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Title: The association between maternal depression and frequent non-routine visits to the infant's doctor - A cohort study
Authors: Chee, C.Y.I.
Chong, Y.-S. 
Ng, T.P. 
Tan, L.K.
Fones, C.S.L. 
Lee, D.T.S.
Keywords: Child
Issue Date: 2008
Citation: Chee, C.Y.I., Chong, Y.-S., Ng, T.P., Tan, L.K., Fones, C.S.L., Lee, D.T.S. (2008). The association between maternal depression and frequent non-routine visits to the infant's doctor - A cohort study. Journal of Affective Disorders 107 (1-3) : 247-253. ScholarBank@NUS Repository.
Abstract: Background: Perinatal depression is common, but women typically do not seek help for it. We studied its association with frequent non-routine physician visits, which may be a form of help-seeking behaviour. Methods: A prospective cohort study of women in their 34th to 38th week of pregnancy at the outpatient obstetrics clinic at a Singapore tertiary hospital was done. Screening was done using the Edinburgh Postnatal Depression Scale and diagnosis of major or minor depressive disorder was made using the SCID-IV. At 6 to 12 months' post-partum, women were screened and interviewed again for depression and asked to report the frequencies with which they had brought their infants to the doctor on non-routine visits in the preceding 6 weeks. Four hundred and seventy-one of the 559 patients recruited before delivery were re-interviewed. Results: After adjusting for confounders, women who had brought their infants for three or more non-routine visits to the infant's doctor had a significantly higher prevalence of depression (32.6%) than those with fewer visits (13.6%) (OR 2.87, 95% CI 1.41 to 5.85, p = 0.004). The relative risk reduction for women who did not bring their infants for frequent non-routine visits was 0.583 (95% CI 0.44 to 0.73, p = 0.002). They were also more likely to have poorer perceived emotional support from their families. Limitations: These included use of self-reported doctor visits, and relatively high educational levels of the participants. Conclusions: Doctors should have a high index of suspicion for enquiring about depression and emotional support in mothers who bring their infants for frequent non-routine visits. © 2007 Elsevier B.V. All rights reserved.
Source Title: Journal of Affective Disorders
ISSN: 01650327
DOI: 10.1016/j.jad.2007.08.004
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