Trial reportJournal of the American Board of Family Medicine : JABFM
Stepped care treatment of postpartum depression: impact on treatment, health, and work outcomes.
Trial report in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Effects of stepped care on depression outcomes in perinatal women: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2026Pooled it
- Treatment of depression, anxiety, and trauma-related disorders during the perinatal period: A systematic review.Clinical psychology review · 2018Pooled it
- Telephone support for women during pregnancy and the first six weeks postpartum.The Cochrane database of systematic reviews · 2013Pooled it
- Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012Pooled it
- The effect of sleep pattern changes on postpartum depressive symptoms.BMC women's health · 2018Trial
- A Toddler Parenting Intervention in Primary Care for Caregivers With Depression Symptoms.The journal of primary prevention · 2017Trial
- Optimizing the Postpartum Period to Support Lifelong Health for Women with Obesity.Current obesity reports · 2026Review
- Models and key elements of integrated perinatal mental health care: A scoping review.PLOS mental health · 2025Article
- Video-Delivered Family Therapy for Perinatal Women With Depressive Symptoms and Family Conflict: Feasibility, Acceptability, Safety, and Tolerability Results From a Pilot Randomized Trial.JMIR formative research · 2023Article
- Self-Reported Long COVID in the General Population: Sociodemographic and Health Correlates in a Cross-National Sample.Life (Basel, Switzerland) · 2022Article
- Scoping review of stepped care interventions for mental health and substance use service delivery to youth and young adults.Early intervention in psychiatry · 2022Article
- Depression in Emergency Department Patients and Association With Health Care Utilization.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2019Article
- A scoping review of mental health prevention and intervention initiatives for infants and preschoolers at risk for socio-emotional difficulties.Systematic reviews · 2019Article
- Self-evaluated anxiety in the Norwegian population: prevalence and associated factors.Archives of public health = Archives belges de sante publique · 2019Article
- Self-diagnosed depression in the Norwegian general population - associations with neuroticism, extraversion, optimism, and general self-efficacy.BMC public health · 2018Article
- An Evidence Roadmap for Implementation of Integrated Behavioral Health under the Affordable Care Act.AIMS public health · 2015Review
- A Pilot Investigation to Enhance Behavioral Health Referral for Perinatal, Low-Income Women With Mood Disorders.Progress in community health partnerships : research, education, and action · 2015Article
- Now what? Effects of on-site assessment on treatment entry after perinatal depression screening.Journal of women's health (2002) · 2012Article
- Changes in depressive symptoms over 0-9 months postpartum.Journal of women's health (2002) · 2011Article
- Problems with a diagnostic depression interview in a postpartum depression trial.Journal of the American Board of Family Medicine : JABFMArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeThe purpose of this study was to pilot a stepped collaborative care intervention for women with postpartum depression and evaluate health differences between self-diagnosed depressed and nondepressed women.
methodsFive hundred six mothers of infants from 7 clinics completed surveys at 0 to 1, 2, 4, 6, and 9 months postpartum and a Structured Clinical Interview for DSM-IV (SCID). SCID-positive depressed women were randomized to stepped collaborative care or usual care. Nine-month treatment, health, and work outcomes were evaluated for stepped care women (n = 19) versus control depressed women (n = 20), and self-diagnosed depressed women (n = 122) versus nondepressed women (n = 344).
resultsForty-five women had SCID-positive depression whereas 122 had self-diagnosed depression. For SCID-positive depressed women, the stepped care intervention increased mothers' awareness of their depression diagnosis (100% vs 61%; P = .008) and their receipt of treatment (94% vs 56%; P = .019). Self-diagnosed depressed women (vs nondepressed women) had more depressive symptoms and acute care visits, worse general and mental health, and greater impact of health problems on regular activities.
conclusionsThe stepped care intervention improved women's knowledge of their postpartum depression diagnosis and their receipt of treatment. However, our formal diagnostic procedures missed many women whose depressed mood interfered with their health and function.
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