A systematic review of screening instruments for depression for use in antenatal services in low resource settings

BMC Psychiatry

Research Article

Jennifer Chipps¹  Genesis Chorwe-Sungani² 

[1] School of Nursing, University of the Western Cape, Private Bag X17, 7535, Bellville, South Africa;Honorary Affiliate, Sydney Nursing School, University of Sydney, Sydney, Australia;School of Nursing, University of the Western Cape, Private Bag X17, 7535, Bellville, South Africa;Kamuzu College of Nursing, University of Malawi, Blantyre, Malawi;

关键词: Depression;    screening instrument;    antenatal;    EPDS;    Low resource setting;   

DOI  :  10.1186/s12888-017-1273-7

 received in 2016-09-24, accepted in 2017-03-15,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundIn low resource settings, short, valid and reliable instruments with good high sensitivity and specificity are essential for the screening of depression in antenatal care. A review of published evidence on screening instruments for depression for use in antenatal services in low resource settings was conducted. The aim of this review was to appraise the best available evidence on screening instruments suitable for detecting depression in antenatal care in low resource settings.MethodsSearching, selection, quality assessment, and data abstraction was done by two reviewers. ScienceDirect, CINAHL, MEDLINE, PubMed, SABINET and PsychARTICLES databases were searched using relevant search terms. Retrieved studies were evaluated for relevancy (whether psychometric data were reported) and quality. Data were synthesised and sensitivity and specificity of instruments were pooled using forest plots.ResultsEleven articles were included in the review. The methodological quality ranged from adequate to excellent. The review found 7 tools with varying levels of accuracy, sensitivity and specificity, including the Edinburgh Postnatal Depression Scale, Beck Depression Index, Centre for Epidemiologic Studies Depression Scale 20, Hamilton Rating Scale for Depression, Hopkins Symptoms Checklist-25, Kessler Psychological Distress Scale and Self-Reporting Questionnaire. The Edinburgh Postnatal Depression Scale was most common and had the highest level of accuracy (AUC = .965) and sensitivity.ConclusionThis review suggests that the Edinburgh Postnatal Depression Scale can be a suitable instrument of preference for screening antenatal depression in low resource settings because of the reported level of accuracy, sensitivity and specificity.Prospero registrationCRD42015020316.

【 授权许可】

CC BY   
© The Author(s). 2017