Psychosocial assessment and depression screening in the perinatal period: Benefits, challenges and implementation

Joint Care of Parents and Infants in Perinatal Psychiatry

Volumn , Issue , 2016, Pages 167-195

  Austin, Marie Paule ^a,b   Kingston, Dawn ^c  

^a ST JOHN OF GOD HOSPITAL   (Australia)

^b UNIVERSITY OF NEW SOUTH WALES   (Australia)

^c UNIVERSITY OF ALBERTA   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84957083191     PISSN: None     EISSN: None     Source Type: Book    
DOI: 10.1007/978-3-319-21557-0_11     Document Type: Chapter

References (107)

1. American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn, (text rev.), Washington, DC, American Psychiatric Association
2. Austin M-P (2004) Antenatal screening and early intervention for ‘perinatal’ distress, depression and anxiety: where to from here? Arch Womens Ment Health 7:1-6
3. Austin M-P, Hadzi-Pavlovic D, Priest SR et al (2010) Depressive and anxiety disorders in the postpartum period: how prevalent are they and can we improve their detection? Arch Womens Ment Health 13:395-401
4. Austin M-P, Hadzi-Pavlovic D, Saint K et al (2005) Antenatal screening for the prediction of postnatal depression: validation of a psychosocial Pregnancy Risk Questionnaire. Acta Psychiatr Scand 112:310-317
5. Austin M-P, Highet N and the Guidelines Expert Advisory Committee (2011) Clinical practice guidelines for depression andrelated disorders - anxiety, bipolar disorder and puerperal psychosis - in the perinatal period. A guideline for primary care health professionals. beyondblue: the national depression initiative, Melbourne
6. Austin M-P, Marcé Society Position Statement Advisory Committee (2014) Marce International Society position statement on psychosocial assessment and depression screening in perinatal women. Best Pract Res Clin Obstet Gynaecol 28:179-187
7. Austin M-P, Middleton P, Reilly NM et al (2013a) Detection and management of mood disorders in the maternity setting: the Australian Clinical Practice Guidelines. Women Birth J Aust Coll Midwives 26:2-9
8. Austin M-P, Colton J, Priest S et al (2013b) The antenatal risk questionnaire (ANRQ): acceptability and use for psychosocial risk assessment in the maternity setting. Women Birth 26:17-25
9. Bales M, Pambrun E, Melchior M et al (2015) Prenatal psychological distress and access to mental health care in the ELFE cohort. Eur Psychiatry 30:322-328
10. Bauer A, Pawlby S, Plant DT et al (2015) Perinatal depression and child development: exploring the economic consequences from a South London cohort. Psychol Med 45:51-61
11. Beckwith L, Howard J, Espinosa M et al (1999) Psychopathology, mother-child interaction, and infant development: substance-abusing mothers and their offspring. Dev Psychopathol 11:715-725
12. Bowen A, Bowen R, Butt P et al (2012) Patterns of depression and treatment in pregnant and postpartum women. Can J Psychiatry 57:161-167
13. Buist A, Condon J, Brooks J et al (2006) Acceptability of routine screening for perinatal depression. J Affect Disord 93:233-237
14. Byatt N, Simas TAM, Lunddquist RS et al (2012) Strategies for improving perinatal depression treatment in North American outpatient obstetric settings. J Psychosom Obstet Gynecol 33:143-161
15. Campbell S, Norris S, Standfield L et al (2008) Screening for postnatal depression within the Well Child Tamariki Ora Framework. HSAC Report 2(1) University of Canterbury, Christchurch
16. Canadian Task Force on Preventive Health Care; Joffres M, Jaramillo A, Dickinson J et al (2013) Recommendations on screening for depression in adults. CMAJ Can Med Assoc J 185:775-782
17. Cao-Lei L, Massart R, Suderman MJ et al (2014) DNA methylation signatures triggered by prenatal maternal stress exposure to a natural disaster: Project Ice Storm. PLoS One 9, e107653
18. Carroll JC, Reid AJ, Biringer A et al (2005) Effectiveness of the Antenatal Psychosocial Health Assessment (ALPHA) form in detecting psychosocial concerns: a randomized controlled trial. CMAJ 173:253-259
19. Carroll AE, Biondich P, Anand V et al (2013) A randomized controlled trial of screening for maternal depression with a clinical decision support system. J Am Med Inform Assoc 20:311-316
20. Chaudron LH, Wisner KL (2014) Perinatal depression screening: let’s not throw the baby out with the bath water! J Psychosom Res 76(6):489-491
21. Chew-Graham C, Chamberlain E, Turner K et al (2008) GPs’ and health visitors’ views on the diagnosis and management of postnatal depression: a qualitative study. Br J Gen Pract 58:169-176
22. Chew-Graham CA, Sharp D, Chamberlain E et al (2009) Disclosure of symptoms of postnatal depression, the perspectives of health professionals and women: a qualitative study. BMC Fam Pract 10:7
23. Christl B, Reilly N, Yin C et al (2015) Clinical profile and outcomes of women admitted to a psychiatric mother-baby unit. Arch Women Ment Health (in press)
24. Coates AO, Schaefer CA, Alexander JL (2004) Detection of postpartum depression and anxiety in a large health plan. J Behav Health Serv Res 31:117-133
25. Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression. Development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry 150:782-786
26. Davalos DB, Yadon CA, Tregellas HC (2012) Untreated prenatal maternal depression and the potential risks to offspring: a review. Arch Womens Ment Health 15:1-14
27. Dayan J, Creveuil C, Marks MN et al (2006) Prenatal depression, prenatal anxiety, and spontaneous preterm birth: a prospective cohort study among women with early and regular care. Psychosom Med 68:938-946
28. Dennis CL (2006) Intensive postpartum support for postnatal depression has the most beneficial outcome - meta-analysis. Evid Based Obstet Gynecol 8:94-95
29. Dennis CL, Hodnett E (2007) Psychosocial and psychological interventions for treating postpartum depression. Cochrane Database Syst Rev (4):CD006116
30. Dennis CL, Hodnett E, Kenton L et al (2009) Effect of peer support on prevention of postnatal depression among high risk women: multisite randomised controlled trial. BMJ 338:a3064
31. Department of Health and Ageing (2010) National perinatal depression initiative [online]. http://www.health.gov.au/internet/main/publishing.nsf/Content/mental-perinat. Accessed 8 May 2012
32. Desmarais SL, Prtichard A, Lowder EM et al (2014) Intimate partner abuse before and during pregnancy as risk factors for postpartum mental health problems. BMC Pregnancy Childbirth 14:132
33. Dunkel Schetter C, Tanner L (2012) Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry 25:141-148
34. Fisher J, Chatham E, Haseler S (2012) Uneven implementation of the National Perinatal Depression Initiative: findings from a survey of Australian women’s hospitals. Aust N Z J Obstet Gynaecol 52:559-564
35. Flynn HA, Henshaw E, O’Mahen H et al (2010) Patient perspectives on improving the depression referral processes in obstetrics settings: a qualitative study. Gen Hosp Psychiatry 32:9-16
36. Gavin NI, Gaynes BN, Lohr KN et al (2005) Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol 106:1071-1083
37. Gemmill AW (2014) The long gestation of screening programmes for perinatal depressive disorders. J Psychosom Res 77:242-243
38. Gemmill AW, Leigh B, Ericksen J et al (2006) A survey of the clinical acceptability of screening for postnatal depression in depressed and non-depressed women. BMC Public Health 6:211
39. Giallo R, Woolhouse H, Gartland D et al (2015) The emotional-behavioural functioning of children exposed to maternal depressive symptoms across pregnancy and early childhood: a prospective Australian pregnancy cohort study. Eur Child Adolesc Psychiatry
40. Gilbody S, Bower P, Fletcher J et al (2006) Collaborative care for depression: a cumulative metaanalysis and review of longer-term outcomes. Arch Inter Med 166(21):2314-2321
41. Glover V (2014) Maternal depression, anxiety and stress during pregnancy and child outcome; what needs to be done. Best Pract Res Clin Obstet Gynaecol 28:25-35
42. Grant KA, McMahon C, Austin MP (2008) Maternal anxiety during the transition to parenthood: a prospective study. J Affect Disord 108:101-111
43. Griffiths KM, Farrer L, Christensen H (2010) The efficacy of internet interventions for depression and anxiety disorders: a review of randomised controlled trials. Med J Aust 192:S4-S11
44. Gross R, Brammli-Greenberg S, Tabenkin H (2007) Primary care physicians’ discussion of emotional distress and patient satisfaction. Int J Psychiatry Med 37:331-335
45. Grote NK, Bridge JA, Gavin AR et al (2010) A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine birth restriction. Arch Gen Psychiatry 67:1012-1024
46. Hill C (2010) An evaluation of screening for postnatal depression against NSC criteria. UK National Screening Committee, London
47. Horwitz SM, Briggs-Gowan MJ, Storfer-Isser A et al (2009) Persistence of maternal depressive symptoms throughout the early years of childhood. J Womens Health (Larchmt) 18:637-645
48. Howard LM, Oram S, Galley H et al (2013) Domestic violence and perinatal mental disorders: a systematic review and meta-analysis. PLoS Med 10:e1001452
49. Johnson M, Schmeid V, Lupton SJ et al (2012) Measuring perinatal mental health risk. Arch Womens Ment Health 15:375-386
50. Jones I, Chandra PS, Dazzan P et al (2014) Bipolar disorder, affective psychosis, and schizophrenia in pregnancy and the post-partum period. Lancet 384:1789-1799
51. Kim JJ, La Porte LM, Corcoran M et al (2010) Barriers to mental health treatment among obstetric patients at risk for depression. Am J Obstet Gynecol 202:312.e1-312.e5
52. Kingston D, Heaman M, Fell D et al (2012a) Factors associated with perceived stress and stressful life events in pregnant women: findings from a Canadian Maternity Experiences Survey. Matern Child Health J 16:158-168
53. Kingston D, Tough S, Whitfield H (2012b) Prenatal and postpartum maternal psychological distress and infant development: a systematic review. Child Psychiatry Hum Dev 43:683-714
54. Kingston D, Tough S (2014) Prenatal and postnatal maternal mental health and school-age child development: a systematic review. Matern Child Health J 18:1728-1741
55. Kingston D, Austin MP, Hegadoren K et al (2014a) Study protocol for a randomized, controlled, superiority trial comparing the clinical- and cost-effectiveness of integrated online mental health assessment-referral-care in pregnancy to usual prenatal care on prenatal and postnatal mental health and infant health and development: the Integrated Maternal Psychosocial Assessment to Care Trial (IMPACT). BMC Trials 15:72
56. Kingston D, McDonald S, Austin MP et al (2014b) The public’s views of mental health in pregnant and postpartum women: a population-based study. BMC Pregnancy Childbirth 14:84
57. Kingston D, Janes-Kelley S Tyrell J, et al (2015a) An integrated web-based mental health intervention of assessment-referral-care to reduce stress, anxiety, and depression in hospitalized pregnant women with medically high-risk pregnancies: a feasibility study protocol of hospital-based implementation. JMIR Res Protoc 4:e9
58. Kingston D, Biringer A, McDonald S et al (2015b) Preferences of screening among pregnant women: a cross-sectional study. Am J Prev Med (in press)
59. Korhonen M, Luoma I, Salmelin R et al (2012) A longitudinal study of maternal prenatal, postnatal and concurrent depressive symptoms and adolescent well-being. J Affect Disord 136:680-692
60. Korhonen M, Luoma I, Salmelin R et al (2014) Maternal depressive symptoms: associations with adolescents’ internalizing and externalizing problems and social competence. Nord J Psychiatry 68:323-332
61. Leiferman JA, Dauber SE, Heisler K et al (2008) Primary care physicians’ beliefs and practices toward maternal depression. J Womens Health (Larchmt) 17:1143-1150
62. Leung SS, Leung C, Lam TH et al (2011) Outcome of a postnatal depression screening programme using the Edinburgh Postnatal Depression Scale: a randomized controlled trial. J Public Health (Oxf) 33:292-301
63. Mann R, Adamson J, Gilbody S (2012) Diagnostic accuracy of case-finding questions to identify perinatal depression. CMAJ Can Med Assoc J 184:E424-E430
64. Marcus SM, Flynn HA, Blow FC et al (2003) Depressive symptoms among pregnant women screened in obstetrics settings. J Womens Health (Larchmt) 12:373-380
65. Matthey S, Ross-Hamid C (2012) Repeat testing on the Edinburgh Depression Scale and the HADS-A in pregnancy: differentiating between transient and enduring distress. J Affect Disord 141:213-221
66. Matthey S, White T, Phillips J et al (2005) Acceptability of routine antenatal psychosocial assessments to women from English and non-English speaking backgrounds. Arch Womens Ment Health 8:171-180
67. Midmer D, Bryanton J, Brown R (2004) Assessing antenatal psychosocial health: randomized controlled trial of two versions of the ALPHA form. Can Fam Physician 50:80-87
68. Milgrom J, Gemmill A (2014) Feasibility and efficacy of an internet treatment for postnatal depression utilising a behavioural activation approach. Evid Based Nurs 17(4):102
69. Milgrom J, Gemmill A, Bilstza JL et al (2008) Antenatal risk factors for postnatal depression: a large prospective study. J Affect Disord 108:147-157
70. Milgrom J, Mendelsohn J, Gemmill AW (2011) Does postnatal depression screening work? Throwing out the bathwater, keeping the baby. J Affect Disord 132:301-310
71. Miller L, Shade M, Vasireddy V (2009) Beyond screening: assessment of perinatal depression in a perinatal care setting. Arch Womens Ment Health 12:329-334
72. Mitchell AJ, Coyne J (2009) Screening for postnatal depression: barriers to success. BJOG 116:11-14
73. Mitchell AJ, Rao S, Vaze A (2011) Can general practitioners identify people with distress and mild depression? A meta-analysis of clinical accuracy. J Affect Disord 130:26-36
74. Morrell C, Warner R, Slade P et al (2009) Psychological interventions for postnatal depression: cluster randomised trial and economic evaluation. The PoNDER trial. Health Technol Assess 13:1-176
75. Mrazek PJ, Haggerty RJ (1994) Reducing risks for mental disorders: frontiers for preventive intervention research. The National Academies Press, Washington, DC
76. Murray L, Carothers AD (1990) The validation of the Edinburgh Postnatal Depression Scale on a community sample. Br J Psychiatry 157:288-290
77. Murray L, Arteche A, Fearon P et al (2010) The effects of maternal postnatal depression and child sex on academic performance at age 16 years: a developmental approach. J Child Psychol Psychiatry 51:1150-1159
78. Murray L, Arteche A, Fearon P et al (2011) Maternal postnatal depression and the development of depression in offspring up to 16 years of age. J Am Acad Child Adolesc Psychiatry 50:460-470
79. Myers ER, Aubuchon-Endlsey N, Bastian LA et al (2013) Efficacy and safety of screening for postpartum depression. Comparative effectiveness review 106. AHRQ Publication No. 13-EHC064-EF. Agency for Healthcare Research and Quality, Rockville
80. National Institute for Health and Clinical Excellence (2014) Antenatal and postnatal mental health: clinical management and service guidance, updated edition, Clinical Guidance 192. National Collaborating Centre for Mental Health, London
81. O’Donnell KJ, Glover V, Barker ED et al (2014) The persisting effect of maternal mood in pregnancy on childhood psychopathology. Dev Psychopathol 26:393-403
82. O’Hara MW, Swain AM (1996) Rates and risk of postpartum depression: a meta-analysis. Int Rev Psychiatry 8:37-54
83. Oberlander TF, Warburton W, Misri S et al (2006) Neonatal outcomes after prenatal exposure to selective serotonin reuptake inhibitor antidepressants and maternal depression using population- based linked health data. Arch Gen Psychiatry 63:898-906
84. Paulden M, Palmer S, Hewitt S et al (2009) Screening for postnatal depression in primary care: cost effectiveness analysis. BMJ 339:b5203
85. Post and Antenatal Depression Association (2012) The cost of perinatal depression in Australia. Final report (executive summary). Deloitte Access Economics, Melbourne
86. Priest SR, Barnett B (2008) Perinatal depression and anxiety: issues, outcomes and interventions. In: Sved-Williams A, Cowling V (eds) Infants of parents with mental illness. Australian Academic Press, Bowen Hills
87. Priest SR, Austin MP, Barnett B et al (2008) A psychosocial risk assessment model (PRAM) for use with pregnant and postpartum women in primary care settings. Arch Womens Ment Health 11:307-317
88. Reay R, Matthey S, Ellwood D et al (2011) Long-term outcomes of participants in a perinatal depression early detection program. J Affect Disord 129:94-103
89. Reid AJ, Biringer A, Carroll JD et al (1998) Using the ALPHA form in practice to assess antenatal psychosocial health. Antenatal Psychosocial Health Assessment. CMAJ 159:677-684
90. Reilly N, Harris S, Loxton D et al (2013a) Disparities in reported psychosocial assessment across public and private maternity settings: a national survey of women in Australia. BMC Public Health 13:1-15
91. Reilly N, Harris S, Loxton D et al (2013b) Referral for management of emotional health issues during the perinatal period: does mental health assessment make a difference? Birth 40:297-306
92. Reilly N, Harris S, Loxton D et al (2014) The impact of routine assessment of past or current mental health on help-seeking in the perinatal period. Women Birth 27:e20-e27
93. Reilly N, Yin C, Monterosso L et al (2015) Identifying psychosocial risk of mothers in an Australian private maternity setting: a pilot study. ANZJOG (in press)
94. Robertson E, Grace S, Wallongton T et al (2004) Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry 26:289-295
95. Silverman M, Loudon H (2010) Antenatal reports of pre-pregnancy abuse is associated with symptoms of depression in the postpartum period. Arch Womens Ment Health 13:411-415
96. Spitztler RL, Wolliams JB, Kroenke K et al (2000) Validity and utility of the PRIME-MD patient health questionnaire in assessment of 3000 obstetric-gynecologic patients: the PRIME-MD Patient Health Questionnaire Obstetrics-Gynecology Study. Am J Obstet Gynecol 183:759-769
97. Sword W, Busser D, Ganann R et al (2008) Women’s care-seeking experiences after referral for postpartum depression. Qual Health Res 18:1161-1173
98. Talge NM, Neal C, Glover V (2007) Antenatal maternal stress and long-term effects on child neurodevelopment: how and why? J Child Psychol Psychiatry 48:245-261
99. Thombs BD, Arthurs E, Coronado-Montoya S et al (2014) Depression screening and patient outcomes in pregnancy or postpartum: a systematic review. J Psychosom Res 76:433-446
100. UK National Screening Committee (2009) Criteria for appraising the viability, effectiveness and appropriateness of a screening program. National Health Service, Southampton
101. Vythilingum B, Field S, Kafaar Z et al (2013) Screening and pathways to maternal mental health care in a South African antenatal setting. Arch Womens Ment Health 16:371-379
102. Whooley MA, Avins AL, Miranda J et al (1997) Case-finding instruments for depression. Two questions are as good as many. J Gen Intern Med 12:439-445
103. Wisner KL, Sit DK, McShea MC et al (2013) Onset timing, thoughts of self-harm, and diagnoses in postpartum women with screen-positive depression findings. JAMA Psychiatry 70:490-498
104. Woolhouse H, Brown S, Krastev A et al (2009) Seeking help for anxiety and depression after childbirth: results of the Maternal Health Study. Archives Women Ment Health 12:75-83
105. Woolhouse H, Gartland D, Mensah F et al (2015) Maternal depression from early pregnancy to 4 years postpartum in a prospective pregnancy cohort study: implications for primary health care. BJOG Int J ObstetGynaecol 122(3):312-21
106. Yawn BP, Dietrich AJ, Wollan P et al (2012) TRIPPD: a practice-based network effectiveness study of postpartum depression screening and management. Ann Fam Med 10:320-329
107. Zelkowitz P, Gold I, Feeley N et al (2014) Psychosocial stress moderates the relationships between oxytocin, perinatal depression, and maternal behavior. Horm Behav 66:351-360