Identifying Postpartum Depression and Comorbid Psychiatric Disorders

2.50
Hdl Handle:
http://hdl.handle.net/10755/308576
Category:
Abstract
Type:
Presentation
Title:
Identifying Postpartum Depression and Comorbid Psychiatric Disorders
Author(s):
Horowitz, June Andrews; Murphy, Christine; Solon, Lori; Wojcik, Joanne Doller; Gregory, Katherine E.
Lead Author STTI Affiliation:
Alpha Chi
Author Details:
June Andrews Horowitz, RN, PhD, PMHCNS-BC, FAAN, horowitz@bc.edu; Christine Murphy, PhD, RN; Lori Solon, MSN, PMH, CNS-BC; Joanne Doller Wojcik, Phd, PMHCNS-BC; Katherine E. Gregory, RN, PhD
Abstract:

Session presented on: Monday, November 18, 2013

Purpose: Postpartum depression (PPD) prevalence is 10-15% yet PPD often goes undetected. Comorbid mental health disorders are even less likely to be identified and treated. The purpose of this presentation is to examine prevalence of comorbid conditions among a sample of postpartum women with PPD; and to describe techniques for screening and diagnostic confirmation.  

Methods: In the CARE study (Communicating And Relating Effectively, R01 NR08033) scores on the Edinburgh Postnatal Depression Scale (EPDS) identified postpartum women who were at-risk for PPD. To confirm PPD diagnostic status, advanced practice psychiatric nurses (APRNs) conducted standard diagnostic interviews to determine depression and presence of comorbid Axis I disorders.

Results: PPD was diagnosed for 134 women as: Major Depressive Disorder (76.9%), Minor Depressive Disorder (16.4%) and Depression NOS (6.7%). Many (27.6%) of these women met criteria for an anxiety disorder including generalized anxiety disorder, panic disorder, phobia, PTSD, bulimia and OCD. A past history of depression was found in 49.3% of the women and 60.4% had a past Axis I disorder. The women with a current comorbid anxiety disorder were more likely to have a higher EPDS score (> 13) (62.2%, p = .02) than others with a positive EPDS screen. Notably there was no difference in EPDS scores for those with and without a past history of depression, anxiety or a substance use disorder.

 

Conclusions and Implications: Results showed that PPD screening is a viable approach to identify women who are at-risk for depression along with comorbid mental health disorders. Standardized interviews following screening can validate PPD symptom severity and identify other current and past Axis I disorders to be addressed in planning treatment needs. Thus universal PPD screening followed by selective diagnostic interviews is proposed as an effective and efficient approach for identifying PPD and comorbid conditions.

Keywords:
depression; screening; postpartum
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleIdentifying Postpartum Depression and Comorbid Psychiatric Disordersen_GB
dc.contributor.authorHorowitz, June Andrewsen_GB
dc.contributor.authorMurphy, Christineen_GB
dc.contributor.authorSolon, Lorien_GB
dc.contributor.authorWojcik, Joanne Dolleren_GB
dc.contributor.authorGregory, Katherine E.en_GB
dc.contributor.departmentAlpha Chien_GB
dc.author.detailsJune Andrews Horowitz, RN, PhD, PMHCNS-BC, FAAN, horowitz@bc.edu; Christine Murphy, PhD, RN; Lori Solon, MSN, PMH, CNS-BC; Joanne Doller Wojcik, Phd, PMHCNS-BC; Katherine E. Gregory, RN, PhDen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308576-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p><b>Purpose: </b>Postpartum depression (PPD) prevalence is 10-15% yet PPD often goes undetected. Comorbid mental health disorders are even less likely to be identified and treated. The purpose of this presentation is to examine prevalence of comorbid conditions among a sample of postpartum women with PPD; and to describe techniques for screening and diagnostic confirmation.   <p><b>Methods: </b>In the <b>CARE</b> study (<b>C</b>ommunicating <b>A</b>nd <b>R</b>elating <b>E</b>ffectively, R01 NR08033) scores on the Edinburgh Postnatal Depression Scale (EPDS) identified postpartum women who were at-risk for PPD. To confirm PPD diagnostic status, advanced practice psychiatric nurses (APRNs) conducted standard diagnostic interviews to determine depression and presence of comorbid Axis I disorders. <p><b>Results: </b>PPD was diagnosed for 134 women as: Major Depressive Disorder (76.9%), Minor Depressive Disorder (16.4%) and Depression NOS (6.7%). Many (27.6%) of these women met criteria for an anxiety disorder including generalized anxiety disorder, panic disorder, phobia, PTSD, bulimia and OCD. A past history of depression was found in 49.3% of the women and 60.4% had a past Axis I disorder. The women with a current comorbid anxiety disorder were more likely to have a higher EPDS score (> 13) (62.2%, <i>p</i> = .02) than others with a positive EPDS screen. Notably there was no difference in EPDS scores for those with and without a past history of depression, anxiety or a substance use disorder. <p><b> </b><p><b>Conclusions and Implications: </b>Results showed that PPD screening is a viable approach to identify women who are at-risk for depression along with comorbid mental health disorders. Standardized interviews following screening can validate PPD symptom severity and identify other current and past Axis I disorders to be addressed in planning treatment needs. Thus universal PPD screening followed by selective diagnostic interviews is proposed as an effective and efficient approach for identifying PPD and comorbid conditions.en_GB
dc.subjectdepressionen_GB
dc.subjectscreeningen_GB
dc.subjectpostpartumen_GB
dc.date.available2013-12-19T17:33:08Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:33:08Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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