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ORIGINAL ARTICLE Onset Timing, Thoughts of Self-harm, and Diagnoses in Postpartum Women With Screen-Positive Depression Findings Katherine L. Wisner, MD, MS; Dorothy K. Y. Sit, MD; Mary C. McShea, MS; David M. Rizzo, MSW; Rebecca A. Zoretich, MSEd; Carolyn L. Hughes, MSW; Heather F. Eng, BS; James F. Luther, MA; Stephen R. Wisniewski, PhD; Michelle L. Costantino, MHA; Andrea L. Confer, BA; Eydie L. Moses-Kolko, MD; Christopher S. Famy, MD; Barbara H. Hanusa, PhD Importance: The period prevalence of depression among Results: Ten thousand mothers underwent screening, women is 21.9% during the first postpartum year; how- with positive findings in 1396 (14.0%); of these, 826 ever, questions remain about the value of screening for (59.2%) completed the home visits and 147 (10.5%) com- depression. pleted a telephone diagnostic interview. Screen-positive women were more likely to be younger, African Ameri- Objectives: To screen for depression in postpartum can, publicly insured, single, and less well educated. More women and evaluate positive screen findings to deter- episodes began post partum (40.1%), followed by dur- mine the timing of episode onset, rate and intensity of ing pregnancy (33.4%) and before pregnancy (26.5%). self-harm ideation, and primary and secondary DSM-IV In this population, 19.3%
JAMA Psychiatry – American Medical Association
Published: May 1, 2013
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