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Article: The utility of screening for perinatal depression in the second trimester among Chinese: A three-wave prospective longitudinal study

TitleThe utility of screening for perinatal depression in the second trimester among Chinese: A three-wave prospective longitudinal study
Authors
KeywordsChinese
Perinatal depressive symptoms
Predictive power
Issue Date2010
PublisherSpringer-Verlag Wien. The Journal's web site is located at http://www.springer.at/wom_health
Citation
Archives Of Women's Mental Health, 2010, v. 13 n. 2, p. 153-164 How to Cite?
AbstractThis paper aims to study the pattern of perinatal depressive symptomatology and determine the predictive power of second trimester perinatal depressive symptoms for future perinatal periods. A population-based sample of 2,178 women completed the Edinburgh Postnatal Depression Scale (EPDS) in the second and third trimesters and at 6 weeks postpartum. Repeated measures ANOVAs were used to determine the EPDS scores across three stages. The predictive power of the second trimester EPDS score in identifying women with an elevated EPDS score in the third trimester and at 6 weeks postpartum were determined. The predictive power of the second trimester EPDS score was further assessed using stepwise logistic regression and receiver operator characteristic curves. EPDS scores differed significantly across three stages. The rates were 9.9%, 7.8%, and 8.7% for an EPDS score of >14 in the second and third trimesters and at 6 weeks postpartum, respectively. Using a cut-off of 14/15, the second trimester EPDS score accurately classified 89.6% of women in the third trimester and 87.2% of those at 6 weeks postpartum with or without perinatal depressive symptomatology. Women with a second trimester EPDS score >14 were 11.78 times more likely in the third trimester and 7.15 times more likely at 6 weeks postpartum to exhibit perinatal depressive symptomatology after adjustment of sociodemographic variables. The area under the curve for perinatal depressive symptomatology was 0.85 in the third trimester and 0.77 at 6 weeks postpartum. To identify women at high risk for postpartum depression, healthcare professionals could consider screening all pregnant women in the second trimester so that secondary preventive intervention may be implemented. © 2009 Springer-Verlag.
Persistent Identifierhttp://hdl.handle.net/10722/124042
ISSN
2015 Impact Factor: 2.619
2015 SCImago Journal Rankings: 1.264
PubMed Central ID
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, Yen_HK
dc.contributor.authorWong, DFKen_HK
dc.contributor.authorChan, KSen_HK
dc.date.accessioned2010-10-19T04:35:31Z-
dc.date.available2010-10-19T04:35:31Z-
dc.date.issued2010en_HK
dc.identifier.citationArchives Of Women's Mental Health, 2010, v. 13 n. 2, p. 153-164en_HK
dc.identifier.issn1434-1816en_HK
dc.identifier.urihttp://hdl.handle.net/10722/124042-
dc.description.abstractThis paper aims to study the pattern of perinatal depressive symptomatology and determine the predictive power of second trimester perinatal depressive symptoms for future perinatal periods. A population-based sample of 2,178 women completed the Edinburgh Postnatal Depression Scale (EPDS) in the second and third trimesters and at 6 weeks postpartum. Repeated measures ANOVAs were used to determine the EPDS scores across three stages. The predictive power of the second trimester EPDS score in identifying women with an elevated EPDS score in the third trimester and at 6 weeks postpartum were determined. The predictive power of the second trimester EPDS score was further assessed using stepwise logistic regression and receiver operator characteristic curves. EPDS scores differed significantly across three stages. The rates were 9.9%, 7.8%, and 8.7% for an EPDS score of >14 in the second and third trimesters and at 6 weeks postpartum, respectively. Using a cut-off of 14/15, the second trimester EPDS score accurately classified 89.6% of women in the third trimester and 87.2% of those at 6 weeks postpartum with or without perinatal depressive symptomatology. Women with a second trimester EPDS score >14 were 11.78 times more likely in the third trimester and 7.15 times more likely at 6 weeks postpartum to exhibit perinatal depressive symptomatology after adjustment of sociodemographic variables. The area under the curve for perinatal depressive symptomatology was 0.85 in the third trimester and 0.77 at 6 weeks postpartum. To identify women at high risk for postpartum depression, healthcare professionals could consider screening all pregnant women in the second trimester so that secondary preventive intervention may be implemented. © 2009 Springer-Verlag.en_HK
dc.languageengen_HK
dc.publisherSpringer-Verlag Wien. The Journal's web site is located at http://www.springer.at/wom_healthen_HK
dc.relation.ispartofArchives of Women's Mental Healthen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsSpringer-Verlagen_HK
dc.subjectChineseen_HK
dc.subjectPerinatal depressive symptomsen_HK
dc.subjectPredictive poweren_HK
dc.titleThe utility of screening for perinatal depression in the second trimester among Chinese: A three-wave prospective longitudinal studyen_HK
dc.typeArticleen_HK
dc.identifier.emailWong, DFK: dfkwong@hkucc.hku.hken_HK
dc.identifier.authorityWong, DFK=rp00593en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1007/s00737-009-0134-xen_HK
dc.identifier.pmid20058040-
dc.identifier.pmcidPMC2953626-
dc.identifier.scopuseid_2-s2.0-77952239990en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77952239990&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume13en_HK
dc.identifier.issue2en_HK
dc.identifier.spage153en_HK
dc.identifier.epage164en_HK
dc.identifier.eissn1435-1102en_HK
dc.identifier.isiWOS:000275747300005-
dc.publisher.placeAustriaen_HK
dc.description.otherSpringer Open Choice, 01 Dec 2010-
dc.identifier.scopusauthoridLau, Y=35268939800en_HK
dc.identifier.scopusauthoridWong, DFK=35231716600en_HK
dc.identifier.scopusauthoridChan, KS=23570760600en_HK
dc.identifier.citeulike6538073-

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