[Screening and barriers for treatment of postpartum depression in Chilean public primary health care centers].

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 AND METHODS: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.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Rojas G,Guajardo V,Martínez P,Fritsch R

doi

10.4067/s0034-98872018000901001

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

1001-1007

issue

9

eissn

0034-9887

issn

0717-6163

pii

S0034-98872018000901001

journal_volume

146

pub_type

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