Prevalence of Postpartum Depression in a Native American Population
Tóm tắt
Objectives: Data were collected on postpartum depression from 151 women, ages 16–40 years who received postpartum health services from a rural obstetrical clinic in North Carolina between September 2002 and May 2003. Reflective of the racial and socio-economic make-up of the county, 60.9% of the sample were American Indian (Lumbee tribe) 25.8% were African American and 13.3% were Caucasian or other. Methods: The Postpartum Depression Screening Scale (PDSS) was utilized to explore the prevalence of postpartum depression requiring clinical intervention in a largely unexplored population, minority women. Results: The incidence of postpartum depression symptoms was over 23%, which is significantly higher than even the most liberal estimates in other populations. As with previous literature on risk factors, the sample demonstrates a strong association between symptoms of depression, history of depression and receiving treatment for depression. Conclusions: The PDSS proved to be a clinically useful tool in this setting. Findings support the importance of implementing routine screening protocols to guide practice and implement support services.
Tài liệu tham khảo
Beck CT. Recognizing and screening for postpartum depression in mothers of NICU infants. Adv Neonatal Care 2003;3(1):37–46.
Maryland Department of Health and Mental Hygiene. Postpartum depression. US: Department of health and human services, office of women’s health [online], 2002 Mar [cited 2003, Sept 10]. Available from http://www.4woman.gov/editor/apr02/apr02.htm
Leiferman J. The effect of maternal depression symptomatology on maternal behaviors associated with child health. Health Educ Behav 2002;29(5):596–607.
Beck CT. Revision of the postpartum depression predictors inventory. JOGNN 2002;31(4):394–402.
Logsdon CM, Usui W. Psychosocial predictors of postpartum depression in diverse groups of women. West J Nurs Res 2001;23(6):563–574.
Amankwaa LC. Postpartum depression among African-American women. Issues Ment Nurs 2003;24:297–316.
Georgiopoulos AM, Bryan TL, Wollan P, Yawn BP. Routine screening for postpartum depression. J Fam Pract [serial online] 2001 Feb [cited 2003 Sept 10];50(2):[1 screen]. Available from http://www.jfponline.com/content/2001/02/jfp_0201_01170.asp
Morris-Rush JK, Freda MC, Bernstein PS. Screening for postpartum depression in an Inner-city population. Am J Obstet Gynecol 2003;188:1217–19.
Long CR, Curry MA. Living in two worlds: Native American women and prenatal care. Health Care For Women International [serial online] 1998 May-Jun [cited 2003 Jun 25];19(3):205–18.
Beck CT, Gable RK. Postpartum Depression Screening Scale. 1st ed. Los Angeles (CA): Western Psychological Services, 2002.
Mantle, Fiona. Developing a culture-specific tool to assess postnatal depression in the Indian community. Br J Commun Nurs 2003;8(4):176–80.
PND Training. Strengths and limitations of the Edinburgh Postnatal Depression Scale. PND Training [online] 2002 [cited 2002, Aug 26]. Available from http://www.pndtraining.co.uk/articles/SRSB1.htm
Beck AT, Steer RA, Brown GK. BDI-II manual. San Antonio (TX): The Psychological Corporation, 1996.
Cox JL, Holden JM, Sagovsky R. Edinburgh Postnatal Depression Scale. Br J Psychiatry 1987;150:782–86.
American Psychiatric Association. Postpartum depression [fact sheet], July, 2001.
Herrick H. Postpartum depression: Who gets help?. Statistical brief (Report No:24) Raleigh (NC): Department of Health and Human Services (US), Division of Public Health, 2002.
Beck CT. The effects of postpartum depression on maternal-infant interaction. Nurs Res 1995;44(5):298–304.