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Screening for post-partum depression in a community sample
1Department of Psychiatry, Sir Mortimer B. Davis-Jewish General Hospital, Montreal, Quebec.
Summary
Post-partum depression affects 6.2% of women, with higher risks for those not working or recent immigrants. Telephone screening is a feasible method for identifying at-risk mothers.
Area of Science:
- Public Health
- Epidemiology
- Mental Health
Background:
- Post-partum depression (PPD) is a significant concern affecting maternal well-being.
- Early identification and intervention are crucial for managing PPD.
- Community-based screening methods are needed to reach a broader population.
Purpose of the Study:
- To estimate the prevalence of post-partum depression in the community.
- To identify demographic factors associated with post-partum depression.
- To assess the feasibility of telephone screening for PPD.
Main Methods:
- A 17-month telephone screening of 1559 childbearing women at six weeks post-partum.
- Utilized the ten-item Edinburgh Postnatal Depression Scale (EPDS) for assessment.
- Sample identified through two community health centers.
Main Results:
- An estimated prevalence of 6.2% for PPD using EPDS score >= 10.
- A prevalence of 3.4% using the more stringent EPDS score >= 12.
- Identified higher risk for women not working, lower occupational status, and recent immigrants, especially those with a second child.
Conclusions:
- Telephone screening for post-partum depression is a feasible and effective method.
- This approach aids in identifying women at risk for PPD.
- Findings highlight specific demographic groups requiring targeted support.