Psychiatry

Your Article Summary

See Latest Articles

Stepped Care Treatment of Postpartum Depression: Impact on Treatment, Health, and Work Outcomes
Journal of the American Board of Family Medicine, 09/08/09

Gjerdingen D et al. – The stepped care intervention improved women's knowledge of their postpartum depression diagnosis and their receipt of treatment. However, our formal diagnostic procedures missed many women whose depressed mood interfered with their health and function.

• 506 mothers of infants from 7 clinics completed surveys at 0 to 1, 2, 4, 6, and 9 months postpartum and a Structured Clinical Interview for DSM–IV (SCID).
• SCID–positive depressed women were randomized to stepped collaborative care or usual care.
• Nine–month treatment, health, and work outcomes were evaluated for stepped care women versus control depressed women, and self–diagnosed depressed women versus nondepressed women.

• 45 women had SCID–positive depression whereas 122 had self–diagnosed depression.
• For SCID–positive depressed women, the stepped care intervention increased mothers’ awareness of their depression diagnosis and their receipt of treatment.
• Self–diagnosed depressed women (vs nondepressed women) had more depressive symptoms and acute care visits, worse general and mental health, and greater impact of health problems on regular activities.

Related Articles

See all related articles

Initial psychometric properties of the Inventory of Functional Status after Childbirth - Revised for Adolescents
Journal of Reproductive and Infant Psychology, 10/26/09    Relevance Score: 67%

Effects of stress and social support on postpartum health of Chinese mothers in the United States
Research in Nursing & Health, 11/03/09    Relevance Score: 65%

Review: differences in efficacy and acceptability exist for 12 new-generation antidepressants for major depression
Evidence-Based Medicine, 10/26/09    Relevance Score: 65%

Guidelines for maternal codeine use during breastfeeding
Canadian Family Physician, 11/13/09    Relevance Score: 64%

Pharmacotherapy of postpartum depression
Expert Opinion in Pharmacotherapy, 11/02/09    Relevance Score: 64%

Today in Anxiety...keeping you current

Receive free subspecialty "5-minute updates" via email

D-Cycloserine and Cocaine Cue Reactivity: Preliminary Findings
American Journal of Drug & Alcohol Abuse, 12/19/09

A Comparative Analysis of Completed Suicide Using High Resolution Brain SPECT Imaging
Journal of Neuropsychiatry and Clinical Neurosciences, 12/19/09

Aggression After Traumatic Brain Injury: Prevalence and Correlates
Journal of Neuropsychiatry and Clinical Neurosciences, 12/19/09

 See all of Anxiety

Today in Mood Disorders...keeping you current

Receive free subspecialty "5-minute updates" via email

Suicide in the Northern Territory, 2001-2006
Australian and New Zealand Journal of Psychiatry, 12/20/09

Is lithium in a class of its own? A brief profile of its clinical use
Australian and New Zealand Journal of Psychiatry, 12/20/09

Impact of Substance Use Disorders on Recovery From Episodes of Depression in Bipolar Disorder Patients: Prospective Data From the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD)
American Journal of Psychiatry, 12/19/09

 See all of Mood Disorders