Skip to main content
Top
Published in: Community Mental Health Journal 1/2008

01-02-2008 | Original Paper

Survey of Characteristics and Treatment Preferences for Physicians Treating Postpartum Depression in the General Medical Setting

Authors: Naveen Thomas, Betsy L. Sleath, Elizabeth Jackson, Sue West, Bradley Gaynes

Published in: Community Mental Health Journal | Issue 1/2008

Login to get access

Abstract

This research examines the relationship between the characteristics of physicians who routinely provide medical care for postpartum mothers and their treatment preferences for managing postpartum depression (PPD) by means of a self-administered postal survey. A survey was sent to a random sample of 600 obstetricians/gynecologists and 600 family practitioners in North Carolina. The overall response rate was 42%. Forty-six percent of the responding physicians (N = 228) reported that they had seen women for postpartum visits during the past 3 months. Physician age, gender, race, and practice type were significantly associated with differences in their treatment preferences of PPD. Older physicians and non-white physicians were less likely to prefer treatment of PPD with antidepressants. Older physicians and physicians trained in obstetrics/gynecology (OB/GYN) were less likely to treat PPD with referral to a social worker or psychologist for counseling, but physicians trained in family practice and female physicians were more likely to do so.
Literature
go back to reference Bloch, M., Schmidt, P. J., Danaceau, M., Murphy, J., Nieman, L., & Rubinow, D. R. (2000). Effects of gonadal steroids in women with a history of postpartum depression. American Journal of Psychiatry, 157, 924–930.PubMedCrossRef Bloch, M., Schmidt, P. J., Danaceau, M., Murphy, J., Nieman, L., & Rubinow, D. R. (2000). Effects of gonadal steroids in women with a history of postpartum depression. American Journal of Psychiatry, 157, 924–930.PubMedCrossRef
go back to reference Buist, A., Bilszta, J., Barnett, B., Milgrom, J., Ericksen, J., Condon, J., Hayes, B., & Brooks, J. (2005). Recognition and management of perinatal depression in general practice—a survey of GPs and postnatal women. Australian Family Physician, 34, 787–790.PubMed Buist, A., Bilszta, J., Barnett, B., Milgrom, J., Ericksen, J., Condon, J., Hayes, B., & Brooks, J. (2005). Recognition and management of perinatal depression in general practice—a survey of GPs and postnatal women. Australian Family Physician, 34, 787–790.PubMed
go back to reference Coates, A. O., Schaefer, C. A., & Alexander, J. L. (2004). Detection of postpartum depression and anxiety in a large health plan. Journal of Health Services Research, 31, 117–133. Coates, A. O., Schaefer, C. A., & Alexander, J. L. (2004). Detection of postpartum depression and anxiety in a large health plan. Journal of Health Services Research, 31, 117–133.
go back to reference Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh postnatal depression scale. British Journal of Psychiatry, 150, 782–786.PubMedCrossRef Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh postnatal depression scale. British Journal of Psychiatry, 150, 782–786.PubMedCrossRef
go back to reference Dennis, C. L., & Stewart, D. E. (2004). Treatment of postpartum depression, part 1: A critical review of biological interventions. Journal of Clinical Psychiatry, 65, 1242–1251.PubMedCrossRef Dennis, C. L., & Stewart, D. E. (2004). Treatment of postpartum depression, part 1: A critical review of biological interventions. Journal of Clinical Psychiatry, 65, 1242–1251.PubMedCrossRef
go back to reference Dennis, C. L. (2004). Influence of depressive symptomatology on maternal health service utilization and general health. Archives of Women’s Mental Health, 7, 183–191.PubMed Dennis, C. L. (2004). Influence of depressive symptomatology on maternal health service utilization and general health. Archives of Women’s Mental Health, 7, 183–191.PubMed
go back to reference Einarson, T. R., & Einarson, A. (2005). Newer antidepressants in pregnancy and rates of major malformations: a meta-analysis of prospective comparative studies. Pharmacoepidemiological Drug Safety, 14, 823–827.CrossRef Einarson, T. R., & Einarson, A. (2005). Newer antidepressants in pregnancy and rates of major malformations: a meta-analysis of prospective comparative studies. Pharmacoepidemiological Drug Safety, 14, 823–827.CrossRef
go back to reference Gentile, S. (2005). The safety of newer antidepressants in pregnancy and breastfeeding. Drug Safety, 28, 137–152.PubMedCrossRef Gentile, S. (2005). The safety of newer antidepressants in pregnancy and breastfeeding. Drug Safety, 28, 137–152.PubMedCrossRef
go back to reference Gerrity, M. S., Williams, J. W., Dietrich, A. J., & Olson, A. L. (2001). Identifying physicians likely to benefit from depression education: A challenge for health care organizations. Medical Care, 39, 856–866.PubMedCrossRef Gerrity, M. S., Williams, J. W., Dietrich, A. J., & Olson, A. L. (2001). Identifying physicians likely to benefit from depression education: A challenge for health care organizations. Medical Care, 39, 856–866.PubMedCrossRef
go back to reference Gregoire, A. J., Kumar, R., Everitt, B., Henderson, A. F., Studd, J. W. (1996). Transdermal oestrogen for treatment of severe postnatal depression. Lancet, 347, 930–933.PubMedCrossRef Gregoire, A. J., Kumar, R., Everitt, B., Henderson, A. F., Studd, J. W. (1996). Transdermal oestrogen for treatment of severe postnatal depression. Lancet, 347, 930–933.PubMedCrossRef
go back to reference Hirschfeld, R. M., Keller, M. B., Panico, S., Arons, B. S., Barlow, D., Davidoff, F., Endicott, J., Froom, J., Goldstein, M., Gorman, J. M., Marek, R. G., Maurer, T. A., Meyer, R., Phillips, K., Ross, J., Schwenk, T. L., Sharfstein, S. S., Thase, M. E., & Wyatt, R. J. (1997). The National depressive and manic-depressive association consensus statement on the undertreatment of depression. Journal of the American Medical Association, 277, 333–340.PubMedCrossRef Hirschfeld, R. M., Keller, M. B., Panico, S., Arons, B. S., Barlow, D., Davidoff, F., Endicott, J., Froom, J., Goldstein, M., Gorman, J. M., Marek, R. G., Maurer, T. A., Meyer, R., Phillips, K., Ross, J., Schwenk, T. L., Sharfstein, S. S., Thase, M. E., & Wyatt, R. J. (1997). The National depressive and manic-depressive association consensus statement on the undertreatment of depression. Journal of the American Medical Association, 277, 333–340.PubMedCrossRef
go back to reference Lepper, H. S., DiMatteo, M. R., & Tinsley, B. J. (1994). Postpartum depression: How much do obstetric nurses and obstetricians know? Birth, 21, 149–154.PubMedCrossRef Lepper, H. S., DiMatteo, M. R., & Tinsley, B. J. (1994). Postpartum depression: How much do obstetric nurses and obstetricians know? Birth, 21, 149–154.PubMedCrossRef
go back to reference Main, D. S., Lutz, L. J., Barrett, J. E., Matthew, J., & Miller, R. S. (1993). The role of beliefs of primary care clinicians attitudes, beliefs, and training in the diagnosis and treatment of depression. Archives of Family Medicine, 2, 1061–1066.PubMedCrossRef Main, D. S., Lutz, L. J., Barrett, J. E., Matthew, J., & Miller, R. S. (1993). The role of beliefs of primary care clinicians attitudes, beliefs, and training in the diagnosis and treatment of depression. Archives of Family Medicine, 2, 1061–1066.PubMedCrossRef
go back to reference Moses-Kolko, E. L., Bogen, D., Perel, J., Bregar, A., Uhl, K., Levin, B., & Wisner, K. L. (2005). Neonatal signs after late in utero exposure to serotonin reuptake inhibitors: Literature review and implications for clinical applications. Journal of the American Medical Association, 293, 2372–2383.PubMedCrossRef Moses-Kolko, E. L., Bogen, D., Perel, J., Bregar, A., Uhl, K., Levin, B., & Wisner, K. L. (2005). Neonatal signs after late in utero exposure to serotonin reuptake inhibitors: Literature review and implications for clinical applications. Journal of the American Medical Association, 293, 2372–2383.PubMedCrossRef
go back to reference Murray, L., Fiori-Cowley, A., Hooper, R., & Cooper, P. (1996). The impact of postnatal depression and associated adversity on early mother–infant interactions and later infant outcome. Childhood Development, 67, 2512–2526.CrossRef Murray, L., Fiori-Cowley, A., Hooper, R., & Cooper, P. (1996). The impact of postnatal depression and associated adversity on early mother–infant interactions and later infant outcome. Childhood Development, 67, 2512–2526.CrossRef
go back to reference Olson, A. O., Kemper, K. J., Kelleher, K. J., Hammond, C. S., Zuckerman, B. S., & Dietrich, A. J. (2002). Primary care pediatricians’ role and perceived responsibilities in the identification and management of maternal depression. Pediatrics, 110, 1169–1176.PubMedCrossRef Olson, A. O., Kemper, K. J., Kelleher, K. J., Hammond, C. S., Zuckerman, B. S., & Dietrich, A. J. (2002). Primary care pediatricians’ role and perceived responsibilities in the identification and management of maternal depression. Pediatrics, 110, 1169–1176.PubMedCrossRef
go back to reference Rubin, E. T., Lee, A., & Ito, S., (2004). When breastfeeding mothers need CNS-acting drugs. Canadian Journal of Clinical Pharmacology, 11, 257–266. Rubin, E. T., Lee, A., & Ito, S., (2004). When breastfeeding mothers need CNS-acting drugs. Canadian Journal of Clinical Pharmacology, 11, 257–266.
go back to reference Sleath, B., Wes, S., Tudor, G., Perreira, K., King, V., & Morrissey, J. (2005). Ethnicity and depression treatment preferences of pregnant women. Journal of Psychosomatic Obstetrics and Gynecology, 26, 135–140.PubMedCrossRef Sleath, B., Wes, S., Tudor, G., Perreira, K., King, V., & Morrissey, J. (2005). Ethnicity and depression treatment preferences of pregnant women. Journal of Psychosomatic Obstetrics and Gynecology, 26, 135–140.PubMedCrossRef
go back to reference Weinberg, M. K., & Tronick, E. Z. (1998). Emotional characteristics of infants associated with maternal depression and anxiety. Pediatrics, 102(Suppl.), 1298 –1304.PubMed Weinberg, M. K., & Tronick, E. Z. (1998). Emotional characteristics of infants associated with maternal depression and anxiety. Pediatrics, 102(Suppl.), 1298 –1304.PubMed
go back to reference Wiley, C. C., Burke, G. S., Gill, P. A., & Law, N. E. (2004). Pediatricians’ views of postpartum depression: A self-administered survey. Archives of Women’s Mental Health, 7, 231–236.PubMedCrossRef Wiley, C. C., Burke, G. S., Gill, P. A., & Law, N. E. (2004). Pediatricians’ views of postpartum depression: A self-administered survey. Archives of Women’s Mental Health, 7, 231–236.PubMedCrossRef
Metadata
Title
Survey of Characteristics and Treatment Preferences for Physicians Treating Postpartum Depression in the General Medical Setting
Authors
Naveen Thomas
Betsy L. Sleath
Elizabeth Jackson
Sue West
Bradley Gaynes
Publication date
01-02-2008
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 1/2008
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-007-9108-5

Other articles of this Issue 1/2008

Community Mental Health Journal 1/2008 Go to the issue

Acknowledgements

Acknowledgements