A systematic review of interventions for healthcare professionals to improve screening and referral for perinatal mood and anxiety disorders
Abstract
Postpartum depression affects approximately 11% of women. However, screening for perinatal mood and anxiety disorders (PMAD) is rare and inconsistent among healthcare professionals. When healthcare professionals screen, they often rely on clinical judgment, rather than validated screening tools. The objective of the current study is to review the types and effectiveness of interventions for healthcare professionals that have been used to increase the number of women screened and referred for PMAD. Preferred Reporting Items for Systematic Reviews and Meta-Analyses was utilized to guide search and reporting strategies. PubMed/Medline, PsychInfo/PsychArticles, Cumulative Index to Nursing, Allied Health Literature (CINAHL), and Health Source: Nursing/Academic Edition databases were used to find studies that implemented an intervention for healthcare professionals to increase screening and referral for PMAD. Twenty-five studies were included in the review. Based on prior quality assessment tools, the quality of each article was assessed using an assessment tool created by the authors. The four main outcome variables were the following: percentage of women screened, percentage of women referred for services, percentage of women screened positive for PMAD, and provider knowledge, attitudes, and/or skills concerning PMAD. The most common intervention type was educational, with others including changes in electronic medical records and standardized patients for training. Study quality…
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Excessive maternal stress is transduced to the fetus through maternal HPA axis hormones, immune activation, and alterations in the maternal-infant microbiome and placental gene expression.
“Excessive maternal stress is transduced to the fetus through maternal HPA axis hormones, immune activation, and alterations in the maternal-infant microbiome and placental gene expression.13,31,32,42,43”
From The transition to parenthood in obstetrics: enhancing prenatal care for 2-generation impact (2022) · cites this paper as [31]
Maternal psychiatric morbidity is the most frequent childbirth complication.
“Maternal psychiatric morbidity is the most frequent childbirth complication.31,32”
From The transition to parenthood in obstetrics: enhancing prenatal care for 2-generation impact (2022) · cites this paper as [31]
Approximately 10% to 12% of pregnant women meet criteria for a perinatal mental health condition, most often anxiety or depression.
“Approximately 10% to 12% of pregnant women meet the criteria for a PMH condition, most often anxiety or depression.”
From The transition to parenthood in obstetrics: enhancing prenatal care for 2-generation impact (2022) · cites this paper as [31]
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References 65 · Cited by 49
- Authors
- Long, M. M., Cramer, R. J., Jenkins, J., Bennington, L., & Paulson, J. F.
- Affiliations
- Old Dominion University (US)
- Corresponding author
- Long, Molly M.
- Venue
- Archives of Women's Mental Health
- Published
- 2018-07-02
- Volume
- 22
- Issue
- 1
- Pages
- 25-36
- ISSN
- 1434-1816 (ISSN-L)
- 1435-1102
- OpenAlex
- W2810659392
- Cited by
- 49
- References
- 65
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 6 · 2023: 11 · 2022: 8 · 2021: 3 · 2020: 6 · 2019: 5
- FWCI
- 0.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Archives of Women s Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- perinatal mood and anxiety disorders, postpartum depression, screening, referral, healthcare workers, provider education, electronic health records, standardized patients, provider knowledge and attitudes, patient-provider communication, screening protocol
- MeSH terms
- Anxiety Disorders, Female, Health Personnel, Humans, Mass Screening, Pregnancy, Referral and Consultation, Perinatal Care, Depression, Postpartum, Mood Disorders, Pregnant People, Pregnant Women
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