The pattern of depression screening results across successive pregnancies - 28/02/12
Reprints: Richard K. Silver, MD, 2650 Ridge Ave., Suite 1507, Evanston, IL 60201Résumé |
Objective |
Determine whether depression screen results are consistent across successive pregnancies.
Study Design |
The Edinburgh Postnatal Depression Scale was administered in 2 successive pregnancies to 2116 women. A woman was “screen-positive” if she scored ≥12 at 24-28 weeks' or 6-weeks' postpartum. Screen-positive women were assessed by telephone and triaged by mental health professionals.
Results |
Most women (87.9%) were screen-negative in both pregnancies; 1.7% screened successively positive, 5.9% screened positive in only the first pregnancy; 4.5% screened positive in only the second pregnancy. Unpartnered, nonwhite, and publicly insured women were each likelier to screen positive in either or both pregnancies (P < .0001). Gestational age at delivery was significantly greater in women who never screened positive (P < .05). A majority (63%) of screen-positive women in both pregnancies reported no history of mood disorder.
Conclusion |
There is sufficient variability in depression screening results between successive gestations to warrant screening during each pregnancy.
Le texte complet de cet article est disponible en PDF.Key words : Edinburgh Postnatal Depression Scale, perinatal depression, screening
Plan
| The authors report no conflicts of interest. |
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| Cite this article as: La Porte LM, Kim JJ, Adams M, et al. The pattern of depression screening results across successive pregnancies. Am J Obstet Gynecol 2012;206:261.e1-4. |
Vol 206 - N° 3
P. 261.e1-261.e4 - mars 2012 Retour au numéro
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