Document Detail


Screening for postnatal depression: not a simple task.
MedLine Citation:
PMID:  17333610     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate an established screening program for postnatal depression using the Edinburgh Postnatal Depression Scale (EPDS) in a rural Victorian shire. By protocol, all women were screened at three time points post delivery by maternal and child health nurses. The efficacy of this approach in detecting probable depression was examined and referral pathways analysed. METHODS: Records for a 12-month cohort of women giving birth in the shire were audited (n = 267). Information collected included EPDS scores, parity, mother's age, reasons for non-completion, referral details and nurses' comments. Analysis was completed using database and SPSS programs. RESULTS: The process goal of screening on all three occasions was rarely achieved--a goal met for only 15.5% of women; 22% were never screened at all. The highest rate of screening was 50.6% at one month, falling to 38.1% at eight months. Reasons for non-screening varied, suggesting no simple remedy. The proportions of women identified as probably depressed at each screening point (3.1%, 4.8% and 9.2%) were considerably lower than statewide figures for rural women. Referrals of probably depressed women were mainly to GPs but the results were unclear. CONCLUSIONS: A well-established program of universal screening was not effective in detecting probable depression in women. There was little evidence of direct feedback from GPs about women referred as a result of screening and no collaborative planning for affected women. Before universal screening of women for postnatal depression can be recommended, better evidence of its feasibility and acceptability are required, alongside convincing evidence that screening leads to improved outcomes for women.
Authors:
Susan Armstrong; Rhonda Small
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Australian and New Zealand journal of public health     Volume:  31     ISSN:  1326-0200     ISO Abbreviation:  Aust N Z J Public Health     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-03-05     Completed Date:  2007-04-09     Revised Date:  2007-09-06    
Medline Journal Info:
Nlm Unique ID:  9611095     Medline TA:  Aust N Z J Public Health     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  57-61     Citation Subset:  IM    
Affiliation:
Mother & Child Health Research, La Trobe University, Melbourne, Victoria. sj2armstrong@students.latrobe.edu.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Cohort Studies
Depression, Postpartum / diagnosis*,  epidemiology*
Female
Humans
Mass Screening / methods*
Program Evaluation / methods
Psychiatric Status Rating Scales / statistics & numerical data
Referral and Consultation
Rural Population / statistics & numerical data
Time Factors
Victoria / epidemiology
Comments/Corrections
Comment In:
Aust N Z J Public Health. 2007 Jun;31(3):286-7   [PMID:  17682226 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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