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Observational evidence in support of screening for depression during pregnancy and the postpartum period
Premji and McNeil examine the effectiveness and cost-effectiveness of postpartum depression (PPD) screening. Screening was effective at directing resources to Albertans in need; patients screened at high risk of PPD were nearly 4 times more likely to receive a diagnosis for PPD than those who were n...
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| Published in: | Canadian Medical Association journal (CMAJ) 2022-11, Vol.194 (43), p.E1487-E1487 |
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| Main Authors: | , , |
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| Language: | English |
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| container_end_page | E1487 |
| container_issue | 43 |
| container_start_page | E1487 |
| container_title | Canadian Medical Association journal (CMAJ) |
| container_volume | 194 |
| creator | Premji, Shainur McNeil, Deborah A Spackman, Eldon |
| description | Premji and McNeil examine the effectiveness and cost-effectiveness of postpartum depression (PPD) screening. Screening was effective at directing resources to Albertans in need; patients screened at high risk of PPD were nearly 4 times more likely to receive a diagnosis for PPD than those who were not screened. At a population level, screening identified an additional 813 patients with PPD relative to not screening, and was considered cost-effective. Although the Task Force made a key assumption that, as part of usual care, providers routinely inquire about and are attentive to maternal mental health and well-being, our research did not have to make this assumption; we were able to test it directly. |
| doi_str_mv | 10.1503/cmaj.147193-l |
| format | article |
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Screening was effective at directing resources to Albertans in need; patients screened at high risk of PPD were nearly 4 times more likely to receive a diagnosis for PPD than those who were not screened. At a population level, screening identified an additional 813 patients with PPD relative to not screening, and was considered cost-effective. Although the Task Force made a key assumption that, as part of usual care, providers routinely inquire about and are attentive to maternal mental health and well-being, our research did not have to make this assumption; we were able to test it directly.</description><identifier>ISSN: 0820-3946</identifier><identifier>EISSN: 1488-2329</identifier><identifier>DOI: 10.1503/cmaj.147193-l</identifier><identifier>PMID: 36343957</identifier><language>eng</language><publisher>Canada: CMA Impact Inc</publisher><subject>Care and treatment ; Decision making ; Depression - diagnosis ; Depression, Mental ; Depression, Postpartum - diagnosis ; Diagnosis ; Evaluation ; Female ; Health aspects ; Health care ; Humans ; Mass Screening ; Medical screening ; Mental depression ; Observational studies ; Postpartum depression ; Postpartum Period ; Practice guidelines (Medicine) ; Pregnancy ; Pregnant women ; Preventive medicine ; Psychiatric Status Rating Scales ; Psychological aspects ; Public health ; Task forces</subject><ispartof>Canadian Medical Association journal (CMAJ), 2022-11, Vol.194 (43), p.E1487-E1487</ispartof><rights>COPYRIGHT 2022 CMA Impact Inc.</rights><rights>Copyright CMA Impact, Inc. 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Screening was effective at directing resources to Albertans in need; patients screened at high risk of PPD were nearly 4 times more likely to receive a diagnosis for PPD than those who were not screened. At a population level, screening identified an additional 813 patients with PPD relative to not screening, and was considered cost-effective. Although the Task Force made a key assumption that, as part of usual care, providers routinely inquire about and are attentive to maternal mental health and well-being, our research did not have to make this assumption; we were able to test it directly.</description><subject>Care and treatment</subject><subject>Decision making</subject><subject>Depression - diagnosis</subject><subject>Depression, Mental</subject><subject>Depression, Postpartum - diagnosis</subject><subject>Diagnosis</subject><subject>Evaluation</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Humans</subject><subject>Mass Screening</subject><subject>Medical screening</subject><subject>Mental depression</subject><subject>Observational studies</subject><subject>Postpartum depression</subject><subject>Postpartum Period</subject><subject>Practice guidelines (Medicine)</subject><subject>Pregnancy</subject><subject>Pregnant women</subject><subject>Preventive medicine</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychological aspects</subject><subject>Public health</subject><subject>Task forces</subject><issn>0820-3946</issn><issn>1488-2329</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNqV0stv1DAQB-AIgehSOHJFFpUQHLLEjyT2sap4VKqoxONsee1J1qvETm2nov89jrZAF-0F-2B59HkO419RvMTVGtcVfa9HtVtj1mJBy-FRscKM85JQIh4Xq4qTqqSCNSfFsxh3VV6UtE-LE9pQRkXdrort9SZCuFXJeqcGBLfWgNOArENxniYfEvIdijoAOOt61PmADEwBYswvkJnDUs333imn75ByBqUtoMnHNKmQ5hFNEKw3z4snnRoivLg_T4sfHz98v_hcXl1_urw4vyp1zdpUagWCiq5huoNKNcIQvWHM1JSxpsFUKaE6ToBwjIEYyrGuOTcCm4p31DSKnhZv932n4G9miEmONmoYBuXAz1GSlrLciBGS6dk_dOfnkMewV5Q2nNO_qlcDSOs6n4LSS1N53pK6Ek3D66zKI6oHB0EN3kFnc_nAvz7i9WRv5EO0PoLyNjBafbTru4MH2ST4mXo1xygvv339D_vl0L55YLeghrSNfpiX1MSjY9DBxxigk1Owowp3Eldyyatc8ir3eZVD9q_uv2DejGD-6N8Bpb8AuhXiaA</recordid><startdate>20221107</startdate><enddate>20221107</enddate><creator>Premji, Shainur</creator><creator>McNeil, Deborah A</creator><creator>Spackman, Eldon</creator><general>CMA Impact Inc</general><general>CMA Impact, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISN</scope><scope>ISR</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M3G</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20221107</creationdate><title>Observational evidence in support of screening for depression during pregnancy and the postpartum period</title><author>Premji, Shainur ; McNeil, Deborah A ; Spackman, Eldon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c547t-cae939f64cfe0a69d2cb44d53446613aa9af82e2811e2d381c588d91d08f3d6a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Care and treatment</topic><topic>Decision making</topic><topic>Depression - diagnosis</topic><topic>Depression, Mental</topic><topic>Depression, Postpartum - diagnosis</topic><topic>Diagnosis</topic><topic>Evaluation</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Humans</topic><topic>Mass Screening</topic><topic>Medical screening</topic><topic>Mental depression</topic><topic>Observational studies</topic><topic>Postpartum depression</topic><topic>Postpartum Period</topic><topic>Practice guidelines (Medicine)</topic><topic>Pregnancy</topic><topic>Pregnant women</topic><topic>Preventive medicine</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychological aspects</topic><topic>Public health</topic><topic>Task forces</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Premji, Shainur</creatorcontrib><creatorcontrib>McNeil, Deborah A</creatorcontrib><creatorcontrib>Spackman, Eldon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Canada</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>Canadian Business & Current Affairs Database (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>CBCA Reference & Current Events</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian Medical Association journal (CMAJ)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Premji, Shainur</au><au>McNeil, Deborah A</au><au>Spackman, Eldon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Observational evidence in support of screening for depression during pregnancy and the postpartum period</atitle><jtitle>Canadian Medical Association journal (CMAJ)</jtitle><addtitle>CMAJ</addtitle><date>2022-11-07</date><risdate>2022</risdate><volume>194</volume><issue>43</issue><spage>E1487</spage><epage>E1487</epage><pages>E1487-E1487</pages><issn>0820-3946</issn><eissn>1488-2329</eissn><abstract>Premji and McNeil examine the effectiveness and cost-effectiveness of postpartum depression (PPD) screening. Screening was effective at directing resources to Albertans in need; patients screened at high risk of PPD were nearly 4 times more likely to receive a diagnosis for PPD than those who were not screened. At a population level, screening identified an additional 813 patients with PPD relative to not screening, and was considered cost-effective. Although the Task Force made a key assumption that, as part of usual care, providers routinely inquire about and are attentive to maternal mental health and well-being, our research did not have to make this assumption; we were able to test it directly.</abstract><cop>Canada</cop><pub>CMA Impact Inc</pub><pmid>36343957</pmid><doi>10.1503/cmaj.147193-l</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0820-3946 |
| ispartof | Canadian Medical Association journal (CMAJ), 2022-11, Vol.194 (43), p.E1487-E1487 |
| issn | 0820-3946 1488-2329 |
| language | eng |
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| source | PubMed Central |
| subjects | Care and treatment Decision making Depression - diagnosis Depression, Mental Depression, Postpartum - diagnosis Diagnosis Evaluation Female Health aspects Health care Humans Mass Screening Medical screening Mental depression Observational studies Postpartum depression Postpartum Period Practice guidelines (Medicine) Pregnancy Pregnant women Preventive medicine Psychiatric Status Rating Scales Psychological aspects Public health Task forces |
| title | Observational evidence in support of screening for depression during pregnancy and the postpartum period |
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