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Barriers to access to treatment for mothers with postpartum depression in primary health care centers: a predictive model

التفاصيل البيبلوغرافية
العنوان: Barriers to access to treatment for mothers with postpartum depression in primary health care centers: a predictive model
المؤلفون: Pablo Martínez, Paul A. Vöhringer, Graciela Rojas
المصدر: Revista Latino-Americana de Enfermagem, Vol 24, Iss 0 (2016)
بيانات النشر: Universidade de São Paulo, 2016.
سنة النشر: 2016
المجموعة: LCC:Nursing
مصطلحات موضوعية: Depresión Posparto, Accesibilidad a los Servicios de Salud, Atención Primaria de Salud, Nursing, RT1-120
الوصف: Objective to develop a predictive model to evaluate the factors that modify the access to treatment for Postpartum Depression (PPD). Methods prospective study with mothers who participated in the monitoring of child health in primary care centers. For the initial assessment and during 3 months, it was considered: sociodemographic data, gyneco-obstetric data, data on the services provided, depressive symptoms according to the Edinburgh Postpartum Depression Scale (EPDS) and quality of life according to the Short Form-36 Health Status Questionnaire (SF-36). The diagnosis of depression was made based on MINI. Mothers diagnosed with PPD in the initial evaluation, were followed-up. Results a statistical model was constructed to determine the factors that prevented access to treatment, which consisted of: item 2 of EPDS (OR 0.43, 95%CI: 0.20-0.93) and item 5 (OR 0.48, 95%CI: 0.21-1.09), and previous history of depression treatment (OR 0.26, 95%CI: 0.61-1.06). Area under the ROC curve for the model=0.79; p-value for the Hosmer-Lemershow=0.73. Conclusion it was elaborated a simple, well standardized and accurate profile, which advises that nurses should pay attention to those mothers diagnosed with PPD, presenting low/no anhedonia (item 2 of EPDS), scarce/no panic/fear (item 5 of EPDS), and no history of depression, as it is likely that these women do not initiate treatment.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
Spanish; Castilian
Portuguese
تدمد: 1518-8345
Relation: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692016000100312&lng=en&tlng=en; https://doaj.org/toc/1518-8345
DOI: 10.1590/1518-8345.0982.2675
URL الوصول: https://doaj.org/article/4e0096a9a0654ae79fb4e604011e0f88
رقم الأكسشن: edsdoj.4e0096a9a0654ae79fb4e604011e0f88
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:15188345
DOI:10.1590/1518-8345.0982.2675