Screening of psychiatric disorders in women with high-risk pregnancy: Accuracy of three psychological tools

被引:13
|
作者
Hamidia, Angela [1 ]
Kheirkhah, Farzan [1 ]
Chehrazi, Mohammad [2 ]
Basirat, Zahra [3 ]
Ghadimi, Reza [4 ]
Barat, Shahnaz [3 ]
Cuijpers, Pim [5 ]
O'Connor, Elizabeth [6 ]
Mirtabar, Seyyedeh Mahboubeh [7 ]
Faramarzi, Mahbobeh [8 ]
机构
[1] Babol Univ Med Sci, Social Determinants Hlth Res Ctr, Hlth Res Inst, Dept Psychiat, Babol, Iran
[2] Babol Univ Med Sci, Sch Publ Hlth, Dept Biostat & Epidemiol, Babol, Iran
[3] Babol Univ Med Sci, Infertil & Hlth Reprod Res Ctr, Hlth Res Inst, Dept Obstet & Gynecol, Babol, Iran
[4] Babol Univ Med Sci, Social Determinants Hlth Res Ctr, Hlth Res Inst, Social Med Dept, Babol, Iran
[5] Vrije Univ Amsterdam, Amsterdam Publ Hlth Res Inst, Dept Clin Neuro & Dev Psychol, Amsterdam, Netherlands
[6] Kaiser Permanente Northwest, Ctr Hlth Res, Portland, OR USA
[7] Babol Univ Med Sci, Student Res Comm, Babol, Iran
[8] Babol Univ Med Sci, Social Determinants Hlth Res Ctr, Hlth Res Inst, Dept Gen Courses, Babol, Iran
关键词
anxiety; depression; high-risk; mental disorders; pregnancy; screening; POSTNATAL DEPRESSION SCALE; BRIEF SYMPTOM INVENTORY-18; MENTAL-DISORDERS; ANXIETY DISORDERS; PREVALENCE; VALIDATION;
D O I
10.1002/hsr2.518
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Purpose This study investigated the optimal cutoff points of three psychological tools for screening psychiatric disorders in women with high-risk pregnancy. Design and Methods In this cross-sectional study (N = 155), sensitivity/specificity of the Edinburgh Postnatal Depression Scale (EPDS), the Brief Symptom Inventory 53-items (BSI-53), and the BSI-18 were computed with respect to having a psychiatric diagnosis based on the clinical interview. Results The usual cutoffs (>= 13 for EPDS, T-score of 63 for BSI-53) demonstrated poor diagnostic accuracy. The optimal thresholds were computed for EPDS cutoff of 6.5, GSI = 0.47 for BSI-53, and GSI = 0.5 for BSI-18. Practice Implications The use of psychological tools among pregnant women with high-risk pregnancy may need to be modified in order to accurately identify psychiatric disorders.
引用
收藏
页数:9
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