alexa Screening for Psychiatric Morbidity in the Postpartum Period: Clinical Presentation and Outcome at One-Year Follow-Up
ISSN: 2167-0420

Journal of Womens Health Care
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Review Article

Screening for Psychiatric Morbidity in the Postpartum Period: Clinical Presentation and Outcome at One-Year Follow-Up

Tang A1, Liang HJ2, Ungvari GS3 and Tang WK2*

1Department of Psychiatry, The Prince of Wales Hospital, Hong Kong

2Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong

3School of Psychiatry & Clinical Neurosciences, University of Western Australia, Perth, Australia

*Corresponding Author:
Tang WK
Department of Psychiatry
The Chinese University of Hong Kong, Hong Kong
Tel: +852-2636-7760
Fax: 852-2648-3394
E-mail: [email protected]

Received date: January 16, 2014; Accepted date: February 24, 2014; Published date: February 28, 2014

Citation: Tang A, Liang HJ, Ungvari GS, Tang WK (2014) Screening for Psychiatric Morbidity in the Postpartum Period: Clinical Presentation and Outcome at One- Year Follow-Up. J Women’s Health Care 3:147. doi:10.4172/2167-0420.1000147

Copyright: © 2014 Tang A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: There are few data on the psychiatric morbidity of postnatal women in Hong Kong, and even fewer data on their clinical outcome. This study targets these issues.
Methods: A prospective design was used. Women were screened by Edinburgh Postnatal Depression Scale (EPDS, with 9/10 as cut-off), and 12-item General Health Questionnaire (GHQ-12, with 4/5 as cut-off) within 4-6 weeks following delivery over a 20-month period. Those suspected for a psychiatric disorder were contacted by telephone and were offered a referral to a postnatal depression disorder (PND) clinic. Women were re-evaluated with EPDS, GHQ-12, and Beck Depression Inventory (BDI, with 10/11 cut-off) at the clinic. Psychiatric diagnoses, treatments and outcome were evaluated at 6-month and 12-month after the women’s first attendance.
Results: Altogether 7,833 questionnaires were sent out and 6,212 were mailed back. Scores were above the cutoff for 2,107 women. Only 120 women reported persistent symptoms but only 96 attended the PND clinic. The most common diagnose was mood disorders (56.3%). No postpartum psychosis was found. Only 11.1% of women with MDD recovered one year after delivery.
Conclusion: Depression is the main psychiatric morbidity in Hong Kong postnatal women. Compliance of referral and treatment and treatment outcome of PND are poor, suggesting extrending psychoeducation for patients and relatives and developing a comprehensive treatment model would be essential in improving postnatal psychiatric care.

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