What is the best tool for screening antenatal depression?

Journal of Affective Disorders
Tiago Castro E CoutoHumberto Corrêa

Abstract

Antenatal depression (AD) can have devastating consequences. No existing scales are specifically designed to measure it. Common practice is to adapt scales originally developed for other circumstances. We designed this study to validate and determine the psychometric values for AD screening in Brazil. We collected clinical and socio-demographic data in the second gestational trimester. The following instruments were also administered during that period: MINI-PLUS, EPDS, BDI and HAM-D. At the time of assessment, 17.34% of the patients were depressed, and 31.98% met the diagnostic criteria for lifetime major depression. All instruments showed an area under the curve in a receiver operating characteristic analysis greater than 0.85, with the BDI achieving a 0.90 and being the best-performing screening instrument. A score ≥11 on the EPDS (81.58% sensitivity, 73.33% specificity), ≥15 on the BDI (82.00% sensitivity, 84.26% specificity) and ≥9 on the HAM-D (87.76% sensitivity, 74.60% specificity) revealed great dichotomy between depressed and non-depressed patients. Spearman׳s rank correlation coefficients (ρ) among the scales had good values (EPDS vs. BDI 0.79; BDI vs. HAM-D 0.70, and EPDS vs. HAM-D 0.67). This study was transversal,...Continue Reading

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Citations

Dec 29, 2015·Journal of Affective Disorders·T Castro E CoutoH Corrêa
Jul 21, 2015·Archives of Women's Mental Health·Tiago Castro e CoutoHumberto Corrêa
Apr 14, 2017·Trends in psychiatry and psychotherapy·Maicon Rodrigues AlbuquerqueLeonor Maria Pacheco Santos
Jul 19, 2016·The World Journal of Biological Psychiatry : the Official Journal of the World Federation of Societies of Biological Psychiatry·Chutima RoomruangwongMichael Maes
Jul 27, 2018·Journal of Reproductive and Infant Psychology·Stephen Matthey, Anna M Della Vedova
Apr 24, 2019·Journal of Epidemiology and Community Health·Rahini MahendranMahendran Amalan
Jun 6, 2020·Journal of Psychosomatic Obstetrics and Gynaecology·Xinning ChenXiaotian Li
Sep 10, 2018·Archives of Women's Mental Health·Amanda L ShamblawKate L Harkness
Apr 9, 2021·Expert Review of Neurotherapeutics·Bhuvaneshwari SethuramanKrishnamachari Srinivasan

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