Depresión posparto: tamizaje, uso de servicios y barreras para su tratamiento en centros de atención primaria / Screening and barriers for treatment of postpartum depression in Chilean public primary health care centers
Rev. méd. Chile
;
146(9): 1001-1007, set. 2018. tab
Article
in Spanish
| LILACS
| ID: biblio-978790
ABSTRACT
Background:
Postpartum depression (PPD) is a public health issue, and appropriate screening may lead to clinical gains.Aim:
To describe the screening for PPD, its relationship with the use of health care services, and treatment access barriers in Chilean public primary health care (PHC) centers. Material andMethods:
Puerperal women attending PHC centers for a well-child check-up were assessed for the presence of PPD using the Edinburgh Postnatal Depression Scale and a structured psychiatric interview. PPD cases were assessed by telephone three months later. Also, women with PPD and PHC workers were interviewed to explore treatment barriers.Results:
Of the 305 women assessed, 21% met diagnostic criteria for PPD. Sixty five percent of assessed women were previously screened for PPD while attending well-child check-ups. The results of the screening were communicated to 60% of them and 28% received some management indication. After three months of follow up, 70% of PPD cases continued to be depressed, and two thirds of them did not consult a health care provider and most of them rejected psychotherapy or medical treatment.Conclusions:
Management of postpartum depression should be substantially improved in public PHC from screening to treatment.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Primary Health Care
/
Mass Screening
/
Depression, Postpartum
/
Health Services Accessibility
Type of study:
Controlled clinical trial
/
Diagnostic study
/
Etiology study
/
Observational study
/
Prognostic study
/
Qualitative research
/
Screening study
Limits:
Adult
/
Female
/
Humans
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2018
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Clínico Universidad de Chile/CL
/
Instituto Milenio para la Investigación en Depresión y Personalidad/CL
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