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Women who were able to benefit from psychiatric follow-up during the quarantine by tele-consultation have a lower risk of anxious and depressive symptoms than those who did not receive follow-up.
The pandemic of COVID-19 (coronavirus desease 19) led to a strict quarantine from 15 March 2020 to 11 May 2020. Maternal depression is a current pathology , especially in the post-partum (more than 15%). The quarantine could lead to anxious and/or depressive symptoms and difficulties in parents-children bonding.
Women who have experenced post-partum period have more chance to developp subsequent depression.
Among women who have experienced post-partum depression, those who were able to benefit from psychiatric follow-up during the quarantine by tele-consultation have a lower risk of anxious and depressive symptoms than those who did not receive follow-up.
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| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of Hospital anxiety and depression scale (HAD) | To compare depression and anxiety HAD score of women who have a medical history ofpost-partum depression according to a follow-up or not during the quarantine by tele-consultation Score less than or egal to 7 = no case Score between 8 and 10 = uncertain case Score higher than or equal to 11 = confirmed case | 15 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of Edinburgh Postpartum Depression Scale (EPDS) | To compare the result of EPDS in women who have a child of less 2 years old according to a follow-up or not by tele-consultation during the quarantine | 15 minutes |
| Evaluation of HAD score in fathers |
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Inclusion Criteria:
Women above 18 years old
Who have experienced a post-partum depression between 2013 and late of 2019
Who have benefit a psychiatry post-partum follow-up (hospitalizations in psychiatry post-partum unity and/or medical consultation) by Bicêtre psychiatry service
Who have a child less than 7 years old (preschool age)
Speaking and reading in french
And their partner (above 18 years old)
In the main analyze, only women with a indication of following psychiatric follow-up by tele-consultation (with a psychiatric follow-up at the begenning of the quarantine, who have not been follow-up by psychiatrist in hospitalization or in face to face consultation) will be analyzed
Exclusion Criteria:
People with chronic psychotic disorder (Diagnostic and Statistical Manual of Mental Disorders:DSM-5 criteria)
People with mental handicap
People who are not able to give their consent
People subject to protection measure
People refusing to participate in the study
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Women who were treated by the psychiatry department at Bicêtre hospital for post-partum depression between 2013 and late 2019 and their partner
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Florence Gressier, Dr | Contact | 01 45 21 27 43 | florence.gressier@aphp.fr | |
| Emmanuelle Corruble, Pr | Contact | 01 45 21 27 43 | emmanuelle.corruble@aphp.fr |
| Name | Affiliation | Role |
|---|---|---|
| Florence Gressier, Dr | Bicêtre Hospital | Principal Investigator |
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| ID | Term |
|---|---|
| D019052 | Depression, Postpartum |
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D011644 | Puerperal Disorders |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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Anxiety and depression of fathers will be assessed with HAD scale |
| 15 minutes |
| Evaluation of EPDS in fathers | EPDS will be assessed in fathers who have a child of less than 2 years old | 15 minutes |
| Study of the relationship between maternals and paternals symptoms | The aim is to show that maternals anxious and depressive symptoms would be correlated to paternals positively symptoms | 15 minutes |
| Study of difficuties in child during the quarantine | Look for a correlation between the difficulties in child during the quarantine describe by parents and anxiety and depression symptoms in parents The difficulties in child will be illustrated with the rate of children with difficulties describe by the parents | 15 minutes |
| Risk and protection factors | Description of risk factors and protection factors setting up by the family during this quarantine period | 15 minutes |
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D014777 | Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |