General Hospital Psychiatry
Volume 32, Issue 1 , Pages 9-16 , January 2010

Patient perspectives on improving the depression referral processes in obstetrics settings: a qualitative study

  • Heather A. Flynn, Ph.D.

      Affiliations

    • Department of Psychiatry, University of Michigan, Ann Arbor, MI 48109, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 734 936 8702.
    • ,
  • Erin Henshaw, Ph.D.

      Affiliations

    • Department of Psychology, Eastern Michigan University, MI 48105-2303, USA
    • ,
  • Heather O’Mahen, Ph.D.

      Affiliations

    • Exeter University, Exeter, England
    • ,
  • Jane Forman, Ph.D.

      Affiliations

    • Ann Arbor VA Medical Center, Ann Arbor, MI, USA

Received 20 April 2009 ,Accepted 21 July 2009.

References 

  1. Kelly RH, Russo J, Holt VL, et al. Psychiatric and substance use disorders as risk factors for low birth weight and preterm delivery. Obstet Gynecol. 2002;100:297–304
  2. McKee MD, Cunningham M, Jankowski K, et al. Health-related functional status in pregnancy: relationship to depression and social support in multi-ethnic population. Obstet Gynecol. 2001;97:988–993
  3. Smith MV, Rosenheck RA, Cavaleri MA, et al. Screening for and detection of depression, panic disorder, and PTSD in public-sector obstetric clinics. Psychiatr Serv. 2004;55:407–414
  4. Young AS, Klap R, Sherbourne CD, et al. The quality of care for depressive and anxiety disorders in the United States. Arch Gen Psychiatry. 2001;58:55–61
  5. Spitzer RL, Williams JB, Kroenke K, et al. Validity and utility of the PRIME-MD patient health questionnaire in assessment of 3000 obstetric-gynecologic patients: the PRIME-MD Patient Health Questionnaire Obstetrics-Gynecology Study. Am J Obstet Gynecol. 2000;183:759–769
  6. Kelly RH, Zatick DF, Anders TF. The detection and treatment of psychiatric disorders and substance use among pregnant women cared for in obstetrics. Am J Psychiatry. 2001;158:213–219
  7. Marcus SM, Flynn HA, Blow FC, et al. Depressive symptoms among pregnant women screened in obstetrics settings. J Women's Health. 2003;12:373–380
  8. Wisner KL, Chambers C, Sit DK. Postpartum depression: a major public health problem. JAMA. 2006;296:2616–2618
  9. Depression Guideline Panel . Depression in primary care. Vol. 1-2. Clinical practice guideline no. 5. AHCPR publication nos. 93-0550, 93-0551. Rockville, MD: US DHHS; 1993;
  10. Department of Health and Senior Services, State of New Jersey, April, 2006. Section 2 of P.L.2000, c.167 (C.26:2-176).
  11. Gaynes BN, Gavin N, Meltzer-Brody S, Lohr KN, et al. Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evid Rep Technol Assess. 2005;119:1–8
  12. Rost K, Nutting P, Smith J, et al. Improving depression outcomes in community primary care practice: a randomized trial of the quest intervention. J Gen Intern Med. 2001;16:143–149
  13. Flynn HA, Blow FC, Marcus SM. Rates and predictors of depression treatment among pregnant women in hospital-affiliated obstetrics practices. Gen Hosp Psychiatry. 2006;28:289–295
  14. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782–786
  15. First MB, Spitzer RL, Gibbon M, et al: Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Non-patient Edition (SCID-I/NP). New York: Biometrics Research, New York State Psychiatric Institute, 2002.
  16. Kopelman RC, Moel J, Mertens C, et al. Barriers to care for antenatal depression. Psychiatr Serv. 2008;59:429–432
  17. Sword W, Busser D, Ganann R, McMillan T, Swinton M. Women's care-seeking experiences after referral for postpartum depression. Qual Health Res. 2008;18(9):1161–1173
  18. Dennis CL, Chung-Lee L. Postpartum depression help-seeking barriers and maternal treatment preferences: a qualitative systematic review. Birth. 2006;33(4):323–331
  19. Patton MQ. Qualitative Research and Evaluation Methods. 3rd ed. Thousand Oaks, CA: Sage Publications; 2002;

☆ This work was supported by the National Institutes of Health (Flynn MH076219).

PII: S0163-8343(09)00139-X

doi: 10.1016/j.genhosppsych.2009.07.005

General Hospital Psychiatry
Volume 32, Issue 1 , Pages 9-16 , January 2010

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