The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.
The Impact of a Brief Obstetrics Clinic-Based Intervention on Treatment Use for Perinatal Depression
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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“Flynn et al. found, that 65% of pregnant women with a current major depressive disorder were not receiving any depression treatment [24].”
From Mental health-related telemedicine interventions for pregnant women and new mothers: a systematic literature review (2023) · cites this paper as [24]
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Cites
Detection of Postnatal Depression: Development of the 10-item Edinburgh Postnatal Depression Scale
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Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6703_13 · Cited by 5,965
Predictors of Postpartum Depression
Beck, C. T. (2001) · Nursing Research · doi:10.1097/00006199-200109000-00004 · Cited by 1,960
Gaynes, B. N., Gavin, N., Meltzer-Brody, S., Lohr, K. N., Swinson, T., Gartlehner, G., Brody, S., & Miller, W. C. (2005) · PsycEXTRA Dataset · doi:10.1037/e439372005-001 · Cited by 1,211
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Depressive Symptoms among Pregnant Women Screened in Obstetrics Settings
Marcus, S. M., Flynn, H. A., Blow, F. C., & Barry, K. L. (2003) · Journal of Women's Health · doi:10.1089/154099903765448880 · Cited by 742
Self-citationPsychometric evaluation of the Beck Depression Inventory-II with primary care medical patients.
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Stepped Collaborative Care for Primary Care Patients With Persistent Symptoms of Depression
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Review of validation studies of the Edinburgh Postnatal Depression Scale
Eberhard‐Gran, M., Eskild, A., Tambs, K., Opjordsmoen, S., & Samuelsen, S. O. (2001) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2001.00187.x · Cited by 505
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- 10.1037//0278-6133.19.6.535 · DOI
- Wilson LM, 1996, Can Med Assoc J, 154, 785
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Development of a new antenatal measure to predict postpartum depression
Jenkins, D. D., Thurston, N. S., Peterson, M. A., & Gathercoal, K. A. (2011) · PsycEXTRA Dataset · doi:10.1037/e663762011-001
Metadata
- 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
- 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
- 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 › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Psychiatry and Mental health › 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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