Depresión posparto: tamizaje, uso de servicios y barreras para su tratamiento en centros de atención primaria

Autores/as

  • Graciela Rojas
  • Viviana Guajardo
  • Pablo Martínez
  • Rosemarie Fritsch

Palabras clave:

Mass Screening, Postpartum, Depression, Primary Health Care, Treatment Adherence and Compliance

Resumen

Background: Postpartum depression (PPD) is a public health issue, and appropriate screening may lead to clinical gains. Aim: To describe the screening for PPD, its relationship with the use of health care services, and treatment access barriers in Chilean public primary health care (PHC) centers. Material and methods: Puerperal women attending PHC centers for a well-child check-up were assessed for the presence of PPD using the Edinburgh Postnatal Depression Scale and a structured psychiatric interview. PPD cases were assessed by telephone three months later. Also, women with PPD and PHC workers were interviewed to explore treatment barriers. Results: Of the 305 women assessed, 21% met diagnostic criteria for PPD. Sixty five percent of assessed women were previously screened for depression while attending well-child check-ups. The results of the screening were communicated to 60% of them and 28% received some management indication. After three months of follow up, 70% of PPD cases continued to be depressed, and two thirds of them did not consult a health care provider and most of them rejected psychotherapy or medical treatment. Conclusions: Management of postpartum depression should be substantially improved in public PHC from screening to treatment.

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Publicado

2018-08-14

Cómo citar

Rojas, G., Guajardo, V., Martínez, P., & Fritsch, R. (2018). Depresión posparto: tamizaje, uso de servicios y barreras para su tratamiento en centros de atención primaria. Revista Médica De Chile, 146(9). Recuperado a partir de https://revistamedicadechile.cl/index.php/rmedica/article/view/6567

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Artículos de Investigación

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