title: Effect of maternal depression and anxiety on use of health services for infants.
abstract: OBJECTIVE
  To evaluate the association between postpartum maternal depressive symptoms or maternal anxiety and health services utilization (HSU) for infants.
  
  
  METHODS
  Telephone survey.
  
  
  METHODS
  London-Middlesex region of Ontario.
  
  
  METHODS
  Mothers of infants 2 to 12 months of age between 2004 and 2005 (N = 655). This sample was drawn from a larger longitudinal cohort of mothers recruited during pregnancy.
  
  
  METHODS
  Maternal depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale. Anxiety was measured using the State-Trait Anxiety Inventory. Infant HSU outcomes included number of primary care provider (PCP) visits for infants < 6 months of age, number of PCP visits for infants 6 to 12 months of age, emergency department (ED) use, and walk-in clinic (WIC) use.
  
  
  RESULTS
  Multivariable regression methods were used to compare HSU for infants. After adjustment for confounders, no significant associations were observed between postpartum maternal depressive symptoms and PCP visits, ED use, or WIC use. Similarly, no significant associations were observed for maternal anxiety and PCP visits, ED use, or WIC use.
  
  
  CONCLUSIONS
  In contrast to some previous studies, this study found no association between postpartum maternal depressive symptoms or anxiety and HSU for infants.
authors.affiliation: University of Toronto, ON, Canada.
authors.forename: Laura N
authors.initials: LN
authors.lastname: Anderson
authors.forename: M Karen
authors.initials: MK
authors.lastname: Campbell
authors.forename: Orlando
authors.initials: O
authors.lastname: daSilva
authors.forename: Thomas
authors.initials: T
authors.lastname: Freeman
authors.forename: Bin
authors.initials: B
authors.lastname: Xie
mesh_terms: D000328:Adult; D001007:Anxiety / Q000453:epidemiology*; D002662:Child Health Services / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D003863:Depression / Q000453:epidemiology*; D005260:Female; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D007223:Infant; D009819:Office Visits / Q000706:statistics & numerical data; D009864:Ontario / Q000453:epidemiology; D017063:Outcome Assessment, Health Care / Q000379:methods*; D049590:Postpartum Period / Q000523:psychology*; D011247:Pregnancy; D015995:Prevalence; D011320:Primary Health Care / Q000379:methods / Q000706:statistics & numerical data; D012189:Retrospective Studies; D011795:Surveys and Questionnaires