Perinatal mental disorders in Switzerland: prevalence estimates and use of mental-health services
Lade...
Autor:innen
Berger, Anke
Signorell, Andri
Erdin, Rebekka
Oelhafen, Stephan
Reich, Oliver
Cignacco, Eva
Autor:in (Körperschaft)
Publikationsdatum
07.03.2017
Typ der Arbeit
Studiengang
Typ
01A - Beitrag in wissenschaftlicher Zeitschrift
Herausgeber:innen
Herausgeber:in (Körperschaft)
Betreuer:in
Übergeordnetes Werk
Swiss Medical Weekly
Themenheft
DOI der Originalpublikation
Link
Reihe / Serie
Reihennummer
Jahrgang / Band
147
Ausgabe / Nummer
w14417
Seiten / Dauer
1-9
Patentnummer
Verlag / Herausgebende Institution
EMH Schweizerischer Ärzteverlag
Verlagsort / Veranstaltungsort
Auflage
Version
Programmiersprache
Abtretungsempfänger:in
Praxispartner:in/Auftraggeber:in
Zusammenfassung
BACKGROUND
Perinatal mental disorders (PMDs) are the most common complication of pregnancy and the first postpartum year. Since PMD prevalence and use of mental-health services by perinatal women in Switzerland are unknown, we analysed existing health statistics.
METHODS
We used statistics from a large health insurance company, hospitals and freelance midwives. We assessed the annual rates of mental healthcare use in perinatal women (n = 13 969). We ascertained the annual rates of PMD treatment in obstetric inpatients (n = 89 699), and annual rates of PMD records by freelance midwives (n = 57 951). In 15 104 women who gave birth in 2012 or 2013, we assessed use of mental-healthcare before and during pregnancy, and in the postpartum year. For the same sample, we determined proportions of medication and consultation treatments. We used multiple regression analysis to estimate the influence of PMD on overall healthcare costs of mandatory health insurance.
RESULTS
The annual rate of mental-healthcare use by perinatal women was 16.7%. The annual rate of PMD treatment in obstetric inpatients was 1.1%. The annual rate of PMD records in the midwifery care setting was 2.9%. Women with PMD use mental health services mainly in non-obstetric outpatient settings. Medication was the most frequent treatment. Primary care providers and mental health specialists contributed almost equally to consultation treatments. PMD during pregnancy raised overall costs of healthcare in the postpartum year by 1214 Swiss francs.
Schlagwörter
Perinatal mental disorders
Fachgebiet (DDC)
300 - Sozialwissenschaften
Veranstaltung
Startdatum der Ausstellung
Enddatum der Ausstellung
Startdatum der Konferenz
Enddatum der Konferenz
Datum der letzten Prüfung
ISBN
ISSN
0036-7672
1424-3997
1424-7860
1424-3997
1424-7860
Sprache
Englisch
Während FHNW Zugehörigkeit erstellt
Ja
Publikationsstatus
Veröffentlicht
Begutachtung
Keine Begutachtung
Open Access-Status
Lizenz
Zitation
BERGER, Anke, Nicole BACHMANN, Andri SIGNORELL, Rebekka ERDIN, Stephan OELHAFEN, Oliver REICH und Eva CIGNACCO, 2017. Perinatal mental disorders in Switzerland: prevalence estimates and use of mental-health services. Swiss Medical Weekly. 7 März 2017. Bd. 147, Nr. w14417, S. 1–9. DOI https://doi.emh.ch/10.4414/smw.2017.14417. Verfügbar unter: https://doi.org/10.26041/fhnw-1143