TY - JOUR
KW - Child
KW - Depression/diagnosis/therapy
KW - Female
KW - Humans
KW - Models, Organizational
KW - Pediatrics
KW - Pregnancy
AU - N. S. Weiss-Laxer
AU - R. Platt
AU - L. M. Osborne
AU - M. Kimmel
AU - B. S. Solomon
AU - T. Mendelson
AU - L. Webb
AU - A. W. Riley
A1 - 
AB - Depression is one of the most debilitating chronic disorders in the United States, affecting 15 million children in homes with depressed mothers, many of whom endure household chaos, inconsistent nurturing, inadequate safety practices, and harsh discipline. Depressed mothers are under diagnosed and undertreated, yet there is broad consensus about the importance of identifying and managing maternal depression, as reflected in recommendations by pediatric and obstetric professional organizations to routinely screen for perinatal depression. Screening was shown to be acceptable to women and most pediatric providers, and adding a screening component need not impair clinic efficiency. Screening, however, is not sufficient, and there are few models in the literature to guide medical practices in implementing successful interventions to identify, treat, and prevent maternal depression, particularly in the pediatric setting. We reviewed the literature and identified six studies that evaluated models for screening and managing mothers' depression in pediatric primary care settings. Some of these interventions have promise, but no studies characterized health outcomes of the depressed mothers and children. We discuss the components of these models, their implementation, and the practice and research needed to create effective pediatrics-based systems to reduce the negative effects of maternal depression on mothers, children, and families.
BT - Pediatric research
C5 - Education & Workforce
CP - 1-2
CY - United States
DO - 10.1038/pr.2015.214
IS - 1-2
JF - Pediatric research
N2 - Depression is one of the most debilitating chronic disorders in the United States, affecting 15 million children in homes with depressed mothers, many of whom endure household chaos, inconsistent nurturing, inadequate safety practices, and harsh discipline. Depressed mothers are under diagnosed and undertreated, yet there is broad consensus about the importance of identifying and managing maternal depression, as reflected in recommendations by pediatric and obstetric professional organizations to routinely screen for perinatal depression. Screening was shown to be acceptable to women and most pediatric providers, and adding a screening component need not impair clinic efficiency. Screening, however, is not sufficient, and there are few models in the literature to guide medical practices in implementing successful interventions to identify, treat, and prevent maternal depression, particularly in the pediatric setting. We reviewed the literature and identified six studies that evaluated models for screening and managing mothers' depression in pediatric primary care settings. Some of these interventions have promise, but no studies characterized health outcomes of the depressed mothers and children. We discuss the components of these models, their implementation, and the practice and research needed to create effective pediatrics-based systems to reduce the negative effects of maternal depression on mothers, children, and families.
PP - United States
PY - 2016
SN - 1530-0447; 0031-3998
SP - 197
EP - 204
EP - 
T1 - Beyond screening: a review of pediatric primary care models to address maternal depression
T2 - Pediatric research
TI - Beyond screening: a review of pediatric primary care models to address maternal depression
U1 - Education & Workforce
U2 - 26484620
U3 - 10.1038/pr.2015.214
VL - 79
VO - 1530-0447; 0031-3998
Y1 - 2016
ER -