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

Graciela Rojas, Viviana Guajardo, Pablo Martínez*, Rosemarie Fritsch

*Autor correspondiente de este trabajo

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva


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 PPD 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.

Título traducido de la contribuciónScreening and barriers for treatment of postpartum depression in Chilean public primary health care centers
Idioma originalEspañol
Páginas (desde-hasta)1001-1007
Número de páginas7
PublicaciónRevista Medica de Chile
EstadoPublicada - sept. 2018
Publicado de forma externa

Nota bibliográfica

Publisher Copyright:
© 2018, Sociedad Medica de Santiago. All rights reserved.

Palabras clave

  • Depression
  • Mass screening
  • Postpartum
  • Primary health care
  • Treatment adherence and compliance


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