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Depression screening practices of prenatal genetic counselors
Descriptive
TitleInfo
Title
Depression screening practices of prenatal genetic counselors
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Belsky
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Sarah
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1994
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Belsky, Sarah, 1994-
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author
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Heiman
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Gary
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Gary Heiman
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Advisory Committee
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chair
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Seymour
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Christine
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Christine Seymour
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Advisory Committee
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internal member
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Joines
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Jessica
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Jessica Joines
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Advisory Committee
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internal member
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Rutgers University
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School of Graduate Studies
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school
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theses
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2020
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2020-05
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English
Abstract
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Prenatal depression is a common problem for pregnant women, affecting up to 15% of women with even higher rates in low-income countries, and can have negative effects on the health and wellbeing of both mother and child. Women referred to a prenatal genetic counselor may be experiencing stressors such as an increased risk of aneuploidy, and may need to make important, time-sensitive decisions regarding their pregnancy. It is well established that depression can negatively impact the decision-making process, and the American College of Obstetricians and Gynecologists (ACOG) recommends that all healthcare providers perform depression screening for patients during the prenatal period. Therefore, we examined the methods prenatal genetic counselors are using to assess for depression in their patients as well as their opinions on this topic.
We found that while 60.0% of respondents believe addressing depression in the context of the prenatal genetic counseling session is important, only 30.4% routinely do so. This suggests the existence of barriers that may be hindering some genetic counselors from obtaining this information from patients. These barriers include the social stigmatization of openly discussing mental health, discomfort on the part of the patient, and a lack of time in the counseling session. Additionally, only 53.2% of respondents feel confident in their abilities to identify and address symptoms of depression in a patient, and only 36.2% are aware of the ACOG guidelines regarding depression screening. Awareness of the ACOG guidelines was found to be significantly correlated with confidence in one’s ability to address depression, and likelihood to discuss protective mental health factors with patients. These results indicate the need for more education and awareness regarding the utility and necessity of depression screening in the prenatal genetics setting.
We found that while 60.0% of respondents believe addressing depression in the context of the prenatal genetic counseling session is important, only 30.4% routinely do so. This suggests the existence of barriers that may be hindering some genetic counselors from obtaining this information from patients. These barriers include the social stigmatization of openly discussing mental health, discomfort on the part of the patient, and a lack of time in the counseling session. Additionally, only 53.2% of respondents feel confident in their abilities to identify and address symptoms of depression in a patient, and only 36.2% are aware of the ACOG guidelines regarding depression screening. Awareness of the ACOG guidelines was found to be significantly correlated with confidence in one’s ability to address depression, and likelihood to discuss protective mental health factors with patients. These results indicate the need for more education and awareness regarding the utility and necessity of depression screening in the prenatal genetics setting.
Subject
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Topic
Microbiology and Molecular Genetics
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Rutgers University Electronic Theses and Dissertations
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ETD_10707
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application/pdf
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text/xml
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1 online resource (iv, 25 pages)
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M.S.
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Includes bibliographical references
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School of Graduate Studies Electronic Theses and Dissertations
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rucore10001600001
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NjNbRU
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doi:10.7282/t3-xxj7-2851
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ETD graduate
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Rights
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The author owns the copyright to this work.
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Name
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Belsky
GivenName
Sarah
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Permission or license
DateTime
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2020-04-05 15:08:03
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Name
Sarah Belsky
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Copyright holder
Affiliation
Rutgers University. School of Graduate Studies
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License
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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windows xp
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2020-04-06T16:28:13
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2020-04-06T16:28:13
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