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Uptake of USPSTF recommendation to refer pregnant individuals for therapy or counseling to prevent perinatal depression

PURPOSE: Perinatal depression is the most common complication of pregnancy and childbirth, and it is associated with adverse consequences. The United States Preventive Services Task Force (USPSTF) recommends that pregnant and postpartum (i.e., perinatal) individuals at risk for depression be referre...

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Autores principales: Felder, Jennifer N., Mirchandaney, Riya, Dimidjian, Sona
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9734199/
https://www.ncbi.nlm.nih.gov/pubmed/36152085
http://dx.doi.org/10.1007/s00737-022-01267-z
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author Felder, Jennifer N.
Mirchandaney, Riya
Dimidjian, Sona
author_facet Felder, Jennifer N.
Mirchandaney, Riya
Dimidjian, Sona
author_sort Felder, Jennifer N.
collection PubMed
description PURPOSE: Perinatal depression is the most common complication of pregnancy and childbirth, and it is associated with adverse consequences. The United States Preventive Services Task Force (USPSTF) recommends that pregnant and postpartum (i.e., perinatal) individuals at risk for depression be referred for therapy or counseling interventions; however, it is unclear to what extent this recommendation has been implemented. METHODS: Pregnant individuals were recruited via advertisements on a pregnancy app and a separate study on sleep. Respondents completed the initial screening questions to determine their risk for perinatal depression, defined as self-reported history of depression; recent stressors; history of emotional, sexual, or physical abuse; mild depressive symptoms; anxiety symptoms; single; diabetes diagnosis; or unwanted pregnancy. Eligible respondents reported their providers’ recommendations for preventing depression, and their utilization of interventions to prevent depression (n = 303). RESULTS: Fewer than 15% of participants reported that a provider referred them for therapy or counseling to prevent depression; recommendations included cognitive behavioral therapy (4%), interpersonal psychotherapy (2.3%), mindfulness-based cognitive therapy (4.3%), or other/unknown (6.6%). Approximately 12% reported that a provider recommended medication to prevent depression. Provider referral rates varied by risk factor, but not by patient demographics. Nearly 20% of participants reported using therapy or counseling to prevent depression, and nearly 13% reported using medication to prevent depression. CONCLUSIONS: We explore potential factors affecting the uptake of the USPSTF recommendation and underscore the importance of preventing perinatal depression. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00737-022-01267-z.
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spelling pubmed-97341992022-12-11 Uptake of USPSTF recommendation to refer pregnant individuals for therapy or counseling to prevent perinatal depression Felder, Jennifer N. Mirchandaney, Riya Dimidjian, Sona Arch Womens Ment Health Short Communication PURPOSE: Perinatal depression is the most common complication of pregnancy and childbirth, and it is associated with adverse consequences. The United States Preventive Services Task Force (USPSTF) recommends that pregnant and postpartum (i.e., perinatal) individuals at risk for depression be referred for therapy or counseling interventions; however, it is unclear to what extent this recommendation has been implemented. METHODS: Pregnant individuals were recruited via advertisements on a pregnancy app and a separate study on sleep. Respondents completed the initial screening questions to determine their risk for perinatal depression, defined as self-reported history of depression; recent stressors; history of emotional, sexual, or physical abuse; mild depressive symptoms; anxiety symptoms; single; diabetes diagnosis; or unwanted pregnancy. Eligible respondents reported their providers’ recommendations for preventing depression, and their utilization of interventions to prevent depression (n = 303). RESULTS: Fewer than 15% of participants reported that a provider referred them for therapy or counseling to prevent depression; recommendations included cognitive behavioral therapy (4%), interpersonal psychotherapy (2.3%), mindfulness-based cognitive therapy (4.3%), or other/unknown (6.6%). Approximately 12% reported that a provider recommended medication to prevent depression. Provider referral rates varied by risk factor, but not by patient demographics. Nearly 20% of participants reported using therapy or counseling to prevent depression, and nearly 13% reported using medication to prevent depression. CONCLUSIONS: We explore potential factors affecting the uptake of the USPSTF recommendation and underscore the importance of preventing perinatal depression. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00737-022-01267-z. Springer Vienna 2022-09-24 2022 /pmc/articles/PMC9734199/ /pubmed/36152085 http://dx.doi.org/10.1007/s00737-022-01267-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Short Communication
Felder, Jennifer N.
Mirchandaney, Riya
Dimidjian, Sona
Uptake of USPSTF recommendation to refer pregnant individuals for therapy or counseling to prevent perinatal depression
title Uptake of USPSTF recommendation to refer pregnant individuals for therapy or counseling to prevent perinatal depression
title_full Uptake of USPSTF recommendation to refer pregnant individuals for therapy or counseling to prevent perinatal depression
title_fullStr Uptake of USPSTF recommendation to refer pregnant individuals for therapy or counseling to prevent perinatal depression
title_full_unstemmed Uptake of USPSTF recommendation to refer pregnant individuals for therapy or counseling to prevent perinatal depression
title_short Uptake of USPSTF recommendation to refer pregnant individuals for therapy or counseling to prevent perinatal depression
title_sort uptake of uspstf recommendation to refer pregnant individuals for therapy or counseling to prevent perinatal depression
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9734199/
https://www.ncbi.nlm.nih.gov/pubmed/36152085
http://dx.doi.org/10.1007/s00737-022-01267-z
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