Reliability and validity of instruments for assessing perinatal depression in African settings: systematic review and meta-analysis

PloS One
Alexander C TsaiMark Tomlinson

Abstract

A major barrier to improving perinatal mental health in Africa is the lack of locally validated tools for identifying probable cases of perinatal depression or for measuring changes in depression symptom severity. We systematically reviewed the evidence on the reliability and validity of instruments to assess perinatal depression in African settings. Of 1,027 records identified through searching 7 electronic databases, we reviewed 126 full-text reports. We included 25 unique studies, which were disseminated in 26 journal articles and 1 doctoral dissertation. These enrolled 12,544 women living in nine different North and sub-Saharan African countries. Only three studies (12%) used instruments developed specifically for use in a given cultural setting. Most studies provided evidence of criterion-related validity (20 [80%]) or reliability (15 [60%]), while fewer studies provided evidence of construct validity, content validity, or internal structure. The Edinburgh postnatal depression scale (EPDS), assessed in 16 studies (64%), was the most frequently used instrument in our sample. Ten studies estimated the internal consistency of the EPDS (median estimated coefficient alpha, 0.84; interquartile range, 0.71-0.87). For the 14 studi...Continue Reading

References

Apr 1, 1979·The British Journal of Psychiatry : the Journal of Mental Science·S A Montgomery, M Asberg
Jan 1, 1977·Social Science & Medicine·A M Kleinman
Jan 1, 1992·Journal of Psychosomatic Research·G Stein, O Van den Akker
May 1, 1988·The Journal of Nervous and Mental Disease·J A FlahertyS Birz
Jun 1, 1987·The British Journal of Psychiatry : the Journal of Mental Science·J L CoxR Sagovsky
Jan 1, 1974·Modern Problems of Pharmacopsychiatry·L R DerogatisL Covi
Sep 1, 1972·Archives of General Psychiatry·D P Cantwell
Jun 1, 1983·Acta Psychiatrica Scandinavica·A S Zigmond, R P Snaith
Jan 1, 1980·Journal of Psychosomatic Research·G S Stein
May 1, 1995·Social Science & Medicine·V Patel
Nov 1, 1994·The British Journal of Psychiatry : the Journal of Mental Science·O A Abiodun
Mar 1, 1993·General Hospital Psychiatry·O A AbiodunO O Ogunbode
Jun 9, 1998·Journal of Epidemiology and Community Health·S NhiwatiwaW Acuda
Sep 24, 1999·JAMA : the Journal of the American Medical Association·J G LijmerP M Bossuyt
Sep 29, 2000·Nursing Research·C T Beck, R K Gable
Nov 28, 2001·Acta Psychiatrica Scandinavica·M Eberhard-GranS O Samuelsen
Jul 12, 2002·Statistics in Medicine·Julian P T Higgins, Simon G Thompson
Mar 29, 2003·Acta Psychiatrica Scandinavica·Richard Uwakwe, John E N Okonkwo
Jun 19, 2003·JAMA : the Journal of the American Medical Association·Paul BoltonMyrna Weissman
Jun 1, 1961·Archives of General Psychiatry·A T BECKJ ERBAUGH
Jan 1, 1965·Archives of General Psychiatry·W W ZUNG
Sep 8, 2004·Archives of General Psychiatry·Atif RahmanRichard Harrington
May 4, 2005·Archives of Women's Mental Health·M AgoubO Battas
Sep 15, 2005·PLoS Medicine·J Jaime Miranda, Vikram Patel
Sep 20, 2005·Journal of Clinical Epidemiology·Johannes B ReitsmaAeilko H Zwinderman
Nov 2, 2005·Obstetrics and Gynecology·Norma I GavinTammeka Swinson
Mar 7, 2006·General Hospital Psychiatry·O A Abiodun
Mar 23, 2006·JAMA : the Journal of the American Medical Association·Myrna M WeissmanUNKNOWN STAR*D-Child Team
Aug 1, 2006·The American Journal of Psychiatry·Abiodun O Adewuya
Aug 9, 2006·Transcultural Psychiatry·Elialilia S Okello, Solvig Ekblad
Nov 28, 2006·Journal of Affective Disorders·Mark TomlinsonOye Gureje
Nov 30, 2006·Archives of Internal Medicine·Simon GilbodyAlex J Sutton
Jan 18, 2007·Journal of Psychosomatic Obstetrics and Gynaecology·Abiodun O AdewuyaOlubunmi O Fasoto
Sep 7, 2007·Lancet·Shekhar SaxenaHarvey Whiteford
Oct 25, 2007·Tropical Medicine & International Health : TM & IH·R F BaggaleyV Patel

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Citations

Apr 1, 2014·Archives of Women's Mental Health·Alexander C TsaiMary Jane Rotheram-Borus
Dec 2, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Angela KaidaDavid R Bangsberg
Apr 21, 2016·Journal of Psychosomatic Research·Danielle B RiceBrett D Thombs
May 3, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Kristin J HungAlexander C Tsai
Jun 11, 2015·Depression and Anxiety·Crystal T ClarkKatherine L Wisner
Sep 9, 2015·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·C B TerweeL B Mokkink
Sep 21, 2017·International Journal of Environmental Research and Public Health·Vikram NichaniCameron Grant
Sep 8, 2017·Journal of Developmental Origins of Health and Disease·S RedingerT Rochat
Oct 1, 2019·Journal of Midwifery & Women's Health·Nicolas BerthelotMaria Muzik
Oct 1, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Greer A RaggioJessica E Haberer
Apr 22, 2017·International Journal of Mental Health Systems·Ademola AdeponleOye Gureje
Aug 6, 2020·International Journal of Environmental Research and Public Health·Sathyanarayanan DoraiswamySohaila Cheema
Jul 26, 2018·BMC Pregnancy and Childbirth·Elizabeth A SymingtonCornelius M Smuts
Nov 27, 2018·The South African Journal of Psychiatry : SAJP : the Journal of the Society of Psychiatrists of South Africa·Ezeme M SundayVincent O Dinwoke
Jun 19, 2019·International Journal of Psychology : Journal International De Psychologie·Leah K WatsonEve S Puffer
Jun 15, 2019·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Araz S BoghossianGregory Jenkins
Oct 31, 2019·Global Mental Health·T van HeyningenS Honikman
Nov 21, 2019·The South African Journal of Psychiatry : SAJP : the Journal of the Society of Psychiatrists of South Africa·Lindelwa P DlaminiMduduzi C Shongwe
Feb 8, 2021·General Hospital Psychiatry·Francky Teddy EndombaJean Joel Bigna
Nov 19, 2020·International Journal of Environmental Research and Public Health·Nontokozo Lilian MbathaSphiwe Madiba

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