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Does Education Influence Pediatricians' Perceptions of Physician-Specific Barriers for Maternal Depression?

Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio

Amy Storfer-Isser, MS

Center for Clinical Investigation, Case Western Reserve University School of Medicine, Cleveland, Ohio

Karen G. O'Connor, BS

Department of Research, American Academy of Pediatrics, Elk Grove, Illinois

Kimberly E. Hoagwood, PhD

Department of Psychiatry, Columbia University, New York, New York

Kelly J. Kelleher, MD MPH

Department of Pediatrics, College of Medicine and Public Health, Ohio State University, Columbus, Ohio

Amy M. Heneghan, MD

Department of Pediatrics, School of Medicine, Case Western Reserve University, Cleveland, Ohio

Elyse R. Park, PhD

Massachusetts General Hospital/Harvard Medical School, Boston, Massachusetts

Linda H. Chaudron, MD, MS

Departments of Psychiatry, Pediatrics and Obstetrics and Gynecology, University of Rochester, Rochester, New York, New York

Ruth E. K. Stein, MD

Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore Medical Center, New York, New York

Sarah McCue Horwitz, PhD

Department of Pediatrics, Center for Health Policy and Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford, California, sarah.horwitz{at}stanford.edu

Pediatric residency reforms have increased emphasis on psychosocial issues, but we do not know whether this has changed pediatricians' perceptions of barriers to addressing maternal depression. A survey of 1600 members of the American Academy of Pediatrics investigated whether training in adult mental health issues and perceived barriers to addressing maternal depression differed for current pediatric residents, pediatricians in practice <5 years, and those in practice 5 years. Training did not differ for respondents who were currently in training, in practice <5 years, or in practice 5 years. Those in practice 5 years reported more barriers to addressing maternal depression compared with current residents. Current residents with training in adult mental techniques reported fewer barriers to the care of maternal depression. However, in spite of residency reforms, 81% of current residents reported no training in adult mental health issues.

Key Words: maternal depression • barriers • education

This version was published on September 1, 2008

Clinical Pediatrics, Vol. 47, No. 7, 670-678 (2008)
DOI: 10.1177/0009922808315213


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