Barriers to Care for Antenatal Depression

Overview

Journal Psychiatr Serv

Specialty Psychiatry

Date 2008 Apr 2

PMID 18378843

Citations 34

Authors

Robin Cook Kopelman

Joy Moel

Carol Mertens

Scott Stuart

Stephan Arndt

Michael W OHara

Affiliations

Soon will be listed here.

Abstract

Objective: This study examined the individual-level factors impacting pregnant women's access to mental health treatment for depression.

Methods: A total of 1,416 pregnant women receiving prenatal care completed measures of depressive symptomatology, willingness to seek treatment for depression or anxiety, and perceived barriers to seeking such care.

Results: Women with Beck Depression Inventory scores >or=16 (indicating possible depression) (N=183) were more likely than women with lower scores (N=1,233) to identify the following barriers: cost, lack of insurance, lack of transportation, long waits for treatment, previous bad experience with mental health care, and not knowing where to go for treatment. Lower income was correlated with increased endorsement of cost and transportation as barriers.

Conclusions: Results suggest that addressing financial and logistical barriers through changes in mental health services and policy will improve access to care for antenatal depression. However, attending to these issues alone will not address additional important barriers to care such as lack of trust.

Citing Articles

Web-Based Intervention (SunnysideFlex) to Promote Resilience to Posttraumatic Stress Disorder Symptoms During Pregnancy: Development and Pilot Study.

Paltell K, Duffecy J, Maki P, Edalatian Zakeri S, Vujanovic A, Berenz E JMIR Form Res. 2024; 8:e53744.

PMID: 39485381 PMC: 11568404. DOI: 10.2196/53744.

Virtual connection and real community: the qualitative experience of participating in a videoconferencing-based psychotherapy group for postpartum depression and anxiety.

Hussain-Shamsy N, Shah A, Wasserman L, Cook G, Macdonald K, Greene K BMC Health Serv Res. 2024; 24(1):1329.

PMID: 39482679 PMC: 11529178. DOI: 10.1186/s12913-024-11753-y.

Postpartum Insurance Loss: Predicting Factors, Associations with Postpartum Health Service Utilization, and the Role of Medicaid Expansion.

Manalew W, White M, Lee J, Hale N Matern Child Health J. 2024; 28(10):1782-1792.

PMID: 39110334 DOI: 10.1007/s10995-024-03979-3.

Implementation of a conversational, videoconferencing-based therapy group for postpartum depression and anxiety symptoms: A pragmatic evaluation.

Hussain-Shamsy N, Wasserman L, Cook G, Macdonald K, Greene K, Barker L Digit Health. 2024; 10:20552076241269630.

PMID: 39108253 PMC: 11301728. DOI: 10.1177/20552076241269630.

Disparities in Utilization and Delivery Outcomes for Women with Perinatal Mood and Anxiety Disorders.

Zivin K, Courant A J Psychiatr Brain Sci. 2024; 9(2).

PMID: 38817312 PMC: 11138136. DOI: 10.20900/jpbs.20240003.

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