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Cited by 101Maternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal HealthcareMental Health Treatment and Access

The Impact of a Brief Obstetrics Clinic-Based Intervention on Treatment Use for Perinatal Depression

Flynn, Heather A., O'mahen, Heather A., Massey, Lynn, Marcus, Sheila·2006·Journal of Women's Health
DOI 10.1089/jwh.2006.15.1195
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Abstract

OBJECTIVE: The purpose of this study was to examine the association of prenatal depression screening and obstetrics clinician notification procedures with depression treatment use through 6 weeks postpartum. METHODS: An initial sample of 1298 women was screened for depression as part of routine clinical care at their first prenatal care appointment using the Edinburgh Postnatal Depression Scale (EPDS) at a university hospital obstetrics clinic in the United States. Women with an EPDS > 10 who agreed to participate in this longitudinal study completed assessments of depression and treatment use throughout pregnancy and through 6 weeks postpartum. Following screening and prior to their second prenatal visit, all women scoring > or = 10 on the EPDS received nurse-delivered depression feedback and referral, and all treating physicians were notified of the elevated EPDS status (i.e., > or = 10) of their patients. RESULTS: The majority (65%) of pregnant women with current major depressive disorder (MDD) were not receiving any depression treatment throughout the study period. Overall, women with EDPS > or = 10 who reported that their physician discussed depression with them (67%) were significantly more likely to seek treatment (compared with those who did not report physician discussion of depression with them) by the 1 month prenatal follow-up but not by the 6 weeks postpartum follow-up. Initial depression severity and treatment use prior to screening were the strongest predictors of subsequent depression treatment use. CONCLUSIONS: Depression screening combined with systematic clinician follow-up showed a modest short-term impact on depression treatment use for perinatal depression but did not affect depression outcomes. Most women with MDD were not engaged in treatment throughout the follow-up period despite the interventions. More intensive and repeated monitoring might enhance the effect of clinician interventions to improve treatment use.

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Authors
Flynn, H. A., O'mahen, H. A., Massey, L., & Marcus, S.
Affiliations
  • University of Michigan (US)
  • Department of Psychology, University of Michigan, Dearborn, Dearborn, Michigan.
ORCID
Massey, Lynn
Venue
Journal of Women's Health
Publisher
SAGE Publications
Published
2006-12
Volume
15
Issue
10
Pages
1195-1204
ISSN
  • 1059-7115 (ISSN-L)
  • 1540-9996
  • 1931-843X
DOI
10.1089/jwh.2006.15.1195
OpenAlex
W2091869444
Cited by
99
References
32
Citations by year
2026: 2 · 2025: 2 · 2024: 5 · 2023: 7 · 2022: 3 · 2021: 4 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 7 · 2016: 6 · 2015: 8 · 2014: 8 · 2013: 6 · 2012: 8
FWCI
2.33
Type
journal article
Language
en
Open access
closed
Licence
www.liebertpub.com/nv/resources-tools/text-and-data-mining-policy/121/ (tdm)
Locations
  • Journal of Women s Health (publishedVersion)
  • PubMed (publishedVersion)
  • Deep Blue (University of Michigan) (acceptedVersion)
Funders
National Institute of Mental Health (K23MH063880, MH063880)
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
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
perinatal depression, Edinburgh Postnatal Depression Scale, major depressive disorder, physician-patient communication, postpartum depression, treatment engagement
MeSH terms
Adult, Female, Follow-Up Studies, Humans, Longitudinal Studies, Mothers, Pregnancy, Psychotherapy, Brief, Surveys and Questionnaires, United States, Reproducibility of Results, Logistic Models, Treatment Outcome, Perinatal Care, Depression, Postpartum, Secondary Prevention

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