Prenatal depression screening with postpartum follow-up in an integrated healthcare system identifies risks for positive screens and persistent depressive symptoms
Background: Untreated peripartum depression is associated with adverse neonatal and maternal outcomes. The goal of this study was to identify risks for prenatal depression and persistent symptomatology after delivery. Methods: Pregnancies with an Edinburgh Postnatal Depression Scale (EPDS) screening...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-04-01
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| Series: | Journal of Affective Disorders Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666915323000471 |
| _version_ | 1797845025778827264 |
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| author | Amanda Koire Yen H. Nong Cary M. Cain Christopher S. Greeley Lucy Puryear Bethanie S. Van Horne |
| author_facet | Amanda Koire Yen H. Nong Cary M. Cain Christopher S. Greeley Lucy Puryear Bethanie S. Van Horne |
| author_sort | Amanda Koire |
| collection | DOAJ |
| description | Background: Untreated peripartum depression is associated with adverse neonatal and maternal outcomes. The goal of this study was to identify risks for prenatal depression and persistent symptomatology after delivery. Methods: Pregnancies with an Edinburgh Postnatal Depression Scale (EPDS) screening completed at both obstetrics and pediatrics between November 2016 and October 2019 were analyzed (n = 3240). Descriptive and inferential statistical methods were conducted. Results: Black women were more likely to screen positive prenatally (OR 2.42, p<0.001). Single women had more thoughts of self-harm (OR=2.42, p<0.05). Over a third of women screened positive during pregnancy and postpartum. These ‘persistent positives’ were more likely to have higher prenatal EPDS scores (p = 0.02) compared to positive screens that appeared to resolve postpartum. Conclusions: For Black women and those with thoughts of self-harm or high EPDS scores prenatally, there needs to be more timely treatment and/or increased referral to psychiatric services by primary care. |
| first_indexed | 2024-04-09T17:32:59Z |
| format | Article |
| id | doaj.art-d8f482f43d3c4bfe9ca4cbd43d4f00d2 |
| institution | Directory Open Access Journal |
| issn | 2666-9153 |
| language | English |
| last_indexed | 2024-04-09T17:32:59Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Affective Disorders Reports |
| spelling | doaj.art-d8f482f43d3c4bfe9ca4cbd43d4f00d22023-04-18T04:09:25ZengElsevierJournal of Affective Disorders Reports2666-91532023-04-0112100509Prenatal depression screening with postpartum follow-up in an integrated healthcare system identifies risks for positive screens and persistent depressive symptomsAmanda Koire0Yen H. Nong1Cary M. Cain2Christopher S. Greeley3Lucy Puryear4Bethanie S. Van Horne5Department of Psychiatry, Brigham and Women's Hospital, 60 Fenwood Rd, Boston, MA 02114 United States; Harvard Medical School, Boston, MA, United StatesDepartment of Pediatrics, Baylor College of Medicine, One Baylor Plaza, MS: 320, Houston, TX 77030, United States; Division of Public Health Pediatrics, Texas Children's Hospital, 6701 Fannin Street, Suite 1720, Houston, TX, United StatesDepartment of Pediatrics, Baylor College of Medicine, One Baylor Plaza, MS: 320, Houston, TX 77030, United States; Division of Public Health Pediatrics, Texas Children's Hospital, 6701 Fannin Street, Suite 1720, Houston, TX, United StatesDepartment of Pediatrics, Baylor College of Medicine, One Baylor Plaza, MS: 320, Houston, TX 77030, United States; Division of Public Health Pediatrics, Texas Children's Hospital, 6701 Fannin Street, Suite 1720, Houston, TX, United StatesObstetrics and Gynecology, Menninger Department of Psychiatry, Baylor College of Medicine, 6651 Main Street, Houston, TX 77030, United StatesDepartment of Pediatrics, Baylor College of Medicine, One Baylor Plaza, MS: 320, Houston, TX 77030, United States; Division of Public Health Pediatrics, Texas Children's Hospital, 6701 Fannin Street, Suite 1720, Houston, TX, United States; Corresponding author.Background: Untreated peripartum depression is associated with adverse neonatal and maternal outcomes. The goal of this study was to identify risks for prenatal depression and persistent symptomatology after delivery. Methods: Pregnancies with an Edinburgh Postnatal Depression Scale (EPDS) screening completed at both obstetrics and pediatrics between November 2016 and October 2019 were analyzed (n = 3240). Descriptive and inferential statistical methods were conducted. Results: Black women were more likely to screen positive prenatally (OR 2.42, p<0.001). Single women had more thoughts of self-harm (OR=2.42, p<0.05). Over a third of women screened positive during pregnancy and postpartum. These ‘persistent positives’ were more likely to have higher prenatal EPDS scores (p = 0.02) compared to positive screens that appeared to resolve postpartum. Conclusions: For Black women and those with thoughts of self-harm or high EPDS scores prenatally, there needs to be more timely treatment and/or increased referral to psychiatric services by primary care.http://www.sciencedirect.com/science/article/pii/S2666915323000471 |
| spellingShingle | Amanda Koire Yen H. Nong Cary M. Cain Christopher S. Greeley Lucy Puryear Bethanie S. Van Horne Prenatal depression screening with postpartum follow-up in an integrated healthcare system identifies risks for positive screens and persistent depressive symptoms Journal of Affective Disorders Reports |
| title | Prenatal depression screening with postpartum follow-up in an integrated healthcare system identifies risks for positive screens and persistent depressive symptoms |
| title_full | Prenatal depression screening with postpartum follow-up in an integrated healthcare system identifies risks for positive screens and persistent depressive symptoms |
| title_fullStr | Prenatal depression screening with postpartum follow-up in an integrated healthcare system identifies risks for positive screens and persistent depressive symptoms |
| title_full_unstemmed | Prenatal depression screening with postpartum follow-up in an integrated healthcare system identifies risks for positive screens and persistent depressive symptoms |
| title_short | Prenatal depression screening with postpartum follow-up in an integrated healthcare system identifies risks for positive screens and persistent depressive symptoms |
| title_sort | prenatal depression screening with postpartum follow up in an integrated healthcare system identifies risks for positive screens and persistent depressive symptoms |
| url | http://www.sciencedirect.com/science/article/pii/S2666915323000471 |
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