Postnatal depression screening in a paediatric primary care setting in Italy

Antonio Clavenna, Elena Seletti, Massimo Cartabia, Anna Didoni, Filomena Fortinguerra, Teresa Sciascia, Luca Brivio, Daniela Malnis, Maurizio Bonati, Mariella Dana, Valeria Brenna, Farida Ferrato, Claudio Montresor, Mauro Percudani, Allegra Fisogni, Lorena Vergani, Alessandro Grecchi, Francesca Amman, Hakam Asi, Antonella AvisaniPatrizio Banfi, Maria Pia Battilana, Carla Berardi, Giuseppina Beretta, Paola Beniamina Beretta, Maria Enrica Bertoglio, Lucia Bigalli, Emilio Bognetti, Marzia Boschetti, Dorella Bricalli, Pietro Buratti, Sonia Buzzi, Daniela Caccia, Gloria Caldarulo, Marina Irene Camiletti, Maria Luisa Cappuccilli, Maria Maura Carcano, Valentina Carmine, Antonio Cenci, Alberto Civardi, Daniela Cofano, Giuseppina Colavita, Francesca Colletta, Mirella Colombo, Annalisa Cordoni, Anna Corno, Lina Crupi, Andrea Dall'Oglio, Beatrice Damiani, Monica D. De Angelis, Debora D. De Biase, Marina De Sanctis, Maria Elisabetta Di Cosimo, Laura Di Francesco, Mirella Di Leo, Massimiliano Dozzi, Maria Teresa Elicio, Patrizia Elli, Giuseppe Felice, Loredana Ferrari, Valentina Finizio, Paola Flumine, Cinzia Foschi, Mariacarla Garavaglia, Patrizia Gaslini, Riccardo Ghezzi, Maria Grazia Giuliani, Anna Immacolata Giurgola, Marco Giussani, Angela Rossana Grassi, Emanuela Gualdoni, Tiziana Guidi, Simonetta Gulli, Jarir Hussein Hamade, Talal Jaber, Gudrun Jischke, Roberto Lambiase, Maria Cristina Libretti, Maria Luisa Lodi, Maria Teresa Lovallo, Monica Lukezic, Giovanna Mancuso, Ermenegildo Marciante, Edgardo Marziani, Maria Gabriella Metta, Giovanna Miotto, Marco Moioli, Silvia Angela Monti, Anna Cinthia Morello, Rosanna Moretto, Gloria Nicolini, Patrizia Oldani, Paolo Paganuzzi, Marina Palmieri, Laura Pedrotti, Maria Gabriella Pellegrini, Elena Piacentini, Luisa Maria Poggi, Norberto Porta, Paola Portioli, Alfiero Prandoni, Barbara Ramenghi, Carla Rampini, Patrizia Rossi, Barbara Letizia Saccani, Moris Sahran, Vincenzo Saitta Salanitri, Laura Saleri, Mariam Nabil Sayegh, Elena Secco, Fabrizio Seidita, Silvia Senaldi, Stefania Signori, Stefania Soardo, Maria Giovanna Stabile, Patrizia Stasi, Marinella Strada, Angela Natalia Tagliati, Kadher Tamini, Maria Vittoria Tiranzi, Marta Travaini, Carla Tulipano, Antonio Usala, Mauro Villa, Giorgio Villa, Emilia Viola, Agnesita Viola, Cristina Volpe, Marco Giuseppe Volpi, Maria Zingales, behalf of the Postnatal Depression Study Group

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Postnatal depression is a non-psychotic depressive disorder that begins within 4 weeks of childbirth and occurs in 13% of mothers and 10% of fathers. A prospective study with the aim to evaluate the prevalence of postnatal depression by screening parents with the Edinburgh Postnatal Depression Scale (EPDS) in the Italian paediatric primary care setting was performed. Methods: Mothers and fathers of infants born between 1 February and 31 July 2012, living in Italy's Milan-1 local health unit area, represented the target population of this pilot study. Parents attending well-child visits at any of the family paediatricians' offices between 60 to 90 days postpartum were asked to participate in the screening and to fill out the EPDS questionnaire. A cut-off score of 12 was used to identify parents with postnatal depression symptoms. Maternal and paternal socio-demographic variables and information concerning pregnancy and delivery were also collected. To investigate the association between screening positivity (dependent variable) and socio-demographic variables and factors related to pregnancy and delivery, a Pearson's χ2 test was used. Moreover, a stepwise multivariate logistic regression was carried out to evaluate the risk factors that most influence the probability of suffering from postnatal depression. Results: In all, 126 out of 2706 (4.7%, 95% CI 3.9-5.5%) mothers and 24 out of 1420 (1.7%, 95% CI 1.0-2.4%) fathers were found to be positive for depressive symptoms. Women with mood disorders and anxiety during pregnancy were at increased risk of postpartum depression (OR 22.9, 95% CI 12.1-43.4). Only 11 mothers (8.7%) positive to EPDS screening attended a psychiatric service, and for 8 of them the diagnosis of postnatal depression was confirmed. Conclusions: The prevalence of postnatal depression was lower than previously reported. Routine screening resulted ineffective, since few mothers found positive for depression symptoms decided to attend psychiatric services.
Original languageItalian
JournalBMC Psychiatry
Volume17
Issue number1
DOIs
Publication statusPublished - Jan 25 2017

Cite this