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Efficacy and Safety of Screening for Postpartum Depression: Comparative Effectiveness Review Number 106

Paperback |English |148952472X | 9781489524720

Efficacy and Safety of Screening for Postpartum Depression: Comparative Effectiveness Review Number 106

Paperback |English |148952472X | 9781489524720
Overview
Depression is a potentially life-threatening condition with a substantial impact on quality of life. The impact of depression in postpartum women is at least as great as that of depression in other populations. Postpartum depression is defined in the “Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision” as a major depressive disorder according to standard diagnostic criteria—namely, five or more of the following symptoms present during the same 2-week period, with a secondary criterion of onset of symptoms within 4 weeks of delivery: Depressed mood most of the day nearly every day, as indicated by either subjective report (e.g., feels sad or empty) or observation made by others (e.g., appears tearful); Markedly diminished interest in pleasure in all or almost all activities most of the day nearly every day (as indicated by either subjective account or observation made by others); Significant weight loss when not dieting, weight gain, or decrease or increase in appetite nearly every day; Insomnia or hypersomnia nearly every day; Psychomotor agitation or retardation nearly every day (observable by others; not merely subjective feelings of restlessness or being slowed down); Fatigue or loss of energy nearly every day; Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick); Diminished ability to think or concentrate, or indecisiveness, nearly every day (either subjective account or as observed by others); Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide. This review was funded by AHRQ and designed to evaluate the comparative diagnostic accuracy, benefits, and harms of available screening instruments for postpartum depression. The Key Questions considered in this review are: KQ 1: This question has two parts: a. What are the sensitivity and specificity of currently available screening instruments for detecting postpartum depression, and how do these translate into the likelihood of false negative and false-positive results in different populations and settings? b. Are there clinically relevant differences in the ability of currently available screening instruments to correctly identify specific signs or symptoms of depression (e.g., suicidal ideation)? KQ 2: This question has two parts: a. Are there individual factors (age, race, parity, history of mood disorders, history of intimate partner violence, perinatal outcomes, cultural factors) that affect the baseline risk of postpartum depression and, therefore, the subsequent positive and negative predictive values of screening instruments? b. Are there validated predictive models or algorithms based on such factors that would improve the performance of screening instruments? KQ 3: Are the performance characteristics (sensitivity, specificity, predictive values) of screening instruments affected by: a. Timing (prenatal, peripartum, or at various times in the first postpartum year) and frequency of screening? b. Setting (prenatal visit, hospital/birthing center/home, postpartum maternal visit, or well child visit)? c. Provider (obstetrician, midwife, pediatrician, family practitioner, other health provider)? KQ 4: What are the comparative benefits of screening for postpartum depression when compared with no screening, or between different screening strategies (based on choice of screening instrument, timing, setting, etc.)? KQ 5: What are the comparative harms of screening for postpartum depression when compared with no screening, or between different screening strategies (based on choice of screening instrument, timing, setting, etc.)? KQ 6: Is the likelihood of an appropriate action (referral, diagnosis, treatment, etc.) after a positive screening result affected by timing, setting, patient characteristics, or other factors?
ISBN: 148952472X
ISBN13: 9781489524720
Author: U. S. Department of Health and Human Services, Agency for Healthcare Research and Quality
Publisher: CreateSpace Independent Publishing Platform
Format: Paperback
PublicationDate: 2013-05-20
Language: English
PageCount: 220
Dimensions: 8.5 x 0.5 x 11.0 inches
Weight: 18.4 ounces
Depression is a potentially life-threatening condition with a substantial impact on quality of life. The impact of depression in postpartum women is at least as great as that of depression in other populations. Postpartum depression is defined in the “Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision” as a major depressive disorder according to standard diagnostic criteria—namely, five or more of the following symptoms present during the same 2-week period, with a secondary criterion of onset of symptoms within 4 weeks of delivery: Depressed mood most of the day nearly every day, as indicated by either subjective report (e.g., feels sad or empty) or observation made by others (e.g., appears tearful); Markedly diminished interest in pleasure in all or almost all activities most of the day nearly every day (as indicated by either subjective account or observation made by others); Significant weight loss when not dieting, weight gain, or decrease or increase in appetite nearly every day; Insomnia or hypersomnia nearly every day; Psychomotor agitation or retardation nearly every day (observable by others; not merely subjective feelings of restlessness or being slowed down); Fatigue or loss of energy nearly every day; Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick); Diminished ability to think or concentrate, or indecisiveness, nearly every day (either subjective account or as observed by others); Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide. This review was funded by AHRQ and designed to evaluate the comparative diagnostic accuracy, benefits, and harms of available screening instruments for postpartum depression. The Key Questions considered in this review are: KQ 1: This question has two parts: a. What are the sensitivity and specificity of currently available screening instruments for detecting postpartum depression, and how do these translate into the likelihood of false negative and false-positive results in different populations and settings? b. Are there clinically relevant differences in the ability of currently available screening instruments to correctly identify specific signs or symptoms of depression (e.g., suicidal ideation)? KQ 2: This question has two parts: a. Are there individual factors (age, race, parity, history of mood disorders, history of intimate partner violence, perinatal outcomes, cultural factors) that affect the baseline risk of postpartum depression and, therefore, the subsequent positive and negative predictive values of screening instruments? b. Are there validated predictive models or algorithms based on such factors that would improve the performance of screening instruments? KQ 3: Are the performance characteristics (sensitivity, specificity, predictive values) of screening instruments affected by: a. Timing (prenatal, peripartum, or at various times in the first postpartum year) and frequency of screening? b. Setting (prenatal visit, hospital/birthing center/home, postpartum maternal visit, or well child visit)? c. Provider (obstetrician, midwife, pediatrician, family practitioner, other health provider)? KQ 4: What are the comparative benefits of screening for postpartum depression when compared with no screening, or between different screening strategies (based on choice of screening instrument, timing, setting, etc.)? KQ 5: What are the comparative harms of screening for postpartum depression when compared with no screening, or between different screening strategies (based on choice of screening instrument, timing, setting, etc.)? KQ 6: Is the likelihood of an appropriate action (referral, diagnosis, treatment, etc.) after a positive screening result affected by timing, setting, patient characteristics, or other factors?

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  • Downloadable software products
  • Some health and personal care items

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Overview
Depression is a potentially life-threatening condition with a substantial impact on quality of life. The impact of depression in postpartum women is at least as great as that of depression in other populations. Postpartum depression is defined in the “Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision” as a major depressive disorder according to standard diagnostic criteria—namely, five or more of the following symptoms present during the same 2-week period, with a secondary criterion of onset of symptoms within 4 weeks of delivery: Depressed mood most of the day nearly every day, as indicated by either subjective report (e.g., feels sad or empty) or observation made by others (e.g., appears tearful); Markedly diminished interest in pleasure in all or almost all activities most of the day nearly every day (as indicated by either subjective account or observation made by others); Significant weight loss when not dieting, weight gain, or decrease or increase in appetite nearly every day; Insomnia or hypersomnia nearly every day; Psychomotor agitation or retardation nearly every day (observable by others; not merely subjective feelings of restlessness or being slowed down); Fatigue or loss of energy nearly every day; Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick); Diminished ability to think or concentrate, or indecisiveness, nearly every day (either subjective account or as observed by others); Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide. This review was funded by AHRQ and designed to evaluate the comparative diagnostic accuracy, benefits, and harms of available screening instruments for postpartum depression. The Key Questions considered in this review are: KQ 1: This question has two parts: a. What are the sensitivity and specificity of currently available screening instruments for detecting postpartum depression, and how do these translate into the likelihood of false negative and false-positive results in different populations and settings? b. Are there clinically relevant differences in the ability of currently available screening instruments to correctly identify specific signs or symptoms of depression (e.g., suicidal ideation)? KQ 2: This question has two parts: a. Are there individual factors (age, race, parity, history of mood disorders, history of intimate partner violence, perinatal outcomes, cultural factors) that affect the baseline risk of postpartum depression and, therefore, the subsequent positive and negative predictive values of screening instruments? b. Are there validated predictive models or algorithms based on such factors that would improve the performance of screening instruments? KQ 3: Are the performance characteristics (sensitivity, specificity, predictive values) of screening instruments affected by: a. Timing (prenatal, peripartum, or at various times in the first postpartum year) and frequency of screening? b. Setting (prenatal visit, hospital/birthing center/home, postpartum maternal visit, or well child visit)? c. Provider (obstetrician, midwife, pediatrician, family practitioner, other health provider)? KQ 4: What are the comparative benefits of screening for postpartum depression when compared with no screening, or between different screening strategies (based on choice of screening instrument, timing, setting, etc.)? KQ 5: What are the comparative harms of screening for postpartum depression when compared with no screening, or between different screening strategies (based on choice of screening instrument, timing, setting, etc.)? KQ 6: Is the likelihood of an appropriate action (referral, diagnosis, treatment, etc.) after a positive screening result affected by timing, setting, patient characteristics, or other factors?
ISBN: 148952472X
ISBN13: 9781489524720
Author: U. S. Department of Health and Human Services, Agency for Healthcare Research and Quality
Publisher: CreateSpace Independent Publishing Platform
Format: Paperback
PublicationDate: 2013-05-20
Language: English
PageCount: 220
Dimensions: 8.5 x 0.5 x 11.0 inches
Weight: 18.4 ounces
Depression is a potentially life-threatening condition with a substantial impact on quality of life. The impact of depression in postpartum women is at least as great as that of depression in other populations. Postpartum depression is defined in the “Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision” as a major depressive disorder according to standard diagnostic criteria—namely, five or more of the following symptoms present during the same 2-week period, with a secondary criterion of onset of symptoms within 4 weeks of delivery: Depressed mood most of the day nearly every day, as indicated by either subjective report (e.g., feels sad or empty) or observation made by others (e.g., appears tearful); Markedly diminished interest in pleasure in all or almost all activities most of the day nearly every day (as indicated by either subjective account or observation made by others); Significant weight loss when not dieting, weight gain, or decrease or increase in appetite nearly every day; Insomnia or hypersomnia nearly every day; Psychomotor agitation or retardation nearly every day (observable by others; not merely subjective feelings of restlessness or being slowed down); Fatigue or loss of energy nearly every day; Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick); Diminished ability to think or concentrate, or indecisiveness, nearly every day (either subjective account or as observed by others); Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide. This review was funded by AHRQ and designed to evaluate the comparative diagnostic accuracy, benefits, and harms of available screening instruments for postpartum depression. The Key Questions considered in this review are: KQ 1: This question has two parts: a. What are the sensitivity and specificity of currently available screening instruments for detecting postpartum depression, and how do these translate into the likelihood of false negative and false-positive results in different populations and settings? b. Are there clinically relevant differences in the ability of currently available screening instruments to correctly identify specific signs or symptoms of depression (e.g., suicidal ideation)? KQ 2: This question has two parts: a. Are there individual factors (age, race, parity, history of mood disorders, history of intimate partner violence, perinatal outcomes, cultural factors) that affect the baseline risk of postpartum depression and, therefore, the subsequent positive and negative predictive values of screening instruments? b. Are there validated predictive models or algorithms based on such factors that would improve the performance of screening instruments? KQ 3: Are the performance characteristics (sensitivity, specificity, predictive values) of screening instruments affected by: a. Timing (prenatal, peripartum, or at various times in the first postpartum year) and frequency of screening? b. Setting (prenatal visit, hospital/birthing center/home, postpartum maternal visit, or well child visit)? c. Provider (obstetrician, midwife, pediatrician, family practitioner, other health provider)? KQ 4: What are the comparative benefits of screening for postpartum depression when compared with no screening, or between different screening strategies (based on choice of screening instrument, timing, setting, etc.)? KQ 5: What are the comparative harms of screening for postpartum depression when compared with no screening, or between different screening strategies (based on choice of screening instrument, timing, setting, etc.)? KQ 6: Is the likelihood of an appropriate action (referral, diagnosis, treatment, etc.) after a positive screening result affected by timing, setting, patient characteristics, or other factors?

Books - New and Used

The following guidelines apply to books:

  • New: A brand-new copy with cover and original protective wrapping intact. Books with markings of any kind on the cover or pages, books marked as "Bargain" or "Remainder," or with any other labels attached, may not be listed as New condition.
  • Used - Good: All pages and cover are intact (including the dust cover, if applicable). Spine may show signs of wear. Pages may include limited notes and highlighting. May include "From the library of" labels. Shrink wrap, dust covers, or boxed set case may be missing. Item may be missing bundled media.
  • Used - Acceptable: All pages and the cover are intact, but shrink wrap, dust covers, or boxed set case may be missing. Pages may include limited notes, highlighting, or minor water damage but the text is readable. Item may but the dust cover may be missing. Pages may include limited notes and highlighting, but the text cannot be obscured or unreadable.

Note: Some electronic material access codes are valid only for one user. For this reason, used books, including books listed in the Used – Like New condition, may not come with functional electronic material access codes.

Shipping Fees

  • Stevens Books offers FREE SHIPPING everywhere in the United States for ALL non-book orders, and $3.99 for each book.
  • Packages are shipped from Monday to Friday.
  • No additional fees and charges.

Delivery Times

The usual time for processing an order is 24 hours (1 business day), but may vary depending on the availability of products ordered. This period excludes delivery times, which depend on your geographic location.

Estimated delivery times:

  • Standard Shipping: 5-8 business days
  • Expedited Shipping: 3-5 business days

Shipping method varies depending on what is being shipped.  

Tracking
All orders are shipped with a tracking number. Once your order has left our warehouse, a confirmation e-mail with a tracking number will be sent to you. You will be able to track your package at all times. 

Damaged Parcel
If your package has been delivered in a PO Box, please note that we are not responsible for any damage that may result (consequences of extreme temperatures, theft, etc.). 

If you have any questions regarding shipping or want to know about the status of an order, please contact us or email to support@stevensbooks.com.

You may return most items within 30 days of delivery for a full refund.

To be eligible for a return, your item must be unused and in the same condition that you received it. It must also be in the original packaging.

Several types of goods are exempt from being returned. Perishable goods such as food, flowers, newspapers or magazines cannot be returned. We also do not accept products that are intimate or sanitary goods, hazardous materials, or flammable liquids or gases.

Additional non-returnable items:

  • Gift cards
  • Downloadable software products
  • Some health and personal care items

To complete your return, we require a tracking number, which shows the items which you already returned to us.
There are certain situations where only partial refunds are granted (if applicable)

  • Book with obvious signs of use
  • CD, DVD, VHS tape, software, video game, cassette tape, or vinyl record that has been opened
  • Any item not in its original condition, is damaged or missing parts for reasons not due to our error
  • Any item that is returned more than 30 days after delivery

Items returned to us as a result of our error will receive a full refund,some returns may be subject to a restocking fee of 7% of the total item price, please contact a customer care team member to see if your return is subject. Returns that arrived on time and were as described are subject to a restocking fee.

Items returned to us that were not the result of our error, including items returned to us due to an invalid or incomplete address, will be refunded the original item price less our standard restocking fees.

If the item is returned to us for any of the following reasons, a 15% restocking fee will be applied to your refund total and you will be asked to pay for return shipping:

  • Item(s) no longer needed or wanted.
  • Item(s) returned to us due to an invalid or incomplete address.
  • Item(s) returned to us that were not a result of our error.

You should expect to receive your refund within four weeks of giving your package to the return shipper, however, in many cases you will receive a refund more quickly. This time period includes the transit time for us to receive your return from the shipper (5 to 10 business days), the time it takes us to process your return once we receive it (3 to 5 business days), and the time it takes your bank to process our refund request (5 to 10 business days).

If you need to return an item, please Contact Us with your order number and details about the product you would like to return. We will respond quickly with instructions for how to return items from your order.


Shipping Cost


We'll pay the return shipping costs if the return is a result of our error (you received an incorrect or defective item, etc.). In other cases, you will be responsible for paying for your own shipping costs for returning your item. Shipping costs are non-refundable. If you receive a refund, the cost of return shipping will be deducted from your refund.

Depending on where you live, the time it may take for your exchanged product to reach you, may vary.

If you are shipping an item over $75, you should consider using a trackable shipping service or purchasing shipping insurance. We don’t guarantee that we will receive your returned item.

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