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10.06.2024 | Original Article

Are virtual services equivalent for mood, anxiety, and bonding? examining a perinatal intensive outpatient program

verfasst von: Kathryn E. Cherry, Jenna D. Li, Rebecca J. Brent

Erschienen in: Archives of Women's Mental Health

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Abstract

Purpose

Perinatal Intensive Outpatient Programs (IOPs) address severe perinatal mood and anxiety disorders (PMADs) and mother-infant relationship concerns. Given the impact of PMADs on mothers and infants, rapid transitions to virtual services (telehealth) amid COVID-19, and service expansions to populations in need, it is critical to evaluate how effectively virtual and in-person perinatal IOP services treat PMADs and mother-infant bonding.

Methods

This quality-improvement record review examined patient records (n = 361) for a perinatal IOP from May 2016 to July 2023, amid multiple transitions between in-person and virtual services related to COVID-19, influenza, and respiratory syncytial virus. Patients in the completed measures sample (n = 115) completed depression (EPDS), anxiety (GAD-7, PASS), and mother-infant bonding (PBQ) measures over the first 3 weeks of treatment. Patients also anonymously provided program satisfaction ratings and qualitative feedback.

Results

While anxiety and depression symptoms improved similarly across service settings, mother-baby bonding only significantly improved with in-person treatment. Patient symptom outcomes also differed by public/private insurance, race, and number of children. Patients reported high service ratings and overall satisfaction, and available feedback indicates some preference for in-person services.

Conclusion

As perinatal mental health services and IOPs continue to expand, virtual services can similarly address anxiety and depression symptoms and help to reach in-need populations. However, for perinatal IOPs, the core treatment target of mother-infant bonding may be uniquely addressed via in-person services.

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Titel: Are virtual services equivalent for mood, anxiety, and bonding? examining a perinatal intensive outpatient program
verfasst von: Kathryn E. Cherry
Jenna D. Li
Rebecca J. Brent
Publikationsdatum: 10.06.2024
Verlag: Springer Vienna
Erschienen in: Archives of Women's Mental Health
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI: https://doi.org/10.1007/s00737-024-01480-y

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