Results of a Statewide Survey of Obstetric Clinician Depression Practices.
Results of a Statewide Survey of Obstetric Clinician Depression Practices.
复制标题
全州范围内产科临床医生抑郁症实践调查的结果。
DOI：
10.1089/jwh.2021.0147
复制
发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Simas,TiffanyAMoore
中科院分区：
文献类型：
--
作者：
SchipaniBailey,Elke;Byatt,Nancy;Carroll,Smita;Brenckle,Linda;Sankaran,Padma;Kroll-Desrosiers,Aimee;Smith,NicoleA;Allison,Jeroan;Simas,TiffanyAMoore
围产期抑郁症影响超过七分之一的妇女，并与显着的负面孕产妇和儿童的后果。尽管如此，它仍然没有被发现和治疗。我们试图确定临床医生的做法，自我效能，和剩余的障碍，全面解决围产期depression care.Materials和方法：调查管理到产科临床医生在马萨诸塞州，询问抑郁症筛查和Likert问题的频率，随后抑郁症management.Results：约79.0%的临床医生接近完成了调查。而大多数临床医生（93.5%）筛选围产期抑郁症在产后6周，较少的临床医生（66.1%）在怀孕期间进行筛选。大多数人报告说，他们愿意为患者提供支持（98.4%），但很少有人支持自己治疗患者（43.0%）。大多数人指出，抗抑郁药治疗的能力（77.9%），但是，较少认可充分获得非药物治疗（45.5%）。结论：大多数接受调查的临床医生筛选抑郁症符合指南。然而，努力集中在产后期，尽管文献引用了三分之二的患者在怀孕前或怀孕期间发病。受访者表示有能力进行药物管理治疗，同时注意到转诊面临更大的挑战。这些研究结果描述了跨学科协调的挑战，作为全面的围产期精神卫生保健的障碍。临床试验注册号：NCT 02760004。
Purpose:Perinatal depression affects upwards of one in seven women and is associated with significant negative maternal and child consequences. Despite this, it remains under-detected and under-treated. We sought to identify clinician practices, self-efficacy, and remaining barriers to comprehensively addressing perinatal depression care.Materials and Methods:Surveys were administered to obstetric clinicians in Massachusetts that queried frequency of depression screening and Likert questions about subsequent depression management.Results:Approximately 79.0% of clinicians approached completed the survey. Whereas most clinicians (93.5%) screened for perinatal depression at 6 weeks postpartum, fewer clinicians (66.1%) screened during pregnancy. Most reported they were comfortable providing support to their patients (98.4%), but fewer endorsed being able to treat them on their own (43.0%). Most noted an ability to treat with antidepressants (77.9%); however, fewer endorsed adequate access to nonmedication treatment (45.5%).Conclusions:The majority of surveyed clinicians screen for depression consistent with guidelines. However, efforts are focused on the postpartum period, despite literature citing two-thirds of patients experiencing onset before or during pregnancy. Respondents indicated an ability to treat with medication management, while noting greater challenge with referral. These findings describe the challenges of interdisciplinary coordination as a barrier to comprehensive perinatal mental health care. Clinical Trial Registration Number: NCT02760004.