Abstract：
PURPOSE:Postpartum depression (PPD) screening at 4 to 12 weeks' postpartum can improve outcomes for women when linked to in-practice management programs. The benefit of repeated PPD screening during the first year postpartum remains unclear. METHODS:We report a substudy of a large pragmatic trial of early PPD screening and practice management, the Translating Research into Practice for Postpartum Depression (TRIPPD) study. Outcome analyses were based on demographic information and Patient Health Questionnaire (PHQ-9) screening scores from questionnaires mailed to all enrolled women at baseline (4 to 12 weeks' postpartum) and again at 6 and at 12 months' postpartum. The main outcomes of this substudy were the 6- and 12-month rates of PHQ-9 scores that were 10 or greater for women whose baseline PHQ-9 scores were less than 10. Women whose scores were 10 or greater would be considered at high risk of PPD and appropriate for further evaluation. RESULTS:At 6 months, 134 (10.9%) of the 1,235 women who did not have PHQ-9 scores greater than 10 at baseline had elevated scores appropriate for further evaluation. At 12 months, 59 (6.1%) of the 969 women who did not have PHQ-9 scores greater than 10 at baseline or at 6 months had elevated scores. Together the 6- and 12-month repeated screenings identified 193 women at high risk of depression. This finding represents 13.5% of the 1,432 women whose screening results were negative for PPD at baseline. CONCLUSIONS:Repeated PPD screening at 6 and 12 months' postpartum increases the percentage of women identified as being at high risk of PPD. Further work will be required to understand the impact of this repeated screening on patient outcomes.
journal_name
Ann Fam Medjournal_title
Annals of family medicineauthors
Yawn BP,Bertram S,Kurland M,Wollan PCdoi
10.1370/afm.1777subject
Has Abstractpub_date
2015-05-01 00:00:00pages
228-34issue
3eissn
1544-1709issn
1544-1717pii
13/3/228journal_volume
13pub_type
杂志文章abstract：PURPOSE:This study was conducted to document current immunization practices by family physicians. METHODS:In 2008 the American Academy of Family Physicians (AAFP) conducted a survey among a random sample of 2,000 of its members who reported spending 80% or more of their time in direct patient care. The survey consiste...
journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2010-11-01 00:00:00
abstract：PURPOSE:The US Preventive Services Task Force (USPSTF) is authorized by the US government to review and disseminate the scientific evidence for clinical preventive services. The purpose of this study was to evaluate the alignment of Medicare preventive services coverage with the recommendations of the USPSTF before imp...
journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2011-01-01 00:00:00
abstract：BACKGROUND:Clinicians are faced with a plethora of guidelines. To rate guidelines, they can select from a number of evaluation tools, most of which are long and difficult to apply. The goal of this project was to develop a simple, easy-to-use checklist for clinicians to use to identify trustworthy, relevant, and useful...
journal_title：Annals of family medicine
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更新日期：2017-09-01 00:00:00
abstract：:Patient-choice cesarean delivery is increasing in the United States. The American College of Obstetricians and Gynecologists supports this option, citing ethical premises of autonomy and informed consent, despite a lack of evidence for its safety. This increase in patient-choice cesarean delivery occurs during a time ...
journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2006-05-01 00:00:00
abstract：PURPOSE:Our goal was to monitor the progress of 3 Healthy People 2010 (HP2010) objectives encouraging self-management education and clinician counseling for weight loss and physical activity among adults with doctor-diagnosed arthritis. METHODS:Using the national 2002 and 2006 National Health Interview Survey (NHIS) a...
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更新日期：2011-03-01 00:00:00
abstract：PURPOSE:We wanted to identify characteristics of adults who do not have a usual source of care and then stratify the analysis by those who prefer vs those who do not prefer to have a usual source of care. METHODS:We analyzed data from a nationally representative sample of 9,011 adults to identify characteristics of th...
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更新日期：2006-07-01 00:00:00
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更新日期：2019-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：2003-07-01 00:00:00
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pub_type： 杂志文章,meta分析
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更新日期：2019-05-01 00:00:00
abstract：:Efforts to redesign primary care require multiple supports. Two potential members of the primary care team-practice facilitator and care manager-can play important but distinct roles in redesigning and improving care delivery. Facilitators, also known as quality improvement coaches, assist practices with coordinating ...
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更新日期：2013-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：2012-01-01 00:00:00
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更新日期：2014-07-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2020-05-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2010-05-01 00:00:00
abstract：PURPOSE:Because recognition and management of patients with somatoform disorders are difficult, we wanted to determine the specificity, sensitivity, and the test-retest reliability of the 15-symptom Patient Health Questionnaire (PHQ-15) for detection of somatoform disorders in a high-risk primary care population. METH...
journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2009-05-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章,随机对照试验
doi：10.1370/afm.1232
更新日期：2011-05-01 00:00:00
abstract：:Provider continuity is in need of an expanded definition that is not exclusively clinician centered. Currently, provider continuity is defined by visits over time to the same clinician. Many patients and informal caregivers, however, are co-providers of health care, not merely consumers. As a result, provider continui...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.115
更新日期：2004-09-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.340
更新日期：2005-05-01 00:00:00
abstract：:Behavioral change is at the heart of effective primary care, but when patients don't change, how do we account for our days? In this personal essay, I relate an encounter with a patient who wants to quit smoking, lose weight, and control her diabetes. I am discouraged when she deflects my recommendations, but a collea...
journal_title：Annals of family medicine
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更新日期：2015-05-01 00:00:00
abstract：PURPOSE:At this second anniversary of the Annals of Family Medicine, we sought to characterize primary care research and to identify opportunities for new directions by analyzing the content of the first and second volumes of the Annals. METHODS:Using an a priori classification scheme, 2 editors independently categori...
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pub_type： 杂志文章,多中心研究
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更新日期：2016-09-01 00:00:00
abstract：PURPOSE:Few clinical guidelines focus on how physicians can identify intimate partner violence (IPV) perpetration or victimization among male patients, and little is known of men's experiences and beliefs regarding screening in health care settings. Our objective was to determine prevalence of men's experiences with IP...
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更新日期：2020-07-01 00:00:00
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更新日期：2005-01-01 00:00:00
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journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2015-11-01 00:00:00
abstract：PURPOSE:We wanted to describe family physicians' use of information from an electronic knowledge resource for answering clinical questions, and their perception of subsequent patient health outcomes; and to estimate the number needed to benefit from information (NNBI), defined as the number of patients for whom clinica...
journal_title：Annals of family medicine
pub_type： 杂志文章
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更新日期：2013-11-01 00:00:00
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pub_type： 杂志文章
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更新日期：2011-11-01 00:00:00
abstract：PURPOSE:Recent national guidelines encourage a trial of labor after cesarean (TOLAC) as a means of increasing vaginal births after cesarean (VBACs) and decreasing the high US cesarean birth rate and its consequences (2010 National Institute of Health Consensus Statement and American College of Obstetricians and Gynecol...
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更新日期：2012-11-01 00:00:00
