2.50
Hdl Handle:
http://hdl.handle.net/10755/155919
Type:
Presentation
Title:
The Utility of Screening for Perinatal Depression in the Second Trimester
Abstract:
The Utility of Screening for Perinatal Depression in the Second Trimester
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Lau, Ying, PhD
P.I. Institution Name:Macao Polytechnic Institute
Title:Associate Professor
[22nd International Nursing Research Congress - Research Presentation] Purpose: 
To study the pattern of perinatal depressive symptomatology and determine the sensitivity, specificity, and predictive validity of second trimester perinatal depressive symptoms for future perinatal periods.
Methods:  
A population-based sample of 2,178 women completed the Edinburgh Postnatal Depression Scale (EDPS) in the second and third trimesters and at 6 weeks postpartum. The sensitivity, specificity, and 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 (ROC) curves.
Results: 
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. The area under the curve (AUC) for perinatal depressive symptomatology was 0.85 in the third trimester and 0.77 at 6 weeks postpartum. 
Conclusion: 
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.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Utility of Screening for Perinatal Depression in the Second Trimesteren_GB
dc.identifier.urihttp://hdl.handle.net/10755/155919-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Utility of Screening for Perinatal Depression in the Second Trimester</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lau, Ying, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Macao Polytechnic Institute</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ylau@ipm.edu.mo</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose:&nbsp; <br/>To study the pattern of perinatal depressive symptomatology and determine the sensitivity, specificity, and predictive validity of second trimester perinatal depressive symptoms for future perinatal periods. <br/>Methods:&nbsp;&nbsp; <br/>A population-based sample of 2,178 women completed the Edinburgh Postnatal Depression Scale (EDPS) in the second and third trimesters and at 6 weeks postpartum. The sensitivity, specificity, and 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 (ROC) curves. <br/>Results:&nbsp; <br/>The rates were 9.9%, 7.8%, and 8.7% for an EPDS score of &gt; 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 &gt; 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. The area under the curve (AUC) for perinatal depressive symptomatology was 0.85 in the third trimester and 0.77 at 6 weeks postpartum.&nbsp; <br/>Conclusion:&nbsp; <br/>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.</td></tr></table>en_GB
dc.date.available2011-10-26T14:16:55Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:16:55Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.