TY - JOUR
T1 - Mothers' Perspectives on Follow-up for Postpartum Depression Screening in Primary Care
AU - Canty, Hannah R.
AU - Sauter, Alicia
AU - Zuckerman, Katharine
AU - Cobian, Maritza
AU - Grigsby, Tamara
N1 - Publisher Copyright:
Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2019/2/1
Y1 - 2019/2/1
N2 - Objective: To qualitatively assess mothers' perspectives on barriers to and facilitators of follow-up of at-risk postpartum depression (PPD) screening test results. Methods: We conducted semistructured qualitative telephone interviews with 17 women who scored in the moderate or high-risk range on the Edinburgh Postpartum Depression Scale. Interviews explored personal experience with depressive symptoms, barriers and facilitators to receiving mental health care postpartum, and suggestions for primary care follow-up of at-risk screens. The team created a coding structure that was updated during review of transcripts. Findings were triangulated and external validity assessed via discussions with a mother who experienced PPD, a perinatal social worker, and a perinatal psychologist. Results: Personal health/attitude, family/friends, community, and health care system factors influenced mothers' follow-up of at-risk PPD screening test results. Health and personal attitude factors included anxiety, physical and emotional exhaustion, self-care and recognition of symptoms, and living up to personal and family expectations. Family/friend factors included material and emotional support and competing priorities. Community factors included child care affordability and availability, access to transportation, geographic access to resources, social networks, and community mental health stigma. Health care factors included pediatrician taking the mother's symptoms seriously, adequate time with the pediatrician, mother and pediatrician focus on the child's health, and access to mental health referrals. Conclusion: Addressing barriers to follow-up after PPD screening may enable better service access for at-risk families.
AB - Objective: To qualitatively assess mothers' perspectives on barriers to and facilitators of follow-up of at-risk postpartum depression (PPD) screening test results. Methods: We conducted semistructured qualitative telephone interviews with 17 women who scored in the moderate or high-risk range on the Edinburgh Postpartum Depression Scale. Interviews explored personal experience with depressive symptoms, barriers and facilitators to receiving mental health care postpartum, and suggestions for primary care follow-up of at-risk screens. The team created a coding structure that was updated during review of transcripts. Findings were triangulated and external validity assessed via discussions with a mother who experienced PPD, a perinatal social worker, and a perinatal psychologist. Results: Personal health/attitude, family/friends, community, and health care system factors influenced mothers' follow-up of at-risk PPD screening test results. Health and personal attitude factors included anxiety, physical and emotional exhaustion, self-care and recognition of symptoms, and living up to personal and family expectations. Family/friend factors included material and emotional support and competing priorities. Community factors included child care affordability and availability, access to transportation, geographic access to resources, social networks, and community mental health stigma. Health care factors included pediatrician taking the mother's symptoms seriously, adequate time with the pediatrician, mother and pediatrician focus on the child's health, and access to mental health referrals. Conclusion: Addressing barriers to follow-up after PPD screening may enable better service access for at-risk families.
KW - barriers to care
KW - postpartum depression
KW - thematic analysis
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U2 - 10.1097/DBP.0000000000000628
DO - 10.1097/DBP.0000000000000628
M3 - Article
C2 - 30422838
AN - SCOPUS:85061346472
SN - 0196-206X
VL - 40
SP - 139
EP - 143
JO - Journal of Developmental and Behavioral Pediatrics
JF - Journal of Developmental and Behavioral Pediatrics
IS - 2
ER -