Who decides to follow the referral advice after a positive postpartum depression screening result? Reflections about the role of sociodemographic, health, and psychological factors from psychological consultations - a cross-sectional study.

IF 4.9 2区 医学 Q1 CLINICAL NEUROLOGY Journal of affective disorders Pub Date : 2025-01-15 Epub Date: 2024-10-22 DOI:10.1016/j.jad.2024.10.068
Magdalena Chrzan-Dętkoś, Natalia Murawska, Marta Łockiewicz
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Abstract

Background/objective: Postpartum depression (PPD), a common and severe mental health problem, affects about 13-20 % of new mothers. Despite the psychological intervention's effectiveness, referral uptake rates among affected women are low. In the article, we aim to characterise those new mothers who adhered to referral advice after a positive PPD screening result.

Method: 9161 women had taken part in a midwife-led PPD screening. Those who scored equal to or more than ten points on the Edinburgh Postnatal Depression Scale (EPDS) were referred for psychological consultations (12 %, n = 1109). We used data gathered during the realization of a PPD prevention programme. The following measures were used: EPDS, a sociodemographic and health data survey, and psychological consultation cards.

Results: We found that only 85 (8 %) of referred mothers later enrolled in psychological consultations. Those mothers who adhered to the referral advice had higher EPDS (total score) and EPDS - 3A anxiety scores than mothers who did not contact a psychologist. Moreover, they had a higher gestational age at birth and, on average, fewer children. More PPD symptoms, C-section experience, self-assessed good financial situation and a postgraduate higher education degree were predictors of seeking help.

Conclusion: A mother's decision to follow the referral advice is crucial in mental health prevention and should be treated as an addition to a separate step 2: referral in a 3-step PDD management process, with identification constituting a step 1, and intervention - a step 3.

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产后抑郁筛查结果呈阳性后,谁会决定听从转诊建议?从心理咨询中反思社会人口、健康和心理因素的作用--横断面研究。
背景/目的:产后抑郁症(PPD)是一种常见的严重心理健康问题,影响着约 13-20% 的新妈妈。尽管心理干预很有效,但受影响妇女的转诊率却很低。在这篇文章中,我们旨在描述那些在产后抑郁筛查结果呈阳性后听从转诊建议的新妈妈的特点。方法:9161 名妇女参加了助产士主导的产后抑郁筛查。在爱丁堡产后抑郁量表(EPDS)中得分等于或超过 10 分的产妇(12%,n = 1109)被转诊接受心理咨询。我们使用了在实施产后抑郁预防计划期间收集的数据。我们采用了以下测量方法:EPDS、社会人口和健康数据调查以及心理咨询卡:我们发现,只有 85(8%)名转诊母亲后来参加了心理咨询。遵守转介建议的母亲的 EPDS(总分)和 EPDS - 3A 焦虑得分高于未联系心理学家的母亲。此外,她们的分娩胎龄较高,平均子女数也较少。更多的 PPD 症状、剖腹产经历、自认为良好的经济状况和研究生以上学历是预测寻求帮助的因素:母亲听从转介建议的决定对心理健康预防至关重要,应将其视为 PDD 管理程序三步法中单独的第二步:转介的补充,第一步是识别,第三步是干预。
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来源期刊
Journal of affective disorders
Journal of affective disorders 医学-精神病学
CiteScore
10.90
自引率
6.10%
发文量
1319
审稿时长
9.3 weeks
期刊介绍: The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.
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