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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Created on : 10 Feb 2004
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

More Training Needed in Screening for Depression. Ob.Gyn. News 2004;39(2):13.

Author(s) :

Boschert S.

Year of publication :


URL(s) :

Résumé (français)  :

Abstract (English)  :

Most obstetric residents and attending physicians at three residency programs said they would like more training in screening for depression during pregnancy, and all three programs lacked formal protocols for screening, diagnosing, and managing perinatal depression, Lee C. McDonough said at the annual meeting of the American Public Health Association.

In questionnaires completed by 44 of 80 residents and attending physicians, 11 reported that they felt somewhat comfortable screening for and diagnosing depression in pregnant women, 30 said they felt comfortable, and 3 were very comfortable with screening and diagnosis of perinatal depression, said Ms. McDonough, who conducted the study with her coinvestigator, Cynthia H. Cassell, while a student at the University of North Carolina School of Public Health, Chapel Hill. Asked if they felt comfortable managing perinatal depression, 3 said they were not comfortable, 13 were somewhat comfortable, 25 were comfortable, and 3 were very comfortable.

“Perinatal depression is significantly underdiagnosed by ob.gyns.,” said Ms. McDonough, now of San Antonio. Time constraints, insufficient knowledge about depression and its effects on pregnancy, and a lack of depression assessment instruments specifically designed for use during pregnancy act as obstacles to screening, diagnosis, and treatment. Physicians also may mistakenly believe that pregnancy itself lowers the risk for depression.

Semistructured interviews with six attending ob.gyns. (two at each site) revealed that none of the three programs had explicit goals for training physicians to diagnose and treat depression in pregnancy but all had general goals in this area.

The curriculum and didactic lectures at the three sites addressed recognition and management of depression, but the depth of content varied and the frequency of lectures ranged from once every 6-8 weeks to once every 2 years, she said.

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Argument (English):

Argumento (português):

Keywords :

➡ depression, anxiety ; psychology ; screening

Author of this record :

Cécile Loup — 10 Feb 2004

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