Feeling better? - Identification, interventions, and remission among women with early postpartum depressive symptoms in Sweden: a nested cohort study.

EPDS interventions peripartum depression postpartum depression pregnancy remission rates

Journal

European psychiatry : the journal of the Association of European Psychiatrists
ISSN: 1778-3585
Titre abrégé: Eur Psychiatry
Pays: England
ID NLM: 9111820

Informations de publication

Date de publication:
23 Jan 2024
Historique:
pubmed: 23 1 2024
medline: 23 1 2024
entrez: 23 1 2024
Statut: epublish

Résumé

Postpartum depression affects around 12% of mothers in developed countries, with consequences for the whole family. Many women with depressive symptoms remain undetected and untreated. The aim of this study was to investigate to what extent women with depressive symptoms at 6 weeks postpartum are identified by the healthcare system, the interventions they received, and remission rates at 6 months postpartum. Postpartum women scoring 12-30 on the Edinburgh Postnatal Depression Scale (EPDS) at 6 weeks after delivery ( Most women ( Despite screening guidelines, many women with depressive symptoms had no documentation of screening or interventions by the healthcare system. Furthermore, a significant proportion did not achieve remission despite interventions. Being identified by CHS was associated with the largest reduction of symptoms. Research is needed to understand gaps in the healthcare processes, to better identify peripartum depression.

Sections du résumé

BACKGROUND BACKGROUND
Postpartum depression affects around 12% of mothers in developed countries, with consequences for the whole family. Many women with depressive symptoms remain undetected and untreated. The aim of this study was to investigate to what extent women with depressive symptoms at 6 weeks postpartum are identified by the healthcare system, the interventions they received, and remission rates at 6 months postpartum.
METHODS METHODS
Postpartum women scoring 12-30 on the Edinburgh Postnatal Depression Scale (EPDS) at 6 weeks after delivery (
RESULTS RESULTS
Most women (
CONCLUSIONS CONCLUSIONS
Despite screening guidelines, many women with depressive symptoms had no documentation of screening or interventions by the healthcare system. Furthermore, a significant proportion did not achieve remission despite interventions. Being identified by CHS was associated with the largest reduction of symptoms. Research is needed to understand gaps in the healthcare processes, to better identify peripartum depression.

Identifiants

pubmed: 38254262
doi: 10.1192/j.eurpsy.2024.6
pii: S0924933824000063
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e14

Subventions

Organisme : Sveriges Läkarförbund
ID : SLS-250581

Auteurs

Karin Gidén (K)

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Lisa Vinnerljung (L)

Department of Gynaecology, Region Gävleborg, Hudiksvall, Sweden.

Stavros I Iliadis (SI)

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Emma Fransson (E)

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Centre for Translational Microbiome Research, Department of Microbiology, Tumour and Cell Biology, Karolinska Institutet, Stockholm, Sweden.

Alkistis Skalkidou (A)

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Classifications MeSH