity of self-harm ideation were identified with the EPDS score of 10 or higher. The most common primary diagnoses were unipolar depressive disorders (68.5%), and almost two-thirds had comorbid anxiety disorders. A striking 22.6% had bipolar disorders. CONCLUSIONS AND RELEVANCE: The most common diagnosis in screen-positive women was major depressive disorder with comorbid generalized anxiety disorder. Strategies to differentiate women with bipolar from unipolar disorders are needed. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00282776.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1001/jamapsychiatry.2013.87

Cites

59 of 59 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 59 references

Research works printed but not linked: 3

  1. [26]First MB Spitzer Rt Gibbon M Williams JBW Structured Clinical Interview for DSM-IV Axis I Disorders—Patient Edition New York New York State Psychiatric Institute 1996
  2. [31]National Center for Health Statistics, Centers for Disease Control and Prevention Vital Statistics of the United States: 1999: Natality Atlanta, GA Centers for Disease Control and Prevention 2002 1 25077730
  3. [45]Wisner K Sit D Reynolds S Psychiatric disorders Gabbe S Niebyl J Simpson J Obstetrics: Normal and Problem Pregnancies 5 Philadelphia, PA Elsevier 2007 1249 1288

Cited by

Sorted by citations

See all 1,091

Related

Metadata

Authors
Wisner, K. L., Sit, D. K. Y., McShea, M. C., Rizzo, D. M., Zoretich, R. A., Hughes, C. L., Eng, H. F., Luther, J. F., Wisniewski, S. R., Costantino, M. L., Confer, A. L., Moses-Kolko, E. L., Famy, C. S., & Hanusa, B. H.
Affiliations
Northwestern University (US)
ORCID
Venue
JAMA Psychiatry
Publisher
American Medical Association (AMA)
Published
2013-05-01
Volume
70
Issue
5
Pages
490
ISSN
2168-622X (ISSN-L)
DOI
10.1001/jamapsychiatry.2013.87
PMC
PMC4440326
OpenAlex
W2102941960
Cited by
1,091
References
59
Citations by year
2026: 81 · 2025: 85 · 2024: 102 · 2023: 120 · 2022: 106 · 2021: 105 · 2020: 100 · 2019: 74 · 2018: 83 · 2017: 55 · 2016: 58 · 2015: 70 · 2014: 35 · 2013: 15
FWCI
60.67
Type
journal article
Language
en
Open access
Locations
  • JAMA Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Mental Health (R01MH071825)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD067185)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords
postpartum depression, depression screening, Edinburgh Postnatal Depression Scale, self-harm ideation, bipolar disorder, major depressive disorder, generalized anxiety disorder, comorbidities, postpartum women, psychiatric diagnosis
MeSH terms
Adult, Anxiety Disorders, Depressive Disorder, Major, Major Depressive Disorder, Female, Humans, Pregnancy, Time Factors, Comorbidity, Prevalence, Self-Injurious Behavior, Depression, Postpartum, Young Adult

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review