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SCREENING AND BARRIERS FOR TREATMENT OF POSTPARTUM DEPRESSION IN CHILEAN PUBLIC PRIMARY HEALTH CARE CENTERS

Depresión posparto: tamizaje, uso de servicios y barreras para su tratamiento en centros de atención primaria

dc.contributoren-US
dc.contributorMinisterio de Salud de Chilees-ES
dc.creatorRojas, Graciela
dc.creatorGuajardo, Viviana
dc.creatorMartínez, Pablo
dc.creatorFritsch, Rosemarie
dc.date2018-08-14
dc.date.accessioned2019-11-11T18:27:39Z
dc.date.available2019-11-11T18:27:39Z
dc.identifierhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/6567
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/111245
dc.descriptionBackground: 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 depression 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.en-US
dc.descriptionBackground: 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 depression 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.es-ES
dc.formatapplication/pdf
dc.languagespa
dc.publisherRevista Médica de Chilees-ES
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/6567/4319
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6567/33443
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6567/33444
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6567/33445
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6567/33446
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6567/33447
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6567/33448
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6567/33449
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6567/34073
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6567/35984
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/6567/35985
dc.sourceRevista Médica de Chile; Vol. 146, núm. 9 (2018): SEPTIEMBRE 2018es-ES
dc.source0034-9887
dc.subjectMass Screening; Postpartum, Depression; Primary Health Care; Treatment Adherence and Complianceen-US
dc.subjectMass Screening; Postpartum, Depression; Primary Health Care; Treatment Adherence and Compliancees-ES
dc.titleSCREENING AND BARRIERS FOR TREATMENT OF POSTPARTUM DEPRESSION IN CHILEAN PUBLIC PRIMARY HEALTH CARE CENTERSen-US
dc.titleDepresión posparto: tamizaje, uso de servicios y barreras para su tratamiento en centros de atención primariaes-ES
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typees-ES


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