Bauer Nerissa S, Ofner Susan, Pottenger Amy, Carroll Aaron E, Downs Stephen M
Section of Children's Health Services Research, Pediatrics, Indiana University School of Medicine, Indianapolis, IN, United States.
Center for Health Services Research, Regenstrief Institute, Indianapolis, IN, United States.
Front Pediatr. 2017 Oct 3;5:212. doi: 10.3389/fped.2017.00212. eCollection 2017.
Pediatric providers are increasingly screening for postpartum depression (PD), yet, it is unknown how often mothers comply with recommendations to seek treatment. The objectives were to describe the rate at which mothers with suspected PD seek treatment and explore factors that predict help-seeking behavior.
Mothers were recruited from four pediatric clinics after identification using the Child Health Improvement through Computer Automation (CHICA) system. Mothers with a positive screen were invited to participate in a telephone interview between January 2012 and December 2014. Mothers reported if they sought treatment or called a community resource.
73 of 133 eligible mothers participated (55% response rate). Fifty women recalled a recommendation to seek help. Only 43.8% (32/73) made a follow-up appointment with an adult provider and even fewer kept the appointment.
A majority of mothers suspected of having PD recalled a referral for further intervention; yet, less than half took action. Further investigation of barriers of help-seeking behavior is warranted.
儿科医疗服务提供者越来越多地对产后抑郁症（PD）进行筛查，但尚不清楚母亲们遵循寻求治疗建议的频率。目标是描述疑似患有产后抑郁症的母亲寻求治疗的比例，并探究预测寻求帮助行为的因素。
通过计算机自动化儿童健康改善系统（CHICA）识别后，从四家儿科诊所招募母亲。筛查呈阳性的母亲被邀请在2012年1月至2014年12月期间参加电话访谈。母亲们报告她们是否寻求过治疗或拨打过社区资源电话。
133名符合条件的母亲中有73名参与（回复率55%）。50名女性回忆起曾被建议寻求帮助。只有43.8%（32/73）的人预约了成人医疗服务提供者的后续诊疗，而实际就诊的人更少。
大多数疑似患有产后抑郁症的母亲回忆起曾被转介进行进一步干预；然而，不到一半的人采取了行动。有必要进一步调查寻求帮助行为的障碍。
