TY - JOUR
AU - P. Martinez
AU - P. A. Vohringer
AU - G. Rojas
A1 - 
AB - OBJECTIVE: to develop a predictive model to evaluate the factors that modify the access to treatment for Postpartum Depression (PPD). METHODS: prospective study with mothers who participated in the monitoring of child health in primary care centers. For the initial assessment and during 3 months, it was considered: sociodemographic data, gyneco-obstetric data, data on the services provided, depressive symptoms according to the Edinburgh Postpartum Depression Scale (EPDS) and quality of life according to the Short Form-36 Health Status Questionnaire (SF-36). The diagnosis of depression was made based on MINI. Mothers diagnosed with PPD in the initial evaluation, were followed-up. RESULTS: a statistical model was constructed to determine the factors that prevented access to treatment, which consisted of: item 2 of EPDS (OR 0.43, 95%CI: 0.20-0.93) and item 5 (OR 0.48, 95%CI: 0.21-1.09), and previous history of depression treatment (OR 0.26, 95%CI: 0.61-1.06). Area under the ROC curve for the model=0.79; p-value for the Hosmer-Lemershow=0.73. CONCLUSION: it was elaborated a simple, well standardized and accurate profile, which advises that nurses should pay attention to those mothers diagnosed with PPD, presenting low/no anhedonia (item 2 of EPDS), scarce/no panic/fear (item 5 of EPDS), and no history of depression, as it is likely that these women do not initiate treatment.
BT - Revista latino-americana de enfermagem
C5 - General Literature
CY - Brazil
DO - 10.1590/1518-8345.0982.2675
JF - Revista latino-americana de enfermagem
N2 - OBJECTIVE: to develop a predictive model to evaluate the factors that modify the access to treatment for Postpartum Depression (PPD). METHODS: prospective study with mothers who participated in the monitoring of child health in primary care centers. For the initial assessment and during 3 months, it was considered: sociodemographic data, gyneco-obstetric data, data on the services provided, depressive symptoms according to the Edinburgh Postpartum Depression Scale (EPDS) and quality of life according to the Short Form-36 Health Status Questionnaire (SF-36). The diagnosis of depression was made based on MINI. Mothers diagnosed with PPD in the initial evaluation, were followed-up. RESULTS: a statistical model was constructed to determine the factors that prevented access to treatment, which consisted of: item 2 of EPDS (OR 0.43, 95%CI: 0.20-0.93) and item 5 (OR 0.48, 95%CI: 0.21-1.09), and previous history of depression treatment (OR 0.26, 95%CI: 0.61-1.06). Area under the ROC curve for the model=0.79; p-value for the Hosmer-Lemershow=0.73. CONCLUSION: it was elaborated a simple, well standardized and accurate profile, which advises that nurses should pay attention to those mothers diagnosed with PPD, presenting low/no anhedonia (item 2 of EPDS), scarce/no panic/fear (item 5 of EPDS), and no history of depression, as it is likely that these women do not initiate treatment.
PP - Brazil
PY - 2016
SN - 1518-8345; 0104-1169
EP - 8345.0982.2675. Epub 2016 Mar 28
EP - e2675+
T1 - Barriers to access to treatment for mothers with postpartum depression in primary health care centers: a predictive model
T2 - Revista latino-americana de enfermagem
TI - Barriers to access to treatment for mothers with postpartum depression in primary health care centers: a predictive model
U1 - General Literature
U2 - 27027674
U3 - 10.1590/1518-8345.0982.2675
VL - 24
VO - 1518-8345; 0104-1169
Y1 - 2016
ER -