TY  - JOUR
PY  - 2016//
TI  - Barriers to access to treatment for mothers with postpartum depression in primary health care centers: a predictive model
JO  - Revista Latino-Americana de Enfermagem
A1  - Martínez, Pablo
A1  - Vöhringer, Paul A.
A1  - Rojas, Graciela
SP  - e2675
EP  - e2675
VL  - 24
IS  - 
N2  - OBJECTIVE to develop a predictive model to evaluate the factors that modify the access to treatment for Postpartum Depression (PPD). <br><br>METHODS prospective study with mothers who participated in the monitoring of child health in primary care centers. For the initial assessment and during 3 months, it was considered: sociodemographic data, gyneco-obstetric data, data on the services provided, depressive symptoms according to the Edinburgh Postpartum Depression Scale (EPDS) and quality of life according to the Short Form-36 Health Status Questionnaire (SF-36). The diagnosis of depression was made based on MINI. Mothers diagnosed with PPD in the initial evaluation, were followed-up. <br><br>RESULTS a statistical model was constructed to determine the factors that prevented access to treatment, which consisted of: item 2 of EPDS (OR 0.43, 95%CI: 0.20-0.93) and item 5 (OR 0.48, 95%CI: 0.21-1.09), and previous history of depression treatment (OR 0.26, 95%CI: 0.61-1.06). Area under the ROC curve for the model=0.79; p-value for the Hosmer-Lemershow=0.73. <br><br>CONCLUSION it was elaborated a simple, well standardized and accurate profile, which advises that nurses should pay attention to those mothers diagnosed with PPD, presenting low/no anhedonia (item 2 of EPDS), scarce/no panic/fear (item 5 of EPDS), and no history of depression, as it is likely that these women do not initiate treatment.<p />  <p>Language: en</p>
LA  - en
SN  - 0104-1169
UR  - http://dx.doi.org/10.1590/1518-8345.0982.2675
ID  - ref1
ER  -