Background: Many women who suffer from postnatal depression are never diagnosed or treated. The objective of this study was to develop an index for use in maternity settings that identifies women who may be at risk for postnatal depression.
Methods: Women (n = 1762) attending the "booking-in" clinic were screened for antenatal risk factors for postnatal depression. On the third postnatal day eligible women were screened for postnatal risk factors. The Edinburgh Postnatal Depression Scale was mailed to participants 16 weeks after the birth. A predictive index was developed, based on the mean Edinburgh Postnatal Depression Scale scores for each risk factor. The sensitivity, specificity, positive predictive value, and negative predictive value were used to assess the diagnostic value of the index.
Results: Seven hundred and twenty-three (50.1%) of the eligible women completed all phases of the study. Of this group, 93 (12.2%) women scored higher than 12 on the Edinburgh Postnatal Depression Scale. At a cutoff of 6, the index had positive predictive value of 39.8 percent for postnatal depression, a threefold improvement over the base rate.
Conclusion: The Brisbane Postnatal Depression Index provides a clinically useful method for identifying women at risk for developing postnatal depression. It has applications for early intervention or to identify high-risk groups for research purposes.
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http://dx.doi.org/10.1046/j.1523-536x.2003.00228.x | DOI Listing |
J Affect Disord Rep
January 2025
Institute for Global Health and Development, Queen Margaret University, Edinburgh, UK.
Background: Addressing perinatal psychological distress in Sierra Leone faces challenges due to the lack of culturally appropriate assessment tools, despite recent WHO recommendations for screening during the pre- and postpartum periods. While high-income countries use tools like the Edinburgh Postnatal Depression Scale or Patient Health Questionnaire-9 (PHQ-9), their cross-cultural validity and efficacy in developing countries are uncertain. The aim of this study was to address this gap by developing a functional assessment tool, culturally appropriate screening tool for perinatal psychological distress, and validate it with the PHQ-9.
View Article and Find Full Text PDFClin Pract Epidemiol Ment Health
September 2024
School of Public Health, Al Quds University, Jerusalem, Palestine.
Background: Despite the increased interest from researchers in Postpartum depression (PPD) globally, related studies are limited in Palestine and do not provide a comprehensive understanding of PPD.
Objective: We examined the factors that determine post-partum depression among Palestinian mothers in Hebron governorate.
Methods: A cross-sectional study was conducted in 122 governmental primary healthcare clinics in Hebron Governorate.
J Affect Disord
January 2025
Department of Epidemiology, Boston University School of Public Health, 715 Albany Street, Boston, MA, USA.
Background: Identifying risk factors for postpartum depression (PPD) is critical to inform early intervention efforts. This study investigated the impact of adverse perinatal events on PPD.
Methods: We analyzed data from the Pregnancy Study Online (PRESTO), a North American prospective preconception cohort study.
Midwifery
January 2025
Faculty of Psychology, SWPS University in Katowice, Poland.
Background: Social support and maternal self-efficacy are important protective factors against depression. However, the contribution of these variables to postpartum depression in the context of persistent maternal fatigue and prolonged unrestrained infant crying is unclear.
Objectives: This study aimed to explore possible mediating roles of maternal chronic fatigue, infant crying intensity, and frustration as a maternal emotional response to infant crying on the relationship between social support, maternal self-efficacy and maternal depression.
Matern Child Health J
January 2025
School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia.
Objectives: Women with preconception anxiety and/or depression experience high rates of relapse or recurrence of the disorders in the perinatal period. This review aimed to identify perinatal interventions that were designed to prevent relapse or recurrence in women with a history of anxiety and/or depression.
Methods: The review was conducted based on the PRISMA guidelines.
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