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Depressive symptoms among pregnant women screened in obstetrics settings (2003)
| Venue: | Journal of Women's Health |
| Citations: | 19 - 1 self |
BibTeX
@ARTICLE{Marcus03depressivesymptoms,
author = {Sheila M. Marcus and Heather A. Flynn and Ph. D and Frederic C. Blow and Ph. D and Kristen L. Barry and Ph. D},
title = {Depressive symptoms among pregnant women screened in obstetrics settings},
journal = {Journal of Women's Health},
year = {2003},
pages = {373--380}
}
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Abstract
Objectives: This study aimed to describe the prevalence of depressive symptomatology dur-ing pregnancy when seen in obstetric settings, the extent of treatment in this population, and specific risk factors associated with mood symptoms in pregnancy. Methods: A total of 3472 pregnant women age 18 and older were screened while waiting for their prenatal care visits in 10 obstetrics clinics using a brief (10 minute) screening ques-tionnaire. This screen measured demographics, tobacco and alcohol (TWEAK problem alco-hol use screening measure), and depression measures, including the Center for Epidemio-logical Studies-Depression scale (CES-D), use of antidepressant medications, past history of depression, and current treatment (i.e., medications, psychotherapy, or counseling) for de-pression. Results: Of women screened, 20 % (n 5 689) scored above the cutoff score on the CES-D, and only 13.8 % of those women reported receiving any formal treatment for depression. Past history of depression, poorer overall health, greater alcohol use consequences, smoking, be-ing unmarried, unemployment, and lower educational attainment were significantly associ-ated with symptoms of depression during pregnancy. Conclusions: These data show that a substantial number of pregnant women screened in obstetrics settings have significant symptoms of depression, and most of them are not being monitored in treatment during this vulnerable time. This information may be used to justify and streamline systematic screening for depression in clinical encounters with pregnant women as a first step in determining which women may require further treatment for their mood symptoms. As elevations in depressive symptomatology have been associated with ad-verse maternal and infant outcomes, further study of the impact of psychiatric treatment in gravid women is essential. 373
Keyphrases
pregnant woman obstetrics setting depressive symptom mood symptom past history depressive symptomatology depression measure significant symptom overall health cutoff score epidemio-logical studies-depression scale obstetrics clinic educational attainment obstetric setting current treatment substantial number psychiatric treatment vulnerable time specific risk factor antidepressant medication prenatal care visit depressive symptomatology dur-ing pregnancy systematic screening ad-verse maternal alcohol use consequence gravid woman formal treatment infant outcome first step pregnant woman age clinical encounter
