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

Background: 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....

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Autores principales:	Rojas,Graciela, Guajardo,Viviana, Martínez,Pablo, Fritsch,Rosemarie
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	Mass Screening Postpartum, Depression Primary Health Care Treatment Adherence and Compliance
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000901001
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id	oai:scielo:S0034-98872018000901001
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spelling	oai:scielo:S0034-988720180009010012019-02-13Depresión posparto: tamizaje, uso de servicios y barreras para su tratamiento en centros de atención primariaRojas,GracielaGuajardo,VivianaMartínez,PabloFritsch,Rosemarie Mass Screening Postpartum, Depression Primary Health Care Treatment Adherence and Compliance Background: 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 PPD 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.9 20182018-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000901001es10.4067/s0034-98872018000901001
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Mass Screening Postpartum, Depression Primary Health Care Treatment Adherence and Compliance
spellingShingle	Mass Screening Postpartum, Depression Primary Health Care Treatment Adherence and Compliance Rojas,Graciela Guajardo,Viviana Martínez,Pablo Fritsch,Rosemarie Depresión posparto: tamizaje, uso de servicios y barreras para su tratamiento en centros de atención primaria
description	Background: 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 PPD 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.
author	Rojas,Graciela Guajardo,Viviana Martínez,Pablo Fritsch,Rosemarie
author_facet	Rojas,Graciela Guajardo,Viviana Martínez,Pablo Fritsch,Rosemarie
author_sort	Rojas,Graciela
title	Depresión posparto: tamizaje, uso de servicios y barreras para su tratamiento en centros de atención primaria
title_short	Depresión posparto: tamizaje, uso de servicios y barreras para su tratamiento en centros de atención primaria
title_full	Depresión posparto: tamizaje, uso de servicios y barreras para su tratamiento en centros de atención primaria
title_fullStr	Depresión posparto: tamizaje, uso de servicios y barreras para su tratamiento en centros de atención primaria
title_full_unstemmed	Depresión posparto: tamizaje, uso de servicios y barreras para su tratamiento en centros de atención primaria
title_sort	depresión posparto: tamizaje, uso de servicios y barreras para su tratamiento en centros de atención primaria
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000901001
work_keys_str_mv	AT rojasgraciela depresionpospartotamizajeusodeserviciosybarrerasparasutratamientoencentrosdeatencionprimaria AT guajardoviviana depresionpospartotamizajeusodeserviciosybarrerasparasutratamientoencentrosdeatencionprimaria AT martinezpablo depresionpospartotamizajeusodeserviciosybarrerasparasutratamientoencentrosdeatencionprimaria AT fritschrosemarie depresionpospartotamizajeusodeserviciosybarrerasparasutratamientoencentrosdeatencionprimaria
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Depresión posparto: tamizaje, uso de servicios y barreras para su tratamiento en centros de atención primaria

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