Naslov
A better screening time point for postpartum depression

Autori
Nakić, Sandra ; Herman, Radoslav ; Tadinac , Meri

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
XVIII. Dani psihologije u Zadru - Sažetci radova / Penezić, Zvjezdan ; Ćubela Adorić, Vera ; Ombla, Jelena ; Slišković, Ana ; Sorić, Izabela ; Valerjev, Pavle ; Vulić-Prtorić, Anita - Zadar : Sveučilište u Zadru, 2012, 31-31

ISBN
978-953-7237-34-9

Skup
XVIII. Dani psihologije u Zadru - Symposium on Reproductive Mental Health

Mjesto i datum
Zadar, Hrvatska, 24.05.2012. - 26.05.2012

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
postpartum depression; screening inventory; longitudinal; ROC analysis

Sažetak
Postpartum depression (PPD) is a serious mental health problem and since it could have detrimental consequences for the whole family, it is very important to identify women at risk for developing PPD. The predictors of PPD are measured either in pregnancy or in the early postpartum. Studies that used both measures are scarce and they did not give indication whether it was better to screen for PPD in pregnancy or in the early postpartum. Therefore, the aim of this study was to compare the predictive values of PPD screening results from two time points – third trimester and early postpartum. Two-hundred and seventy two women without psychiatric history participated in the study. Questionnaires were administered in the third trimester of pregnancy, 2-3 days after birth, and 6 weeks after birth. Women filled out the questionnaires measuring the previously established risk factors, such as depressive symptoms, anxiety, specific and general stress, perceived social support, and self-esteem. Additional data were collected from medical records and general information questionnaire. A total score on each of the scales was recalculated to 1 (if scored above the cut-off) and 0 (below the cut-off). Those scores were then combined, resulting in two composite scores - Pregnancy Risk Inventory (PRI) and Early Postpartum Risk Inventory (EPPRI). The Structured Clinical Interview for DSM-IV (SCID) was conducted six weeks after birth by phone to determine the presence of major or minor depressive episode. The Receiver Operating Characteristic (ROC) analyses have shown that both inventories performed equally well and had satisfying accuracy in differentiating women with PPD and healthy women (the areas under ROC curve for PRI and EPPRI were 0.75 and 0.78, respectively). PRI yielded a sensitivity of 86.4% and a specificity of 48.0% at a cut-off score of 7/8 and EPPRI yielded a sensitivity of 81.8% and a specificity of 67.2% at a cut-off score of 8/9. Women scoring above the cut-off on PRI were 5.9 times more likely to have PPD and those scoring above the cut-off on EPPRI were 9.2 times more likely to have PPD, than those below the cut-off. The logistic regression confirmed that EPPRI was a significant predictor of PPD, while PRI was not. In conclusion, the screening for PPD might be more efficient when done early postpartum, but further improvement in psychometric properties of EPPRI is necessary before its application in the clinical setting.

Izvorni jezik
Engleski

Znanstvena područja
Psihologija

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