Department of Research, American College of Obstetricians and Gynecologists, Washington, DC 20024, USA.
J Psychosom Obstet Gynaecol. 2011 Mar;32(1):27-34. doi: 10.3109/0167482X.2010.547639. Epub 2011 Jan 25.
Postpartum depression (PPD) and postpartum psychosis (PPP) can impact mother, infant, and family. Obstetrician-gynecologists (ob-gyns) are often the most frequent medical contact for postpartum women, and so are in a position to identify women needing psychological care. This study assessed ob-gyns' knowledge, attitudes, and practices regarding diagnosing PPD/PPP. A survey was sent to 400 members of the American College of Obstetricians and Gynecologists who have volunteered to participate in research. Response rate was 56%. Routine screening for PPD and PPP is conducted by 72% and 30% of respondents, respectively. Personal experience (through friend, family, or self) was associated with increased screening. Perceived PPP screening barriers are similar to those found in the PPD literature: time constraints, lack of training, and lack of knowledge of diagnostic criteria. In responding to standardised vignettes, physicians were more likely to over-diagnose, than under diagnose PPD/PPP. This study is the first to provide exploratory data of ob-gyns' knowledge, attitudes, and practice regarding PPD and PPP. Ob-gyns are screening for PPD/PPP, though not universally so. Future research should identify ways to mitigate screening barriers.
产后抑郁症（PPD）和产后精神病（PPP）会影响母亲、婴儿和家庭。妇产科医生（ob-gyns）通常是产后女性最常接触的医疗人员，因此能够识别需要心理护理的女性。这项研究评估了妇产科医生在诊断 PPD/PPP 方面的知识、态度和实践。一项调查被发送给了 400 名自愿参与研究的美国妇产科医师学院的成员，回复率为 56%。分别有 72%和 30%的受访者对 PPD 和 PPP 进行常规筛查。个人经历（通过朋友、家人或自身）与增加筛查有关。感知到的 PPP 筛查障碍与 PPD 文献中发现的障碍相似：时间限制、缺乏培训和缺乏诊断标准知识。在对标准病例进行回应时，医生更倾向于过度诊断 PPD/PPP，而不是不足诊断。这项研究是首次提供妇产科医生在 PPD 和 PPP 方面的知识、态度和实践的探索性数据。妇产科医生正在对 PPD/PPP 进行筛查，但并非普遍如此。未来的研究应该确定减轻筛查障碍的方法。
