Abstract：
:China recently issued a national plan on perinatal depression (PND) screening. Previous studies elsewhere suggested that uptake of referral after screening for PND is suboptimal, but little is known in China. In this cohort study including 1126 women in Hunan, we identified women at a high risk of PND using the Edinburgh Postpartum Depression Scale (EPDS) over multiple time points. We texted them and offered free consultations with a psychiatrist/psychologist. Among 248 screen-positive women, only three expressed interest and one attended the appointment. We surveyed the women about their reasons for declining referrals and preferred means of care. Of the 161 respondents, 128 (79.5%) indicated that they could cope with the condition without professional assistance and 142 (88.2%) chose their families as the preferred source of help. Only 15 (9.3%) chose professionals as their first option. Implementing a referral policy for screen-positive women would mean approximately one-third of women who gave birth in China would be eligible. Our result argues against referring all screen-positive women for professional services at this time. Interventions should instead build upon the tradition of family support in a more engaged response. These considerations are relevant for the implementation of national screening for PND in China.
journal_name
Int J Environ Res Public Healthauthors
Gong W,Jin X,Cheng KK,Caine ED,Lehman R,Xu DRdoi
10.3390/ijerph17228686subject
Has Abstractpub_date
2020-11-23 00:00:00issue
22eissn
1661-7827issn
1660-4601pii
ijerph17228686journal_volume
17pub_type
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pub_type： 杂志文章,meta分析
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pub_type： 临床试验,杂志文章
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