title: Decision making for depression treatment during pregnancy and the postpartum period.
abstract: BACKGROUND
  To explore women's perspectives about the treatment decision-making process for depression during pregnancy and after birth.
  
  
  METHODS
  One hundred pregnant and postpartum women completed an anonymous web-based surveys regarding treatment decision making for depression.
  
  
  RESULTS
  Survey data reveal that most women in this sample prefer an active collaborative role in treatment decision making for depression. Sixty-five percent of the sample made a decision for treatment of their major depressive disorder, including a decision for no treatment, and 34% reported not having made a decision or feeling unsure about their decision. More than half of the sample preferred combination treatment with medications and counseling (55%) followed by counseling (22%), no treatment (8%), and medications (8%). Overall, respondents in this sample had low levels of decisional conflict (uncertainty) with younger women in the sample reporting higher levels of decisional conflict.
  
  
  CONCLUSIONS
  Treatment decision making for depression during the perinatal period is complex. Asking women about their preferences for participation in decision making, their treatment preferences and their decision making needs during the clinical encounter may lead to improved communication, decision making and quality of care.
authors.affiliation: New York State Psychiatric Institute, Columbia University, College of Physicians and Surgeons, New York, New York 10032, USA. sp2309@columbia.edu
authors.forename: Sapana R
authors.initials: SR
authors.lastname: Patel
authors.forename: Katherine L
authors.initials: KL
authors.lastname: Wisner
mesh_terms: D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003376:Counseling; D003657:Decision Making; D003661:Decision Support Techniques; D019052:Depression, Postpartum / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D005260:Female; D006301:Health Services Needs and Demand; D006306:Health Surveys; D006801:Humans; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010358:Patient Participation; D057240:Patient Preference; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*
chemical_list: D000928:Antidepressive Agents