Table 3.
Impact of Stepped Care Treatment for PPD on 9-Month Health, Work, and Duration of Treatment Outcomes
| Outcomes | Stepped Care(n = 16) | Control (n = 18) | P Value1 |
|---|---|---|---|
| PHQ-9: mean (sd)2 | 9.0 (7.3) | 7.6 (6.5) | .597 |
| Women with positive PHQ-9 (score ≥10): # (%) | 7 (44%) | 5 (28%) | .475 |
| Mental Health: mean (sd)3 | 18.8 (5.9) | 20.7 (5.4) | .356 |
| General Health: mean (sd)4 | 2.8 (1.0) | 2.8 (0.6) | .851 |
| # Mom’s days ill (over 2 weeks): mean (sd) | 3.3 (4.9) | 2.6 (5.0) | .869 |
| # Baby’s days ill (over 2 weeks): mean (sd) | 1.1 (3.5) | 1.9 (3.0) | .466 |
| # Mom’s clinic/urgent care visits (2 weeks): mean (sd) | 0.2 (0.8) | 0.2 (.04) | .972 |
| # Baby’s clinic/urgent care visits (2 weeks): mean (sd) | 0.1 (0.3) | 0.6 (1.9) | .407 |
| Length of Maternity Leave (weeks): mean (sd)5 | 23.0 (12.7) | 9.1 (4.8) | .024 |
| #Hours spent at work over past week: mean (sd) | 34.0 (2.8) | 35.0 (7.2) | .861 |
| #Hours of missed work over past week: mean (sd) | 4.0 (5.7) | 1.5 (2.1) | .296 |
| Impact of health problems on work productivity: mean (sd)6 | 1.0 (1.4) | 2.0 (2.4) | .604 |
| Impact of problems on regular (non-job) activities: mean(sd)6 | 3.9 (3.1) | 2.4 (2.8) | .562 |
| # Weeks of treatment: mean (sd) | 19.8 (11.5) | 19.6 (12.8) | .363 |
| Women treated for ≥ 12 weeks: # (%) | 9 (75%) | 4 (67%) | .252 |
| # Counseling visits: mean (sd) | 5.3 (8.8) | 2.3 (3.1) | .131 |
| # Psychiatry visits: mean (sd) | 0.8 (2.1) | 0.5 (0.8) | .928 |
1
Determined by one-way analysis of variance or chi-square.
2
PHQ-9 score range = 0–27, with higher numbers representing more depressive symptoms.
3
Mental Health score range = 5–30, with higher numbers representing better mental health.
4
General health, single item: 1 = poor, 2 = fair, 3 = good, 4 = very good, 5 = excellent.
5
The analysis on length of leave included only 2 stepped care subjects and 8 control subjects.
6
Impact of health problems on work productivity or regular (non-job related) activities: scale of 0–10, where higher numbers represent greater negative health impact.