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Title: Treatment options and their uptake among women with symptoms of perinatal depression: exploratory study in Norway and Portugal
Authors: Fonseca, Ana 
Branquinho, Mariana 
Monteiro, Fabiana 
Pedrosa, Anabela Araújo 
Bjørndal, Ludvig D.
Lupattelli, Angela
Keywords: Perinatal period; depressive symptoms; treatment options; help-seeking; exploratory study
Issue Date: 4-May-2023
Publisher: Cambridge University Press
Project: This work was supported by the EEA Grants (grant FBR_0c1_70 to A.F. and A.L.), the Portuguese Foundation for Science and Technology (grant SFRH/BD/145563/2019 to M.B.) and the Norwegian Research Council (grant 288696 to A.L.) 
Serial title, monograph or event: BJPsych Open
Volume: 9
Issue: 3
Abstract: Background Perinatal depression is the most undertreated clinical condition during the perinatal period. Knowledge about women’s decisionmaking in seeking and receiving treatment is scarce. Aims To investigate and compare treatment option uptake in perinatal women with depressive symptoms in Portugal and Norway, and to identify sociodemographic and health-related factors associated with treatment uptake. Method Participants were women resident in Portugal or Norway (≥18 years) who were pregnant or had given birth in the past 12 months, who presented with active depressive symptoms (Edinburgh Postnatal Depression Scale score ≥10). In an electronic questionnaire, women reported treatment received and sociodemographic and health-related factors. Results The sample included 416 women from Portugal and 169 from Norway, of which 79.8% and 53.9%, respectively, were not receiving any treatment. Most Portuguese women were receiving psychological treatment, either alone (45.2%) or combined with pharmacological treatment (21.4%). Most Norwegian participants were receiving only pharmacological (36.5%) or combined treatment (35.4%). Compared with the Portuguese sample, a higher proportion of Norwegian women started treatment before pregnancy (P < 0.001). In Portugal, lower depressive symptoms and self-reported psychopathology were significantly associated with higher likelihood of receiving treatment. Conclusions We found that, in both Norway and Portugal, a substantial number of perinatal women with depressive symptoms do not receive any treatment. Differences exist regarding the chosen treatment option and timing of treatment initiation in the two countries. Only mental health-related factors were associated with treatment uptake for perinatal depression in Portugal. Our results highlight the importance of implementing strategies aimed to improve help-seeking behaviours.
ISSN: 2056-4724
DOI: 10.1192/bjo.2023.56
Rights: openAccess
Appears in Collections:FPCEUC - Artigos em Revistas Internacionais
I&D CINEICC - Artigos em Revistas Internacionais

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