ArticleJournal of women's health (2002)2012
Now what? Effects of on-site assessment on treatment entry after perinatal depression screening.
Article in Journal of women's health (2002), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
19 citing papers in PubMed, 5 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Uptake of referrals for women with positive perinatal depression screening results and the effectiveness of interventions to increase uptake: a systematic review and meta-analysis.Epidemiology and psychiatric sciences · 2020Pooled it
- A Systematic Review of Integrated Care Interventions Addressing Perinatal Depression Care in Ambulatory Obstetric Care Settings.Clinical obstetrics and gynecology · 2018Pooled it
- Enhancing Participation in Depression Care in Outpatient Perinatal Care Settings: A Systematic Review.Obstetrics and gynecology · 2015Pooled it
- Screening for perinatal depression with the Patient Health Questionnaire depression scale (PHQ-9): A systematic review and meta-analysis.General hospital psychiatryPooled it
- Can Social Work Interventions Improve Perinatal Mental Health Outcomes? A Systematic Review.Women's health issues : official publication of the Jacobs Institute of Women's HealthPooled it
- Effects of Two Group Prenatal Care Interventions on Mental Health: An RCT.American journal of preventive medicine · 2024Trial
- Reduction of anxiety symptoms among women within a collaborative care model and women's health settings.Primary health care research & development · 2023Article
- Digital mental health for postpartum women: perils, pitfalls, and promise.NPJ digital medicine · 2023Article
- Management of depression during the perinatal period: state of the evidence.International journal of mental health systems · 2022Review
- She Screened Positive for Depression at the First Prenatal Visit, What Really Happens Next?Journal of clinical psychology in medical settings · 2021Article
- Perinatal depression screening practices in a large health system: identifying current state and assessing opportunities to provide more equitable care.Archives of women's mental health · 2021Article
- Article
- Pregnant and Postpartum Women With Bipolar Disorder: Taking the Care to Where They Are.Psychiatric services (Washington, D.C.) · 2018Article
- What Can Happen When Postpartum Anxiety Progresses to Psychosis? A Case Study.Case reports in psychiatry · 2018Article
- Consensus Bundle on Maternal Mental Health: Perinatal Depression and Anxiety.Obstetrics and gynecology · 2017Article
- Beyond screening: a review of pediatric primary care models to address maternal depression.Pediatric research · 2016Review
- Perinatal depression: an update and overview.Current psychiatry reports · 2014Review
- Perinatal depression: a review of US legislation and law.Archives of women's mental health · 2013Review
- Barriers in the diagnosis and treatment of depression in women in the USA: where are we now?Neuropsychiatry · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundDepression is a frequent accompaniment of the perinatal period. Although screening improves detection of perinatal depression, it does not in itself improve mental health treatment entry and, therefore, does not improve outcomes. This study addresses the feasibility of incorporating diagnostic assessment for depression directly into perinatal care visits and the influence of doing so on entry into mental health treatment.
methodsThe Perinatal Depression Management Program was implemented in an urban community health center serving a predominantly Hispanic population. The Patient Health Questionnaire (PHQ-9) was administered during perinatal visits. Positive screens (scores ≥10) were followed within the same visit by brief diagnostic assessment and engagement strategies. Chart review was conducted to compare rates of screening, assessment, and treatment entry during a 3-month baseline period before implementation of the intervention (n=141) with a 1-year period after implementation of the intervention (n=400).
resultsBefore the intervention, 65.2% of patients completed a PHQ-9, and 10% of patients with positive screens received on-site assessment. None of the patients with identified perinatal depression entered treatment. After model implementation, significantly more (93.5%) completed a PHQ-9, and of patients with positive screens, 84.8% received an on-site assessment. Among patients diagnosed with major depression and offered treatment, 90% entered treatment.
conclusionsIt is feasible to implement diagnostic assessment for depression within perinatal clinic visits. Doing so may substantially increase entry into mental health treatment for women with perinatal major depression while reducing unnecessary mental health referral of patients with false positive screens.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.