E-ISSN 2146-8346


Journal of Behavioral Health. 2012; 1(4):(42-306)


Management of major depression in pregnancy: A comparison of approaches by psychiatrists and obstetricians and gynecologists

Shailesh Jain, Moss Hampton, Stephanie Caples, James Eldridge, Daniel Castracane

Abstract

Topic: Management of Major Depression in Pregnancy: A Comparison of Approaches by academic Psychiatrists and Obstetricians and Gynecologists. Purpose: Major Depression (MD) can complicate pregnancy outcome. To manage MD during pregnancy, the American College of Obstetricians and Gynecologists (ACOG) and the American Psychiatric Association (APA) have offered consensual recommendations. This study compares the approaches of academic physicians of these two specialties to manage MD during pregnancy. Methods: A 10 minute survey that assessed individual and self-report practices about managing MD during pregnancy was developed and sent to major academic training programs across the US. Areas assessed include modalities of intervention during mild, moderate, and severe depression, preference for counseling, preference for antidepressant intervention, comparison of use of screening tools between the two specialties, choice of antidepressant and assessment of use of non-pharmacological interventions such as ECT, light therapy and use of alternative medicines such as the Omega three fatty acids. A total of 51 Obstetrics and gynecology training program directors and a total of 18 psychiatry training program directors responded by completing and mailing back the questionnaires. Conclusions: We found that the academic Obstetricians and Gynecologists and the academic Psychiatrists differed in their approach to manage MD during pregnancy under similar circumstances. The two different approaches under similar conditions reflected the level of comfort in their respective practices.

Most Viewed Article
  • The Theory of Potential (TOP) and Social Game Theory (SGT)
    Dr. Robert J Flower, Ph.D.
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Representation of The Management of Childhood Obesity in Abidjan: Therapeutic and Psychosocial Implications
    KOUASSI Ettie Silvie and ASSI Kaudjhis Kouassi Régina
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Association Between Perceived Community HIV/AIDS Stigma and HIV Testing Behaviors Among High-Risk Heterosexuals in Dallas and Houston, Texas: An Analysis of the National HIV Behavioral Surveillance System
    Zaida Lopez MPH, Dr.PH, Osaro Mgbere PhD, MS, MPH, Salma Khuwaja MD, MPH, Dr.PH, Jonathon Poe MSSW, Margaret Vaaler PhD
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Factors Associated with ART Adherence among MSM Receiving Medical Care in Texas: An Analysis of the Texas Medical Monitoring Project Data
    Daniele Fedonni, Justin R Buendia, Sabeena C Sears, Margaret L Vaaler, and Osaro O Mgbere
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Psychiatric Comorbidity in A Dermatology Outpatient Clinic in A Lagos Tertiary Hospital
    Coker AO and Ajose FOA
    » Abstract » doi: 10.5455/jbh.XXXXXX

Most Downloaded
  • The Theory of Potential (TOP) and Social Game Theory (SGT)
    Dr. Robert J Flower, Ph.D.
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Representation of The Management of Childhood Obesity in Abidjan: Therapeutic and Psychosocial Implications
    KOUASSI Ettie Silvie and ASSI Kaudjhis Kouassi Régina
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Association Between Perceived Community HIV/AIDS Stigma and HIV Testing Behaviors Among High-Risk Heterosexuals in Dallas and Houston, Texas: An Analysis of the National HIV Behavioral Surveillance System
    Zaida Lopez MPH, Dr.PH, Osaro Mgbere PhD, MS, MPH, Salma Khuwaja MD, MPH, Dr.PH, Jonathon Poe MSSW, Margaret Vaaler PhD
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Factors Associated with ART Adherence among MSM Receiving Medical Care in Texas: An Analysis of the Texas Medical Monitoring Project Data
    Daniele Fedonni, Justin R Buendia, Sabeena C Sears, Margaret L Vaaler, and Osaro O Mgbere
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Psychiatric Comorbidity in A Dermatology Outpatient Clinic in A Lagos Tertiary Hospital
    Coker AO and Ajose FOA
    » Abstract » doi: 10.5455/jbh.XXXXXX