{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T11:11:03Z","timestamp":1788520263557,"version":"build-2803163510"},"reference-count":35,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,10,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVES:<\/jats:title>\n                  <jats:p>Postpartum depression often remains unaddressed. Screening in well-child care (WCC) may improve early detection, promote maternal recovery, and reduce effects on child development. We assessed the effectiveness of screening for postpartum depression in WCC compared with care as usual (CAU) on outcomes at mother and child levels.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>In a prospective, quasiexperimental, comparative design, mothers visiting Dutch WCC centers were exposed either to screening at 1, 3, and 6 months postpartum (n = 1843) or to CAU (n = 1246). Assessments were at 3 weeks (baseline), 9 months (the Mini International Neuropsychiatric Interview), and 12 months (the Spielberger State-Trait Anxiety Inventory, the Short-Form 12-Item Health Survey, the Maternal Self-Efficacy in the Nurturing Role questionnaire, and the Ages and Stages Questionnaire\u2013Social Emotional) postpartum.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>Significantly fewer mothers in the intervention group were depressed at 9 months postpartum compared with the CAU group (0.6% vs 2.5% for major depression). The adjusted odds ratio was 0.28 (95% confidence interval, 0.12 to 0.63; Cohen\u2019s d, 0.70). For minor and major depression, figures were 3.0% vs 8.4%, and the adjusted odds ratio was 0.40 (95% confidence interval, 0.27 to 0.58; Cohen\u2019s d, 0.51). For parenting, anxiety symptoms, and mental health functioning, the intervention resulted in effect sizes ranging from 0.23 to 0.27. The effect on the child's socioemotional development was negligible.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>Implementation of screening for postpartum depression in WCC should be seriously considered given its positive effects on maternal mental health. The benefits of optimizing the trajectory after screening on maternal and child outcomes need further attention.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2017-0110","type":"journal-article","created":{"date-parts":[[2017,9,7]],"date-time":"2017-09-07T13:29:56Z","timestamp":1504790996000},"source":"Crossref","is-referenced-by-count":26,"title":["Post-Up Study: Postpartum Depression Screening in Well-Child Care and Maternal Outcomes"],"prefix":"10.1542","volume":"140","author":[{"given":"Angarath I.","family":"van der Zee-van den Berg","sequence":"first","affiliation":[{"name":"Department of Health Technology and Services Research, Institute for Innovation and Governance Studies, University of Twente, Enschede, Netherlands;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magda M.","family":"Boere-Boonekamp","sequence":"additional","affiliation":[{"name":"Department of Health Technology and Services Research, Institute for Innovation and Governance Studies, University of Twente, Enschede, Netherlands;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catharina G.M.","family":"Groothuis-Oudshoorn","sequence":"additional","affiliation":[{"name":"Department of Health Technology and Services Research, Institute for Innovation and Governance Studies, University of Twente, Enschede, Netherlands;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maarten J.","family":"IJzerman","sequence":"additional","affiliation":[{"name":"Department of Health Technology and Services Research, Institute for Innovation and Governance Studies, University of Twente, Enschede, Netherlands;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riet M.E.","family":"Haasnoot-Smallegange","sequence":"additional","affiliation":[{"name":"Department of Preventive Child Health Care, Municipal Health Services GGD Twente, Enschede, Netherlands; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sijmen A.","family":"Reijneveld","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2017,10,1]]},"reference":[{"issue":"5, pt 1","key":"2021120916062550100_B1","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1097\/01.AOG.0000183597.31630.db","article-title":"Perinatal depression: a systematic review of prevalence and incidence.","volume":"106","author":"Gavin","year":"2005","journal-title":"Obstet Gynecol"},{"issue":"9956","key":"2021120916062550100_B2","doi-asserted-by":"crossref","first-page":"1775","DOI":"10.1016\/S0140-6736(14)61276-9","article-title":"Non-psychotic mental disorders in the perinatal period.","volume":"384","author":"Howard","year":"2014","journal-title":"Lancet"},{"issue":"9956","key":"2021120916062550100_B3","doi-asserted-by":"crossref","first-page":"1800","DOI":"10.1016\/S0140-6736(14)61277-0","article-title":"Effects of perinatal mental disorders on the fetus and child.","volume":"384","author":"Stein","year":"2014","journal-title":"Lancet"},{"issue":"36","key":"2021120916062550100_B4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta13360","article-title":"Methods to identify postnatal depression in primary care: an integrated evidence synthesis and value of information analysis.","volume":"13","author":"Hewitt","year":"2009","journal-title":"Health Technol Assess"},{"key":"2021120916062550100_B5","volume-title":"Efficacy and Safety of Screening for Postpartum Depression","author":"Myers","year":"2013"},{"issue":"6","key":"2021120916062550100_B6","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1542\/peds.106.6.1367","article-title":"Do pediatricians recognize mothers with depressive symptoms?","volume":"106","author":"Heneghan","year":"2000","journal-title":"Pediatrics"},{"issue":"6","key":"2021120916062550100_B7","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1192\/bjp.150.6.782","article-title":"Detection of postnatal depression. 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