Decision making for depression treatment during pregnancy and the postpartum period
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BACKGROUND: To explore women's perspectives about the treatment decision-making process for depression during pregnancy and after birth. METHOD: One hundred pregnant and postpartum women completed an anonymous web-based surveys regarding treatment decision making for depression. RESULTS: Survey data reveal that most women in this sample prefer an active collaborative role in treatment decision making for depression. Sixty-five percent of the sample made a decision for treatment of their major depressive disorder, including a decision for no treatment, and 34% reported not having made a decision or feeling unsure about their decision. More than half of the sample preferred combination treatment with medications and counseling (55%) followed by counseling (22%), no treatment (8%), and medications (8%). Overall, respondents in this sample had low levels of decisional conflict (uncertainty) with younger women in the sample reporting higher levels of decisional conflict. CONCLUSIONS: Treatment decision making for depression during the perinatal period is complex. Asking women about their preferences for participation in decision making, their treatment preferences and their decision making needs during the clinical encounter may lead to improved communication, decision making and quality of care.
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Postpartum depression is treatable and preventable.
“Although PPD is treatable and amenable to preventive efforts, most women do not seek professional help for their perinatal depression symptoms [4]”
From The Efficacy of Be a Mom, a Web-Based Intervention to Prevent Postpartum Depression: Examining Mechanisms of Change in a Randomized Controlled Trial (2023) · cites this paper as [4]
The Introduction (page unavailable) says treatment is available for depression during pregnancy and postpartum, and that women rarely obtain assistance even when depression is detected. It does not address preventive efforts for postpartum depression, so the prevention part of the claim is unsupported. (LLM, conf=0.85)
Experimental — accuracy not yet measuredMost women do not seek professional help for their perinatal depression symptoms.
“Although PPD is treatable and amenable to preventive efforts, most women do not seek professional help for their perinatal depression symptoms [4]”
From The Efficacy of Be a Mom, a Web-Based Intervention to Prevent Postpartum Depression: Examining Mechanisms of Change in a Randomized Controlled Trial (2023) · cites this paper as [4]
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- Authors
- Patel, S. R., & Wisner, K. L.
- Affiliations
- New York State Psychiatric Institute (US)
- University of Pittsburgh (US)
- Corresponding author
- Patel, Sapana R.
- Venue
- Depression and Anxiety
- Publisher
- Hindawi Limited
- Published
- 2011-06-16
- Volume
- 28
- Issue
- 7
- Pages
- 589-595
- ISSN
- 1091-4269 (ISSN-L)
- PMC
- PMC3128653
- OpenAlex
- W2046767128
- Cited by
- 86
- References
- 58
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 8 · 2023: 7 · 2022: 11 · 2021: 3 · 2020: 6 · 2019: 4 · 2018: 4 · 2017: 4 · 2016: 4 · 2015: 9 · 2014: 10 · 2013: 8 · 2012: 1
- FWCI
- 6.29
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- New York State Office of Mental Health
- U.S. Public Health Service (R01 075921)
- National Institute of Mental Health (K23MH082118, NIMH K23, R25MH080916)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- perinatal depression, major depressive disorder, treatment decision-making, pregnant women, postpartum women, patient preferences, decisional conflict, shared decision-making, combination therapy, patient participation
- MeSH terms
- Adult, Antidepressive Agents, Combined Modality Therapy, Counseling, Decision Making, Decision Support Techniques, Major Depressive Disorder, Depressive Disorder, Major, Female, Health Services Needs and Demand, Health Surveys, Humans, Patient Acceptance of Health Care, Patient Participation, Pregnancy, Pregnancy Complications, Depression, Postpartum, Patient Preference
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