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Initiative to Improve the Health Outcomes of Those at Risk of Perinatal Depression: Referral Characteristics and Psychosocial Determinants

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Open Journal of Obstetrics and Gynecology 2016年第8期6卷 463-472页

作者： mona asghari-fard Ursula Hopper My Trinh Ha Valsamma Eapen Academic Unit of Child Psychiatry South Western Sydney Liverpool Hospital Sydney Australia Perinatal Mental Health Service Liverpool Hospital Sydney Australia Academic Unit of Child Psychiatry South West Sydney (AUCS) ICAMHS Mental Health Centre Liverpool Hospital Sydney Australia School of Psychiatry & Ingham Institute University of New South Wales Sydney Australia

In Australia, perinatal depression affects 15% - 20% of pregnant women. Depression does not go away on its own, getting help at early stages shown to be effective in treating antenatal depression. Aim of this study is to assess and describe the screening of women through the antenatal clinic and measure the outcome of services provided (such as counselling, social assistance) for those at risk of depression, in a general hospital setting in an ethnically diverse part of Sydney, Australia. Data from 193 women were obtained through accessing the psychosocial and screening assessments completed at the antenatal clinic between 2007 and 2008. Data regarding patients’ psychosocial characteristics, referrals and interventions were also gathered from hospital records. Data revealed that 60.4% of women screened scored ≥10 on the Edinburgh Postnatal Depression Scale (EDPS) which is indicative of significant depressive symptomatology. Of these women, 39.4% went on to receive a formal diagnosis. Women who indicated that they had planned their pregnancies (47.2%) were significantly less likely to report having major worries and stressors over the last 12 months (p < 0.05) in comparison to those who indicated that their pregnancies were unplanned. Data showed while screening methods are effective, regrettably a high proportion of women, despite presenting with “at risk” symptomatology levels, do not engage in intervention programs. Further research is required to explore the barriers in accessing both screening and intervention services (particularly in a culturally diverse area such as this), and how services can improve processes and patient participation.

关键词： Antenatal Depression Routine Screening Early Identification

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