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Published Online: 10 April 2019

Mental Health Treatment and Unmet Mental Health Care Need Among Pregnant Women With Major Depressive Episode in the United States

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Maria X. Sanmartin, Ph.D. [email protected], Mir M. Ali, Ph.D., Jie Chen, Ph.D., and Debra S. Dwyer, Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 70, Number 6
https://doi.org/10.1176/appi.ps.201800433
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Abstract

Objective:

Perinatal mental health is a major public health issue in the United States. Yet, much is unknown about unmet mental health care need among pregnant women with a major depressive episode and the reasons for unmet need.

Methods:

Using a nationally representative data set, the study examined mental health treatment utilization, unmet mental health care need, and the reasons for unmet mental health care needs among pregnant women with a major depressive episode compared with nonpregnant women with a major depressive episode (weighted N=128,000).

Results:

Of pregnant women who had experienced a major depressive episode, 49% reported receiving any mental health treatment, compared with 57% of nonpregnant women with a major depressive episode. The study also found financial barriers to be the primary reason for unmet mental health care need.

Conclusions:

Despite current treatment guidelines and policy initiatives, most women with major depressive episodes go without any treatment utilization and perceive an unmet need for their mental health care.

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Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services

Cover: XXXX

Psychiatric Services
Volume 70 • Number 6 • June 01, 2019
Pages: 503 - 506
PubMed: 30966943

History

Received: 21 September 2018
Revision received: 19 November 2018
Revision received: 2 January 2019
Accepted: 31 January 2019
Published online: 10 April 2019
Published in print: June 01, 2019

Keywords

  1. Women
  2. Mental illness
  3. Alcohol and drug abuse
  4. opioids

Authors

Details

Maria X. Sanmartin, Ph.D. [email protected]
Department of Health Professions, Hofstra University, Hempstead, New York (Sanmartin); Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services (Ali); Department of Health Services Administration, University of Maryland, College Park (Chen); Department of Technology and Society, Stony Brook University, Stony Brook, New York (Dwyer).
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Mir M. Ali, Ph.D.
Department of Health Professions, Hofstra University, Hempstead, New York (Sanmartin); Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services (Ali); Department of Health Services Administration, University of Maryland, College Park (Chen); Department of Technology and Society, Stony Brook University, Stony Brook, New York (Dwyer).
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Jie Chen, Ph.D.
Department of Health Professions, Hofstra University, Hempstead, New York (Sanmartin); Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services (Ali); Department of Health Services Administration, University of Maryland, College Park (Chen); Department of Technology and Society, Stony Brook University, Stony Brook, New York (Dwyer).
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Debra S. Dwyer, Ph.D.
Department of Health Professions, Hofstra University, Hempstead, New York (Sanmartin); Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services (Ali); Department of Health Services Administration, University of Maryland, College Park (Chen); Department of Technology and Society, Stony Brook University, Stony Brook, New York (Dwyer).
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Notes

Send correspondence to Dr. Sanmartin ([email protected]).

Competing Interests

The authors report no financial relationships with commercial interests.

Funding Information

Dr. Chen is supported by the National Institute on Minority Health and Health Disparities (grant 1R01MD011523-02) and the National Institute of Mental Health (grant R21MH106813).

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