Best Practices: Community-Based Postpartum Depression Screening: Results From the CARE Study -- Horowitz et al. 60 (11): 1432 --
Posted Oct 30 2009 12:00am
June Andrews Horowitz, Ph.D., R.N., Christine A. Murphy, Ph.D., R.N., Katherine E. Gregory, Ph.D., R.N. and Joanne Wojcik, M.S., R.N.
The authors are affiliated with the W. F. Connell School of Nursing, Boston College, 140 Commonwealth Ave., Chestnut Hill, MA 02467 (e-mail: firstname.lastname@example.org ). William M. Glazer, M.D., is editor of this column.
This column describes findings and best-practice recommendationsfrom CARE (Communicating and Relating Effectively), a prospectiverandomized study in which 5,169 mothers were screened for postpartumdepression. The prevalence rate was 13%. Results support useof the Edinburgh Postnatal Depression Screening Scale and adiagnostic assessment for those who screen positive. Of the674 mothers with positive screens, 26% were not asked abouttheir emotional state by clinicians. Screening must be linkedto treatment options via referral and follow-up. Best-practicestrategies for implementing screening include educating cliniciansand postpartum women.