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 journalArticle

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

Clavenna, A., Seletti, E., Cartabia, M., Didoni, A., Fortinguerra, F., Sciascia, T., ... Group, B. O. T. P. D. S. (2017). Postnatal depression screening in a paediatric primary care setting in Italy. BMC Psychiatry, 17(1). https://doi.org/10.1186/s12888-017-1205-6

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

In: BMC Psychiatry, Vol. 17, No. 1, 25.01.2017.

Research output: Contribution to journalArticle

Clavenna, A, Seletti, E, Cartabia, M, Didoni, A, Fortinguerra, F, Sciascia, T, Brivio, L, Malnis, D, Bonati, M, Dana, M, Brenna, V, Ferrato, F, Montresor, C, Percudani, M, Fisogni, A, Vergani, L, Grecchi, A, Amman, F, Asi, H, Avisani, A, Banfi, P, Battilana, MP, Berardi, C, Beretta, G, Beretta, PB, Bertoglio, ME, Bigalli, L, Bognetti, E, Boschetti, M, Bricalli, D, Buratti, P, Buzzi, S, Caccia, D, Caldarulo, G, Camiletti, MI, Cappuccilli, ML, Carcano, MM, Carmine, V, Cenci, A, Civardi, A, Cofano, D, Colavita, G, Colletta, F, Colombo, M, Cordoni, A, Corno, A, Crupi, L, Dall'Oglio, A, Damiani, B, De Angelis, MD, De Biase, DD, De Sanctis, M, Di Cosimo, ME, Di Francesco, L, Di Leo, M, Dozzi, M, Elicio, MT, Elli, P, Felice, G, Ferrari, L, Finizio, V, Flumine, P, Foschi, C, Garavaglia, M, Gaslini, P, Ghezzi, R, Giuliani, MG, Giurgola, AI, Giussani, M, Grassi, AR, Gualdoni, E, Guidi, T, Gulli, S, Hamade, JH, Jaber, T, Jischke, G, Lambiase, R, Libretti, MC, Lodi, ML, Lovallo, MT, Lukezic, M, Mancuso, G, Marciante, E, Marziani, E, Metta, MG, Miotto, G, Moioli, M, Monti, SA, Morello, AC, Moretto, R, Nicolini, G, Oldani, P, Paganuzzi, P, Palmieri, M, Pedrotti, L, Pellegrini, MG, Piacentini, E, Poggi, LM, Porta, N, Portioli, P, Prandoni, A, Ramenghi, B, Rampini, C, Rossi, P, Saccani, BL, Sahran, M, Salanitri, VS, Saleri, L, Sayegh, MN, Secco, E, Seidita, F, Senaldi, S, Signori, S, Soardo, S, Stabile, MG, Stasi, P, Strada, M, Tagliati, AN, Tamini, K, Tiranzi, MV, Travaini, M, Tulipano, C, Usala, A, Villa, M, Villa, G, Viola, E, Viola, A, Volpe, C, Volpi, MG, Zingales, M & Group, BOTPDS 2017, 'Postnatal depression screening in a paediatric primary care setting in Italy', BMC Psychiatry, vol. 17, no. 1. https://doi.org/10.1186/s12888-017-1205-6
Clavenna, Antonio ; Seletti, Elena ; Cartabia, Massimo ; Didoni, Anna ; Fortinguerra, Filomena ; Sciascia, Teresa ; Brivio, Luca ; Malnis, Daniela ; Bonati, Maurizio ; Dana, Mariella ; Brenna, Valeria ; Ferrato, Farida ; Montresor, Claudio ; Percudani, Mauro ; Fisogni, Allegra ; Vergani, Lorena ; Grecchi, Alessandro ; Amman, Francesca ; Asi, Hakam ; Avisani, Antonella ; Banfi, Patrizio ; Battilana, Maria Pia ; Berardi, Carla ; Beretta, Giuseppina ; Beretta, Paola Beniamina ; Bertoglio, Maria Enrica ; Bigalli, Lucia ; Bognetti, Emilio ; Boschetti, Marzia ; Bricalli, Dorella ; Buratti, Pietro ; Buzzi, Sonia ; Caccia, Daniela ; Caldarulo, Gloria ; Camiletti, Marina Irene ; Cappuccilli, Maria Luisa ; Carcano, Maria Maura ; Carmine, Valentina ; Cenci, Antonio ; Civardi, Alberto ; Cofano, Daniela ; Colavita, Giuseppina ; Colletta, Francesca ; Colombo, Mirella ; Cordoni, Annalisa ; Corno, Anna ; Crupi, Lina ; Dall'Oglio, Andrea ; Damiani, Beatrice ; De Angelis, Monica D. ; De Biase, Debora D. ; De Sanctis, Marina ; Di Cosimo, Maria Elisabetta ; Di Francesco, Laura ; Di Leo, Mirella ; Dozzi, Massimiliano ; Elicio, Maria Teresa ; Elli, Patrizia ; Felice, Giuseppe ; Ferrari, Loredana ; Finizio, Valentina ; Flumine, Paola ; Foschi, Cinzia ; Garavaglia, Mariacarla ; Gaslini, Patrizia ; Ghezzi, Riccardo ; Giuliani, Maria Grazia ; Giurgola, Anna Immacolata ; Giussani, Marco ; Grassi, Angela Rossana ; Gualdoni, Emanuela ; Guidi, Tiziana ; Gulli, Simonetta ; Hamade, Jarir Hussein ; Jaber, Talal ; Jischke, Gudrun ; Lambiase, Roberto ; Libretti, Maria Cristina ; Lodi, Maria Luisa ; Lovallo, Maria Teresa ; Lukezic, Monica ; Mancuso, Giovanna ; Marciante, Ermenegildo ; Marziani, Edgardo ; Metta, Maria Gabriella ; Miotto, Giovanna ; Moioli, Marco ; Monti, Silvia Angela ; Morello, Anna Cinthia ; Moretto, Rosanna ; Nicolini, Gloria ; Oldani, Patrizia ; Paganuzzi, Paolo ; Palmieri, Marina ; Pedrotti, Laura ; Pellegrini, Maria Gabriella ; Piacentini, Elena ; Poggi, Luisa Maria ; Porta, Norberto ; Portioli, Paola ; Prandoni, Alfiero ; Ramenghi, Barbara ; Rampini, Carla ; Rossi, Patrizia ; Saccani, Barbara Letizia ; Sahran, Moris ; Salanitri, Vincenzo Saitta ; Saleri, Laura ; Sayegh, Mariam Nabil ; Secco, Elena ; Seidita, Fabrizio ; Senaldi, Silvia ; Signori, Stefania ; Soardo, Stefania ; Stabile, Maria Giovanna ; Stasi, Patrizia ; Strada, Marinella ; Tagliati, Angela Natalia ; Tamini, Kadher ; Tiranzi, Maria Vittoria ; Travaini, Marta ; Tulipano, Carla ; Usala, Antonio ; Villa, Mauro ; Villa, Giorgio ; Viola, Emilia ; Viola, Agnesita ; Volpe, Cristina ; Volpi, Marco Giuseppe ; Zingales, Maria ; Group, behalf of the Postnatal Depression Study. / Postnatal depression screening in a paediatric primary care setting in Italy. In: BMC Psychiatry. 2017 ; Vol. 17, No. 1.
@article{28136ec709004852b9acc33e661913c3,
title = "Postnatal depression screening in a paediatric primary care setting in Italy",
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.",
keywords = "Depression, Pediatrics, Physicians, Postpartum, Primary care, Screening",
author = "Antonio Clavenna and Elena Seletti and Massimo Cartabia and Anna Didoni and Filomena Fortinguerra and Teresa Sciascia and Luca Brivio and Daniela Malnis and Maurizio Bonati and Mariella Dana and Valeria Brenna and Farida Ferrato and Claudio Montresor and Mauro Percudani and Allegra Fisogni and Lorena Vergani and Alessandro Grecchi and Francesca Amman and Hakam Asi and Antonella Avisani and Patrizio Banfi and Battilana, {Maria Pia} and Carla Berardi and Giuseppina Beretta and Beretta, {Paola Beniamina} and Bertoglio, {Maria Enrica} and Lucia Bigalli and Emilio Bognetti and Marzia Boschetti and Dorella Bricalli and Pietro Buratti and Sonia Buzzi and Daniela Caccia and Gloria Caldarulo and Camiletti, {Marina Irene} and Cappuccilli, {Maria Luisa} and Carcano, {Maria Maura} and Valentina Carmine and Antonio Cenci and Alberto Civardi and Daniela Cofano and Giuseppina Colavita and Francesca Colletta and Mirella Colombo and Annalisa Cordoni and Anna Corno and Lina Crupi and Andrea Dall'Oglio and Beatrice Damiani and {De Angelis}, {Monica D.} and {De Biase}, {Debora D.} and {De Sanctis}, Marina and {Di Cosimo}, {Maria Elisabetta} and {Di Francesco}, Laura and {Di Leo}, Mirella and Massimiliano Dozzi and Elicio, {Maria Teresa} and Patrizia Elli and Giuseppe Felice and Loredana Ferrari and Valentina Finizio and Paola Flumine and Cinzia Foschi and Mariacarla Garavaglia and Patrizia Gaslini and Riccardo Ghezzi and Giuliani, {Maria Grazia} and Giurgola, {Anna Immacolata} and Marco Giussani and Grassi, {Angela Rossana} and Emanuela Gualdoni and Tiziana Guidi and Simonetta Gulli and Hamade, {Jarir Hussein} and Talal Jaber and Gudrun Jischke and Roberto Lambiase and Libretti, {Maria Cristina} and Lodi, {Maria Luisa} and Lovallo, {Maria Teresa} and Monica Lukezic and Giovanna Mancuso and Ermenegildo Marciante and Edgardo Marziani and Metta, {Maria Gabriella} and Giovanna Miotto and Marco Moioli and Monti, {Silvia Angela} and Morello, {Anna Cinthia} and Rosanna Moretto and Gloria Nicolini and Patrizia Oldani and Paolo Paganuzzi and Marina Palmieri and Laura Pedrotti and Pellegrini, {Maria Gabriella} and Elena Piacentini and Poggi, {Luisa Maria} and Norberto Porta and Paola Portioli and Alfiero Prandoni and Barbara Ramenghi and Carla Rampini and Patrizia Rossi and Saccani, {Barbara Letizia} and Moris Sahran and Salanitri, {Vincenzo Saitta} and Laura Saleri and Sayegh, {Mariam Nabil} and Elena Secco and Fabrizio Seidita and Silvia Senaldi and Stefania Signori and Stefania Soardo and Stabile, {Maria Giovanna} and Patrizia Stasi and Marinella Strada and Tagliati, {Angela Natalia} and Kadher Tamini and Tiranzi, {Maria Vittoria} and Marta Travaini and Carla Tulipano and Antonio Usala and Mauro Villa and Giorgio Villa and Emilia Viola and Agnesita Viola and Cristina Volpe and Volpi, {Marco Giuseppe} and Maria Zingales and Group, {behalf of the Postnatal Depression Study}",
note = "M1 - 42",
year = "2017",
month = "1",
day = "25",
doi = "10.1186/s12888-017-1205-6",
language = "Italian",
volume = "17",
journal = "BMC Psychiatry",
issn = "1471-244X",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Postnatal depression screening in a paediatric primary care setting in Italy

AU - Clavenna, Antonio

AU - Seletti, Elena

AU - Cartabia, Massimo

AU - Didoni, Anna

AU - Fortinguerra, Filomena

AU - Sciascia, Teresa

AU - Brivio, Luca

AU - Malnis, Daniela

AU - Bonati, Maurizio

AU - Dana, Mariella

AU - Brenna, Valeria

AU - Ferrato, Farida

AU - Montresor, Claudio

AU - Percudani, Mauro

AU - Fisogni, Allegra

AU - Vergani, Lorena

AU - Grecchi, Alessandro

AU - Amman, Francesca

AU - Asi, Hakam

AU - Avisani, Antonella

AU - Banfi, Patrizio

AU - Battilana, Maria Pia

AU - Berardi, Carla

AU - Beretta, Giuseppina

AU - Beretta, Paola Beniamina

AU - Bertoglio, Maria Enrica

AU - Bigalli, Lucia

AU - Bognetti, Emilio

AU - Boschetti, Marzia

AU - Bricalli, Dorella

AU - Buratti, Pietro

AU - Buzzi, Sonia

AU - Caccia, Daniela

AU - Caldarulo, Gloria

AU - Camiletti, Marina Irene

AU - Cappuccilli, Maria Luisa

AU - Carcano, Maria Maura

AU - Carmine, Valentina

AU - Cenci, Antonio

AU - Civardi, Alberto

AU - Cofano, Daniela

AU - Colavita, Giuseppina

AU - Colletta, Francesca

AU - Colombo, Mirella

AU - Cordoni, Annalisa

AU - Corno, Anna

AU - Crupi, Lina

AU - Dall'Oglio, Andrea

AU - Damiani, Beatrice

AU - De Angelis, Monica D.

AU - De Biase, Debora D.

AU - De Sanctis, Marina

AU - Di Cosimo, Maria Elisabetta

AU - Di Francesco, Laura

AU - Di Leo, Mirella

AU - Dozzi, Massimiliano

AU - Elicio, Maria Teresa

AU - Elli, Patrizia

AU - Felice, Giuseppe

AU - Ferrari, Loredana

AU - Finizio, Valentina

AU - Flumine, Paola

AU - Foschi, Cinzia

AU - Garavaglia, Mariacarla

AU - Gaslini, Patrizia

AU - Ghezzi, Riccardo

AU - Giuliani, Maria Grazia

AU - Giurgola, Anna Immacolata

AU - Giussani, Marco

AU - Grassi, Angela Rossana

AU - Gualdoni, Emanuela

AU - Guidi, Tiziana

AU - Gulli, Simonetta

AU - Hamade, Jarir Hussein

AU - Jaber, Talal

AU - Jischke, Gudrun

AU - Lambiase, Roberto

AU - Libretti, Maria Cristina

AU - Lodi, Maria Luisa

AU - Lovallo, Maria Teresa

AU - Lukezic, Monica

AU - Mancuso, Giovanna

AU - Marciante, Ermenegildo

AU - Marziani, Edgardo

AU - Metta, Maria Gabriella

AU - Miotto, Giovanna

AU - Moioli, Marco

AU - Monti, Silvia Angela

AU - Morello, Anna Cinthia

AU - Moretto, Rosanna

AU - Nicolini, Gloria

AU - Oldani, Patrizia

AU - Paganuzzi, Paolo

AU - Palmieri, Marina

AU - Pedrotti, Laura

AU - Pellegrini, Maria Gabriella

AU - Piacentini, Elena

AU - Poggi, Luisa Maria

AU - Porta, Norberto

AU - Portioli, Paola

AU - Prandoni, Alfiero

AU - Ramenghi, Barbara

AU - Rampini, Carla

AU - Rossi, Patrizia

AU - Saccani, Barbara Letizia

AU - Sahran, Moris

AU - Salanitri, Vincenzo Saitta

AU - Saleri, Laura

AU - Sayegh, Mariam Nabil

AU - Secco, Elena

AU - Seidita, Fabrizio

AU - Senaldi, Silvia

AU - Signori, Stefania

AU - Soardo, Stefania

AU - Stabile, Maria Giovanna

AU - Stasi, Patrizia

AU - Strada, Marinella

AU - Tagliati, Angela Natalia

AU - Tamini, Kadher

AU - Tiranzi, Maria Vittoria

AU - Travaini, Marta

AU - Tulipano, Carla

AU - Usala, Antonio

AU - Villa, Mauro

AU - Villa, Giorgio

AU - Viola, Emilia

AU - Viola, Agnesita

AU - Volpe, Cristina

AU - Volpi, Marco Giuseppe

AU - Zingales, Maria

AU - Group, behalf of the Postnatal Depression Study

N1 - M1 - 42

PY - 2017/1/25

Y1 - 2017/1/25

N2 - 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.

AB - 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.

KW - Depression

KW - Pediatrics

KW - Physicians

KW - Postpartum

KW - Primary care

KW - Screening

U2 - 10.1186/s12888-017-1205-6

DO - 10.1186/s12888-017-1205-6

M3 - Articolo

VL - 17

JO - BMC Psychiatry

JF - BMC Psychiatry

SN - 1471-244X

IS - 1

ER -