TY - JOUR
T1 - Concise review for physicians and other clinicians
T2 - Postpartum depression
AU - Bobo, William V.
AU - Yawn, Barbara P.
N1 - Funding Information:
Grant Support: The work was supported by grant K23 MH087747 (W.V.B.) from the National Institutes of Health , grant R01-AG034676 (B.P.Y.) from the National Institutes of Aging , and grant R01-HS40471 (B.P.Y.) from the Agency for HealthCare Research and Quality .
PY - 2014/6
Y1 - 2014/6
N2 - Postpartum depression (PPD) is a common, potentially disabling, and, in some cases, life-threatening condition. Fortunately, PPD is also readily detectable in routine practice and is amenable to treatment by a wide variety of modalities that are effective for treating nonpuerperal major depression. Postpartum depression screening can improve case identification (an Edinburgh Postnatal Depression Scale score of ≥13 indicates a high risk of PPD) and, when associated with a diagnostic and follow-up program, leads to improved clinical outcomes. Symptom severity, patient preference, past response to treatment, availability of local mental health care resources, and patient decisions about breast-feeding will drive management decisions. In general, cognitive-behavioral therapy and interpersonal therapy are preferred psychotherapies for women with mild to moderate PPD, whereas antidepressants are appropriate in more severe cases. Many patients will require other types of assistance, such as parenting support, case management, or care coordination because many barriers to receiving adequate PPD treatment must still be overcome.
AB - Postpartum depression (PPD) is a common, potentially disabling, and, in some cases, life-threatening condition. Fortunately, PPD is also readily detectable in routine practice and is amenable to treatment by a wide variety of modalities that are effective for treating nonpuerperal major depression. Postpartum depression screening can improve case identification (an Edinburgh Postnatal Depression Scale score of ≥13 indicates a high risk of PPD) and, when associated with a diagnostic and follow-up program, leads to improved clinical outcomes. Symptom severity, patient preference, past response to treatment, availability of local mental health care resources, and patient decisions about breast-feeding will drive management decisions. In general, cognitive-behavioral therapy and interpersonal therapy are preferred psychotherapies for women with mild to moderate PPD, whereas antidepressants are appropriate in more severe cases. Many patients will require other types of assistance, such as parenting support, case management, or care coordination because many barriers to receiving adequate PPD treatment must still be overcome.
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U2 - 10.1016/j.mayocp.2014.01.027
DO - 10.1016/j.mayocp.2014.01.027
M3 - Review article
C2 - 24943697
AN - SCOPUS:84904661152
SN - 0025-6196
VL - 89
SP - 835
EP - 844
JO - Mayo Clinic proceedings
JF - Mayo Clinic proceedings
IS - 6
ER -