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Cited by 44Maternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal HealthcareMaternal and Perinatal Health Interventions

The association between maternal depression and frequent non-routine visits to the infant's doctor — A cohort study

Chee, Cornelia Y.I., Chong, Yap-Seng, Ng, T.P., Lee, Dominic T.S., Tan, L.K., Fones, Calvin S.L.·2008·Journal of Affective Disorders
DOI 10.1016/j.jad.2007.08.004
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Abstract

Background Perinatal depression is common, but women typically do not seek help for it. We studied its association with frequent non-routine physician visits, which may be a form of help-seeking behaviour.Methods A prospective cohort study of women in their 34th to 38th week of pregnancy at the outpatient obstetrics clinic at a Singapore tertiary hospital was done. Screening was done using the Edinburgh Postnatal Depression Scale and diagnosis of major or minor depressive disorder was made using the SCID-IV. At 6 to 12 months' post-partum, women were screened and interviewed again for depression and asked to report the frequencies with which they had brought their infants to the doctor on non-routine visits in the preceding 6 weeks. Four hundred and seventy-one of the 559 patients recruited before delivery were re-interviewed.Results After adjusting for confounders, women who had brought their infants for three or more non-routine visits to the infant's doctor had a significantly higher prevalence of depression (32.6%) than those with fewer visits (13.6%) (OR 2.87, 95% CI 1.41 to 5.85, p=0.004). The relative risk reduction for women who did not bring their infants for frequent non-routine visits was 0.583 (95% CI 0.44 to 0.73, p=0.002). They were also more likely to have poorer perceived emotional support from their families.Limitations These included use of self-reported doctor visits, and relatively high educational levels of the participants.Conclusions Doctors should have a high index of suspicion for enquiring about depression and emotional support in mothers who bring their infants for frequent non-routine visits.

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  • Depressed mothers appeared to be more likely to consult general practitioners, pediatricians, or mental health professionals for medical reasons (nonroutine care) than for routine care.

    “As previously observed in cases of women’s health, depressed mothers appeared to be more likely to consult general practitioners, pediatricians, or mental health professionals for medical reasons (nonroutine care) than for routine care.57,63,78”

    From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [57]

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Authors
Chee, C. Y. I., Chong, Y.-S., Ng, T. P., Lee, D. T. S., Tan, L. K., & Fones, C. S. L.
Affiliations
  • National University Hospital (SG)
  • National University of Singapore (SG)
  • Chinese University of Hong Kong (HK)
Corresponding author
Chee, Cornelia Y.I.
ORCID
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2008-04
Volume
107
Issue
1-3
Pages
247-253
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/j.jad.2007.08.004
OpenAlex
W2020854633
Cited by
44
References
23
Citations by year
2026: 1 · 2025: 1 · 2024: 5 · 2023: 1 · 2021: 11 · 2019: 4 · 2018: 1 · 2017: 3 · 2016: 2 · 2014: 4 · 2013: 2 · 2012: 3
FWCI
1.72
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • National University of Singapore (submittedVersion)
Funders
  • National Healthcare Group
  • National University Health System
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
maternal depression, perinatal depression, help-seeking, postpartum depression, family emotional support, Edinburgh Postnatal Depression Scale
MeSH terms
Adult, Major Depressive Disorder, Depressive Disorder, Major, Female, Follow-Up Studies, Humans, Infant Care, Infant, Newborn, Male, Office Visits, Patient Acceptance of Health Care, Pediatrics, Pregnancy, Primary Health Care, Prospective Studies, Psychiatric Status Rating Scales, Cohort Studies, Prevalence, Child of Impaired Parents, Depression, Postpartum

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