Pediatricians flag depression in moms

Pediatricians may be the ideal conduits to help depressed mothers seek care, says Erik Fernandez y Garcia, because many young mothers rarely visit their own physicians but make multiple trips to their child's doctor, especially in the first two years of life. (Credit: iStockphoto)

A new intervention to identify mothers who may be depressed relies on input from pediatricians rather than the mother’s own doctor.

Women in the study were given a short survey to assess whether they needed additional care. Those who identified depression symptoms were then coached by a research assistant to seek further help.

The program showed remarkable results: nearly 74 percent of mothers in the intervention group sought additional help, compared to around 54 percent in the control group.

Remove the stigma

“This is one of the first studies to take on the role of the pediatrician in not only identifying depression in mothers but also helping them take the next step,” says Erik Fernandez y Garcia, associate professor of clinical pediatrics at University of California, Davis and lead author of the study.

“The hope is that once we’ve refined the intervention and presented it to pediatricians, they will feel more comfortable about addressing depression with mothers of their patients.”

Published in Academic Pediatrics, the study targeted English-speaking mothers, with children between 0 and 12 years, who were given a simple, two-question survey about the core symptoms of depression.

Mothers who showed symptoms then received targeted education that focused on removing the stigma associated with depression and how treatment could improve their children’s health. They also received follow-up calls two days later to reinforce the message.

Best ones for the job?

The researchers set a high bar for success, using an active control group that was also screened for depression and given depression education and advice. The control intervention lacked the targeted messaging designed to destigmatize depression and link treatment to improved child health.

Pediatricians may be the ideal conduits to help depressed mothers seek care, Fernandez y Garcia says. Many young mothers rarely visit their own physicians but make frequent trips to the pediatrician’s office—multiple times during a child’s first two years and once a year after that.

In addition to having more opportunities, pediatricians may also be more effective at broaching the subject, as they can better explain how seeking treatment improves children’s health.

“Pediatricians are in a position to talk to moms about the effects of depression on their children and use that as a motivation to get their symptoms evaluated,” Fernandez y Garcia says.

Better outcomes for kids, too

In some ways, the intervention was even more effective than the researchers had expected. For example, many mothers sought care from a number of different sources simultaneously, including spiritual counselors and mental health and medical practitioners.

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The next step is to refine the program and conduct a similar study including Spanish-speaking mothers.

“If I can give pediatricians an efficient intervention to implement in their practices, we can really increase our ability to identify women with depression,” Fernandez y Garcia says.

“We can help them feel better and the kids will have better outcomes as well, so it has a positive effect on everybody’s well-being.”

The National Center for Advancing Translational Sciences, the University of California, Davis, Department of Pediatrics Children’s Miracle Network, and the University of California, Davis, Office of the Dean funded the work.

Source: UC Davis