Screening for Perinatal Depression: Barriers, Guidelines, and Measurement Scales
- PMID: 39518650
- PMCID: PMC11546415
- DOI: 10.3390/jcm13216511
Screening for Perinatal Depression: Barriers, Guidelines, and Measurement Scales
Abstract
Background: Screening for perinatal depression can lower its prevalence and ensure that mothers receive adequate treatment and support. Yet, few practitioners screen for it. The present article is a brief review of barriers to screening, and two screening scales are validated for perinatal women. Findings: Even though health organizations recommend screening, most new mothers are not screened. Providers cite a lack of time, opening "Pandora's box," and a lack of resources for mothers who screen positive as the reasons why they do not screen for this condition. The Edinburgh Postnatal Depression Scale and the Patient Health Questionnaires are brief screening scales validated for new mothers and widely available. Conclusions: Screening is necessary to identify depression in pregnant and postpartum women. Practitioners who screen for this condition need a clear plan and knowledge of how to access available community resources so that they know what to do when a mother screens positive.
Keywords: Edinburgh Postnatal Depression Scale; Patient Health Questionnaire; depression; perinatal; postnatal; postpartum; pregnancy; screening.
Conflict of interest statement
The author declares no conflicts of interest.
Similar articles
-
Improving access to perinatal mental health services: the value of on-site resources.Am J Obstet Gynecol MFM. 2021 Nov;3(6):100456. doi: 10.1016/j.ajogmf.2021.100456. Epub 2021 Aug 10. Am J Obstet Gynecol MFM. 2021. PMID: 34384907
-
Screening for postpartum anxiety: A quality improvement project to promote the screening of women suffering in silence.Midwifery. 2018 Jul;62:161-170. doi: 10.1016/j.midw.2018.03.016. Epub 2018 Apr 3. Midwifery. 2018. PMID: 29684795 Free PMC article.
-
A longitudinal study of perinatal depression among Chinese high-risk pregnant women.Women Birth. 2018 Dec;31(6):e395-e402. doi: 10.1016/j.wombi.2018.01.001. Epub 2018 Jan 17. Women Birth. 2018. PMID: 29373262
-
Screening for perinatal depression.Best Pract Res Clin Obstet Gynaecol. 2014 Jan;28(1):13-23. doi: 10.1016/j.bpobgyn.2013.08.014. Epub 2013 Sep 2. Best Pract Res Clin Obstet Gynaecol. 2014. PMID: 24095728 Review.
-
Impact of mobile health interventions during the perinatal period on maternal psychosocial outcomes: a systematic review.JBI Evid Synth. 2020 Jan;18(1):30-55. doi: 10.11124/JBISRIR-D-19-00191. JBI Evid Synth. 2020. PMID: 31972680
Cited by
-
Effects of combined preconception and prenatal myo-inositol, probiotics, and trace element supplementation on the outcomes of depressed mothers.World J Psychiatry. 2025 Jul 19;15(7):103684. doi: 10.5498/wjp.v15.i7.103684. eCollection 2025 Jul 19. World J Psychiatry. 2025. PMID: 40740437 Free PMC article.
References
-
- Bauman B.L., Ko J.Y., Cox S., D’Angelo D.V., Warner L., Folger S., Tevendale H.D., Coy K.C., Harrison L., Barfield W.D. Postpartum depressive symptoms and provider discussions about perinatal depression: United States 2018. Morb. Mortal. Wkly. Rep. 2020;69:575–581. doi: 10.15585/mmwr.mm6919a2. - DOI - PMC - PubMed
-
- Grigoriadis S., Graves L., Peer M., Mamisashvili L., Tomlinson G., Vigod S.N., Dennis C.-L., Steiner M., Brown C., Cheung A., et al. Maternal Anxiety During Pregnancy and the Association with Adverse Perinatal Outcomes: Systematic review and meta-analysis. J. Clin. Psychiatry. 2018;79:17r12011. doi: 10.4088/JCP.17r12011. - DOI - PubMed
-
- Myers E.R., Aubuchon-Endsley N., Bastian L.A., Gierisch J.M., Kemper A.R., Swamy G.K., Wald M.F., McBroom A.J., Lallinger K.R., Gray R.N., et al. Efficacy and Safety of Screening for Postpartum Depression. Agency for Healthcare Research and Quality; Rockville, MD, USA: 2013. - PubMed
Publication types
LinkOut - more resources
Full Text Sources