Abstract
| Original language | Italian |
|---|---|
| Journal | BMC Psychiatry |
| Volume | 17 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Jan 25 2017 |
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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 journal › Article › peer-review
}
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 -