دورية أكاديمية
أعرض في EDS

Screening fathers for postpartum depression in a maternal-child health clinic: a program evaluation in a midwest urban academic medical center.

التفاصيل البيبلوغرافية
العنوان: Screening fathers for postpartum depression in a maternal-child health clinic: a program evaluation in a midwest urban academic medical center.
المؤلفون: Wainwright S; Division of Academic Internal Medicine, College of Medicine, University of Illinois at Chicago, 820 S. Wood Street, CSN 440, M/C 718, Chicago, IL, 60612, USA. swainwr2@uic.edu.; Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA. swainwr2@uic.edu., Caskey R; Division of Academic Internal Medicine, College of Medicine, University of Illinois at Chicago, 820 S. Wood Street, CSN 440, M/C 718, Chicago, IL, 60612, USA.; Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA., Rodriguez A; Division of Academic Internal Medicine, College of Medicine, University of Illinois at Chicago, 820 S. Wood Street, CSN 440, M/C 718, Chicago, IL, 60612, USA., Holicky A; Division of Academic Internal Medicine, College of Medicine, University of Illinois at Chicago, 820 S. Wood Street, CSN 440, M/C 718, Chicago, IL, 60612, USA.; School of Public Health, University of Illinois at Chicago, Chicago, IL, USA., Wagner-Schuman M; Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati, Cincinnati, OH, USA.; Department of Psychiatry, University of Illinois Chicago College of Medicine, Chicago, IL, USA., Glassgow AE; Division of Academic Internal Medicine, College of Medicine, University of Illinois at Chicago, 820 S. Wood Street, CSN 440, M/C 718, Chicago, IL, 60612, USA.; Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
المصدر: BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2023 Sep 19; Vol. 23 (1), pp. 675. Date of Electronic Publication: 2023 Sep 19.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100967799 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2393 (Electronic) Linking ISSN: 14712393 NLM ISO Abbreviation: BMC Pregnancy Childbirth Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Child Health* , Depression, Postpartum*/diagnosis, Child ; Infant ; Female ; Humans ; Young Adult ; Adult ; Middle Aged ; Program Evaluation ; Ethnicity ; Quality of Life ; Minority Groups ; Ambulatory Care Facilities ; Academic Medical Centers
مستخلص: Background: Postpartum depression (PPD) impacts fathers as well as mothers, and is estimated to affect between 8 and 13% of fathers. Paternal PPD is a risk factor for worsened quality of life, poor physical and mental health, and developmental and relational harms in the father-mother-child triad. There are no current recommendations for PPD screening among fathers. Paternal PPD screening was piloted in an intergenerational postpartum primary care clinic.
Methods: The pilot was carried out in an intergenerational postpartum primary care clinic located at a Midwest urban academic safety net health system from October 2021 to July 2022. Fathers actively involved in relationships with mothers or infants receiving primary care in the clinic were approached with mothers' permission. A novel survey instrument was used to collect demographic/social data, as well as mental health history and current stress levels; an Edinburgh Postnatal Depression Scale (EPDS) was also administered. Screenings were completed by social workers; data were collected in REDCap and descriptive statistics were calculated in SAS.
Results: 29 fathers were contacted and 24 completed screening (83%). Mean age was 31 years (range 19-48). Most (87%) identified as belonging to a racial or ethnic minority group. Fathers self-reported low rates of stress and preexisting mental health conditions, but 30% screened positive for PPD on EPDS (score of ≥ 8, or suicidal ideation). Gaps in health care were found, as one-quarter (26%) of fathers were uninsured and half (54%) did not have a primary care provider. After screening, two requested mental health services, and three established new primary care with a physician.
Conclusions: Participation was high in a PPD screening pilot for fathers in a primary care setting. This small sample of fathers demonstrated significant peripartum mental health challenges unlikely to have been identified otherwise. For some participants, engaging in PPD screening was an effective tool to prompt their subsequent engagement with general health care. This pilot is a step toward incorporating the health of fathers into models for supporting the health of families. Expanding screening for paternal PPD into routine primary care is necessary to reach more affected fathers.
(© 2023. BioMed Central Ltd., part of Springer Nature.)
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معلومات مُعتمدة: HRSA-19-107 United States HRSA HRSA HHS
فهرسة مساهمة: Keywords: Fathers; Paternal mental health; Perinatal mental health; Postpartum depression; Screening
تواريخ الأحداث: Date Created: 20230919 Date Completed: 20230921 Latest Revision: 20231121
رمز التحديث: 20231121
مُعرف محوري في PubMed: PMC10508033
DOI: 10.1186/s12884-023-05966-y
PMID: 37726664
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2393
DOI:10.1186/s12884-023-05966-y