Heneghan Amy M, Chaudron Linda H, Storfer-Isser Amy, Park Elyse R, Kelleher Kelly J, Stein Ruth E K, Hoagwood Kimberly Eaton, O'Connor Karen G, Horwitz Sarah McCue
Department of Pediatrics, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Pediatrics. 2007 Mar;119(3):444-54. doi: 10.1542/peds.2006-0765.
We sought to identify characteristics of pediatricians that were associated with identification or management (referral and/or treatment) of mothers with depression.
A cross-sectional survey was mailed to a random sample of 1600 of the 50,818 US nonretired members of the American Academy of Pediatrics. Overall, 832 responded, with 745 responses from nontrainee members. The 662 fellow nontrainee members who engaged in direct patient care and completed information on identifying, referring, and treating maternal depression were included in the analyses.
A total of 511 of 662 respondents reported identifying maternal depression; of those who reported identifying maternal depression, 421 indicated they referred and 29 that they treated maternal depression in their practices. Pediatricians who are older, work in practices that provide child mental health services, see primarily (> or = 75%) white patients, use > or = 1 method to address maternal depression, agree that pediatricians should be responsible for identifying maternal depression, think that maternal depression has an extreme effect on children's mental health, and are attitudinally more inclined to identify or manage maternal depression had significantly higher odds of reporting identification of maternal depression. Positive correlates of identification and management of maternal depression included practicing in the Midwest, using > or = 1 method to address maternal depression, working in a practice that provides child mental health services, thinking that caregiving problems attributable to maternal health have an extreme effect on children's physical health, having attitudes that are more inclined to identify and to manage maternal depression, and usually inquiring about symptoms routinely to identify maternal depression.
Pediatricians' practice characteristics and attitudes are associated with their identification and management of mothers with depression.
我们试图确定与识别或处理（转诊和/或治疗）患有抑郁症的母亲相关的儿科医生特征。
向美国儿科学会50818名非退休会员中的1600名随机抽样成员邮寄了一份横断面调查问卷。总体而言，832人回复，其中745份来自非实习会员。参与直接患者护理并完成有关识别、转诊和治疗产妇抑郁症信息的662名非实习会员被纳入分析。
662名受访者中共有511人报告识别出产妇抑郁症；在那些报告识别出产妇抑郁症的人中，421人表示他们进行了转诊，29人表示他们在实践中治疗了产妇抑郁症。年龄较大、在提供儿童心理健康服务的机构工作、主要（≥75%）诊治白人患者、使用≥1种方法处理产妇抑郁症、认同儿科医生应负责识别产妇抑郁症、认为产妇抑郁症对儿童心理健康有极大影响且在态度上更倾向于识别或处理产妇抑郁症的儿科医生，报告识别出产妇抑郁症的几率显著更高。识别和处理产妇抑郁症的正相关因素包括在中西部地区执业、使用≥1种方法处理产妇抑郁症、在提供儿童心理健康服务的机构工作、认为因产妇健康导致的照料问题对儿童身体健康有极大影响、态度上更倾向于识别和处理产妇抑郁症以及通常会常规询问症状以识别产妇抑郁症。
儿科医生的执业特征和态度与他们对患有抑郁症的母亲的识别和处理相关。
