Antenatal screening for postnatal depression: a systematic review

被引:162
作者
Austin, MP
Lumley, J
机构
[1] Univ New S Wales, Sch Psychiat, Sydney, NSW, Australia
[2] Univ New S Wales, Mood Disorders Unit, Sydney, NSW, Australia
[3] La Trobe Univ, Ctr Study Mothers & Childrens Hlth, Melbourne, Vic, Australia
关键词
review; pregnancy; mass screening; post-partum depression;
D O I
10.1034/j.1600-0447.2003.02024.x
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: To describe the screening properties of the antenatal tools which have been developed to predict depression after birth and to summarize the implications of the findings for antenatal screening. Method: Systematic review and secondary analysis of published papers. Results: Sixteen studies including sufficient data for the calculation of screening properties were identified. The majority developed a study-specific screening instrument. Outcome assessments used the Edinburgh Postnatal Depression Scale or standardized diagnostic psychiatric interviews, or both. In the two largest population-based studies, the proportion of women screening as positive ('at risk' of postnatal depression) was 16 and 52%, respectively, and of these only 35 and 8% actually developed depression after birth. Conclusion: No screening instrument(s) met the criteria for routine application in the antenatal period. Factors that may have affected poor sensitivity and positive predictive values include the exclusion of key domains in predicting risk, particularly personality, a past history of abuse and postnatal events, the contribution of which may be being under-estimated in studies evaluating antenatal risk prediction tools.
引用
收藏
页码:10 / 17
页数:8
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