Patterns of use of a maternal mental health service in a low-resource antenatal setting in South Africa
Datos Bibliográficos
The prevalence of perinatal common mental disorders in South Africa is high, yet little is known about mental health service use among pregnant and postnatal women. This paper reports on pregnant women's patterns of use of a counselling service at a primary level obstetric facility in Cape Town, South Africa, between January 2010 and December 2011. It investigates whether these are associated with demographics, severity and risk of depressive symptoms. Participants (N = 3311) were screened for psychological distress using the Edinburgh Postnatal Depression Scale (EPDS) at their first antenatal visit. Risk factors for antenatal depression were assessed using a 11-item checklist. Questionnaires were self-administered, but some participants required assistance. Participants scoring positive (≥13) on the EPDS were offered referral to on-site, individual counselling, and assigned to one of three groups according to their service use: declined referral; accepted referral and attended counselling sessions; and accepted referral but defaulted all appointments. Consent to participate was received by 3437 (96.4%) participants who were offered screening, of which 627 (18.9%) screened positive on the EPDS. Of these, 363 (57.9%) attended counselling. Both bivariate analyses and regression analyses revealed that age and risk factor assessment score were associated with screening positive on the EPDS. Odds ratios (OR) for accepting counselling were OR = 0.94 (95% CI = 0.92-0.97) for gestation, OR = 1.27 (95% CI = 1.15-1.39) for EPDS score and OR = 0.48 (95% CI = 0.23-0.99) for reporting three or more risk factors. OR for attending counselling were, for age: OR = 1.06 (95% CI = 1.00-1.12) and for reporting three or more risk factors: OR = 0.60 (95% CI = 0.37-0.97). While the majority of women with psychological distress accessed the counselling service provided, strategies to increase service use of younger pregnant women specifically are required
Antenatal depression · Anxiety · Depression (economics · Depressive symptoms · Edinburgh Postnatal Depression Scale · Family medicine · Mental health · Odds ratio · Pregnancy · Psychiatry · Referral · Child and Adolescent Psychosocial and Emotional Development · Infant Development and Preterm Care · Maternal Mental Health During Pregnancy and Postpartum · Medicine
Tools for screening maternal mental health conditions in primary care settings in sub-Saharan Africa
Health care providers’ perceptions of barriers to perinatal mental healthcare in South Africa
Testing an Incentive-Based and Community Health Worker Package Intervention to Improve Maternal Health and Nutrition Outcomes
Social Support, Stigma and Antenatal Depression Among HIV-Infected Pregnant Women in South Africa
Risk factors and life processes associated with the onset of suicidal behaviour during adolescence and early adulthood
Antenatal risk factors for postpartum depression
Post-partum depression and the mother-infant relationship in a South African peri-urban settlement
Resources for mental health
Maternal Depression
Detection of Postnatal Depression
Exploring recruitment, willingness to participate, and retention of low-SES women in stress and depression prevention
The Factor Structure of the Edinburgh Postnatal Depression Scale in a South African Peri-Urban Settlement
Engaging Women Who Are Depressed and Economically Disadvantaged in Mental Health Treatment
Perceived Barriers To Mental Health Service Use Among Individuals With Mental Disorders in the Canadian General Population
Factors Influencing Teen Mothers' Enrollment and Participation in Prevention of Mother-to-Child HIV Transmission Services in Limpopo Province, South Africa
Why Lower Income Mothers Do Not Engage With the Formal Mental Health Care System
| Obras citantes distintas | 4 |
|---|---|
| Citas por año | 0,4 |
| Intervalo de citas | 2016 - 2024 (9) |
| Velocidad de citación | recent |
| Altamente citado | No |
| Tipos de cita | Neutras: 4 |