Evidence map›Paper›PMID 32831041›Full record

ArticleBMC pregnancy and childbirth2020

Quality assurance assessment of a specialized perinatal mental health clinic.

Luisa Caropreso, Sarah Saliba, Lindsay Hasegawa, Jack Lawrence, Caitlin J Davey, Benicio N Frey

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  3. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Luisa CaropresoWomen's Health Concerns Clinic, St Joseph's Healthcare Hamilton, Hamilton, ON, Canada.
Sarah SalibaMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Lindsay HasegawaMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Jack LawrenceDepartment of Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada.
Caitlin J DaveyDepartment of Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada.
Benicio N FreyWomen's Health Concerns Clinic, St Joseph's Healthcare Hamilton, Hamilton, ON, Canada. freybn@mcmaster.ca.ORCID http://orcid.org/0000-0001-8267-943X
St. Joseph’s Healthcare Hamilton · CAMcMaster University · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMood and anxiety issues are the main mental health complaints of women during pregnancy and the postpartum period. Services targeting such women can reduce perinatal complications related to psychiatric difficulties. This quality assurance project aimed to examine changes in mood and anxiety symptoms in pregnant and postpartum women referred to the Women's Health Concerns Clinic (WHCC), a specialized outpatient women's mental health program.

methodsWe extracted patient characteristics and service utilization from electronic medical records of women referred between 2015 and 2016. We also extracted admission and discharge scores on the Edinburgh Postnatal Depression Scale (EPDS) and the Generalized Anxiety Disorder-7 (GAD-7) scale.

resultsMost patients accessed the WHCC during pregnancy (54%), had a diagnosis of major depressive disorder (54.9%), were prescribed a change in their medication or dose (61.9%), and accessed psychotherapy for perinatal anxiety (30.1%). There was a significant decrease in EPDS scores between admission and discharge (t(214) = 11.57; p = .000; effect size d = .86), as well as in GAD-7 scores (t(51) = 3.63; p = .001; effect size d = .61). A secondary analysis showed that patients with more severe depression and anxiety symptoms demonstrated even greater effect sizes.

conclusionsChanges in EPDS and GAD-7 scores indicate that the WHCC is effective in reducing mood and anxiety symptoms associated with the perinatal period. This project highlights the importance of quality assurance methods in evaluating the effectiveness of clinical services targeting perinatal mental health, in order to inform policy and funding strategies.

Indexed as

AdolescentAdultAnxiety DisordersFemaleHumansMajor Depressive DisorderMental DisordersMental HealthMental Health ServicesOntarioParturitionPostpartum PeriodPregnancyPregnancy ComplicationsPsychiatric Status Rating ScalesQuality Assurance, Health CareAnxiety disordersMood disordersPerinatal periodProgram evaluationQuality assuranceWomen’s health

Identifiers

PMID32831041
PMCPMC7444031
OpenAlexW3080950682

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.