Evidence map›Paper›PMID 35640435›Full record

ArticleGeneral hospital psychiatry

Perspectives on addressing bipolar disorder in the obstetric setting.

Grace A Masters, Lulu Xu, Katherine M Cooper, Tiffany A Moore Simas, Linda Brenckle, Thomas I Mackie, Ana J Schaefer, John Straus, Nancy Byatt

Abstract read
In one paragraph

Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. 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

9 authors.

Grace A MastersUniversity of Massachusetts Chan Medical School, Worcester, MA, United States of America. Electronic address: grace.masters@umassmed.edu.
Lulu XuUniversity of Massachusetts Chan Medical School, Worcester, MA, United States of America.
Katherine M CooperUniversity of Massachusetts Chan Medical School, Worcester, MA, United States of America.
Tiffany A Moore SimasUniversity of Massachusetts Chan Medical School, Worcester, MA, United States of America; UMass Memorial Health, Worcester, MA, United States of America.
Linda BrenckleUniversity of Massachusetts Chan Medical School, Worcester, MA, United States of America.
Thomas I MackieSUNY Downstate Health Sciences University, School of Public Health, Brooklyn, NY, United States of America.
Ana J SchaeferSUNY Downstate Health Sciences University, School of Public Health, Brooklyn, NY, United States of America.
John StrausMassachusetts Behavioral Health Partnership, Boston, MA, United States of America.
Nancy ByattUniversity of Massachusetts Chan Medical School, Worcester, MA, United States of America; UMass Memorial Health, Worcester, MA, United States of America.

Funding

Medical Scientist Training at UMMS Administrative SupplementT32GM107000 · NIGMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KIEFE, CATARINA I. · 2013 to 2022
$4.9M
University of Massachusetts Center for Clinical and Translational ScienceTL1TR001454 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LEWIS, BRIAN C · 2015 to 2024
$3.6M
NCATS NIH HHS TL1 TR001454NIGMS NIH HHS T32 GM107000
6 · The paper itself

Abstract

objectivePerinatal Psychiatry Access Programs have emerged to help obstetric professionals meet the needs of perinatal individuals with mental health conditions, including bipolar disorder (BD). We elucidate obstetric professionals' perspectives on barriers and facilitators to managing BD in perinatal patients, and how Access Programs may affect these processes.

methodsWe conducted three focus groups with obstetric professionals, two with- and one without-exposure to an Access Program, the Massachusetts Child Psychiatry Access Program (MCPAP) for Moms. Focus groups discussed experiences, barriers, facilitators, and solutions to caring for perinatal individuals with BD. Qualitative data were coded and analyzed by two independent coders; emergent themes were examined across exposure groups.

resultsThirty-one obstetric professionals (7 without-exposure, 24 with-exposure) participated. Identified themes included: (1) gaps in perinatal BD education; (2) challenges in patient assessment; (3) MCPAP for Moms as a facilitator for addressing BD; and (4) importance of continued outreach and destigmaization to increase care collaboration.

conclusionsBarriers to obstetric professionals accessing adequate mental healthcare for their patients with BD abound. With psychiatric supports in place, it is possible to build obstetric professionals' capacity to address BD. Perinatal Psychiatry Access Programs can facilitate obstetric professionals bridging these gaps in mental health care.

Indexed as

Bipolar DisorderChild PsychiatryPregnancy ComplicationsChildFemaleHumansMassachusettsPregnancyQualitative ResearchBipolar disorderCollaborative careMental health servicesPerinatalPostpartumPregnancy

Identifiers

PMID35640435
PMCPMC10858616

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