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
Artigo
em Espanhol
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Atenção Primária à Saúde
/
Programas de Rastreamento
/
Depressão Pós-Parto
/
Acessibilidade aos Serviços de Saúde
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo diagnóstico
/
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Pesquisa qualitativa
/
Estudo de rastreamento
Limite:
Adulto
/
Feminino
/
Humanos
País/Região como assunto:
América do Sul
/
Chile
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2018
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Hospital Clínico Universidad de Chile/CL
/
Instituto Milenio para la Investigación en Depresión y Personalidad/CL
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