A Systematic Review of Screening Instruments for Depression in Antenatal Services in Low Resource Settings

2.50
Hdl Handle:
http://hdl.handle.net/10755/616157
Category:
Full-text
Type:
Presentation
Title:
A Systematic Review of Screening Instruments for Depression in Antenatal Services in Low Resource Settings
Other Titles:
Promoting Health for Those Suffering From Depression
Author(s):
Chorwe Sungani, Genesis; Chipps, Jennifer A.
Lead Author STTI Affiliation:
Chi Xi-at-Large
Author Details:
Genesis Chorwe Sungani, RN, genesischorwe@kcn.unima.mw; Jennifer A. Chipps, RN, APN, NEd, Nad
Abstract:
Session presented on Thursday, July 21, 2016: Purpose: A review of screening instruments for depression for use in antenatal services in low resource settings was conducted. It is important to assess methodological quality of articles which reported psychometrics of an instrument because gives insight in quality of study designs. A good instrument should have high sensitivity and specificity which makes it effective in ruling in pregnant women with depression and ruling out those who do not have.'The aim of the review was to appraise the evidence on sensitivity and specificity of screening instruments for depression and recommend a suitable tool for use in antenatal services in low resource settings. 'Methods: The questions for this review were: (1) what is the methodological quality of articles for validated screening instruments for depression in antenatal in low resource settings? and (2) which instruments would be recommended for use in antenatal care services in low resource settings?' Search terms were identifed relevant to databases and included "depression" AND "screening" AND " antenatal". Databases, namely ScienceDirect, CINAHL, MEDLINE, PubMed, SABINET and PsychARTICLES were searched.Searching, quality assessment using the QUADAS, selection and data abstraction was done by two reviewers. Studies were evaluated for relevancy using PICO and whether they reported sensitivity, specificity and Area Under Receivers? Operator Characteristics (AUROC) curve.' Pooling of sensitivity of instruments was done using a forest plot. Results: Eleven articles were included in the review. Their methodological quality ranged from adequate to excellent. There were variations in level of accuracy, sensitivity and specificity of Edinburgh Postnatal Depression Scale (EPDS), Beck Depression Index, Centre for Epidemiologic Studies Depression Scale, Hamilton Rating Scale for Depression, Hopkins Symptoms Checklist-25, Kessler Psychological Distress Scale and Self-Reporting Questionnaire 20. EPDS had highest level of accuracy (AUROC=.965) and sensitivity (1).' Conclusion: The review considered instruments for screening depression in antenatal in low resource settings. Articles which reported accuracy, sensitivity and specificity for screening instruments were assessed for methodological quality. This review suggests that EPDS can be a suitable instrument of preference for screening antenatal depression in low resource settings because its level of accuracy ranged from moderate to high in various settings. The'EPDS had the high level of accuracy, sensitivity, specificity and it was validated by studies which had either good or excellent methodological quality. However, it is crucial that the instrument is validated using methodologically rigorous studies before use in a particular setting.
Keywords:
Depression; Antenatal screening; Systematic Review
Repository Posting Date:
13-Jul-2016
Date of Publication:
13-Jul-2016 ; 13-Jul-2016
Other Identifiers:
INRC16B05; INRC16B05
Conference Date:
2016
Conference Name:
27th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Cape Town, South Africa
Description:
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleA Systematic Review of Screening Instruments for Depression in Antenatal Services in Low Resource Settingsen
dc.title.alternativePromoting Health for Those Suffering From Depressionen
dc.contributor.authorChorwe Sungani, Genesisen
dc.contributor.authorChipps, Jennifer A.en
dc.contributor.departmentChi Xi-at-Largeen
dc.author.detailsGenesis Chorwe Sungani, RN, genesischorwe@kcn.unima.mw; Jennifer A. Chipps, RN, APN, NEd, Naden
dc.identifier.urihttp://hdl.handle.net/10755/616157-
dc.description.abstractSession presented on Thursday, July 21, 2016: Purpose: A review of screening instruments for depression for use in antenatal services in low resource settings was conducted. It is important to assess methodological quality of articles which reported psychometrics of an instrument because gives insight in quality of study designs. A good instrument should have high sensitivity and specificity which makes it effective in ruling in pregnant women with depression and ruling out those who do not have.'The aim of the review was to appraise the evidence on sensitivity and specificity of screening instruments for depression and recommend a suitable tool for use in antenatal services in low resource settings. 'Methods: The questions for this review were: (1) what is the methodological quality of articles for validated screening instruments for depression in antenatal in low resource settings? and (2) which instruments would be recommended for use in antenatal care services in low resource settings?' Search terms were identifed relevant to databases and included "depression" AND "screening" AND " antenatal". Databases, namely ScienceDirect, CINAHL, MEDLINE, PubMed, SABINET and PsychARTICLES were searched.Searching, quality assessment using the QUADAS, selection and data abstraction was done by two reviewers. Studies were evaluated for relevancy using PICO and whether they reported sensitivity, specificity and Area Under Receivers? Operator Characteristics (AUROC) curve.' Pooling of sensitivity of instruments was done using a forest plot. Results: Eleven articles were included in the review. Their methodological quality ranged from adequate to excellent. There were variations in level of accuracy, sensitivity and specificity of Edinburgh Postnatal Depression Scale (EPDS), Beck Depression Index, Centre for Epidemiologic Studies Depression Scale, Hamilton Rating Scale for Depression, Hopkins Symptoms Checklist-25, Kessler Psychological Distress Scale and Self-Reporting Questionnaire 20. EPDS had highest level of accuracy (AUROC=.965) and sensitivity (1).' Conclusion: The review considered instruments for screening depression in antenatal in low resource settings. Articles which reported accuracy, sensitivity and specificity for screening instruments were assessed for methodological quality. This review suggests that EPDS can be a suitable instrument of preference for screening antenatal depression in low resource settings because its level of accuracy ranged from moderate to high in various settings. The'EPDS had the high level of accuracy, sensitivity, specificity and it was validated by studies which had either good or excellent methodological quality. However, it is crucial that the instrument is validated using methodologically rigorous studies before use in a particular setting.en
dc.subjectDepressionen
dc.subjectAntenatal screeningen
dc.subjectSystematic Reviewen
dc.date.available2016-07-13T11:05:48Z-
dc.date.issued2016-07-13-
dc.date.issued2016-07-13en
dc.date.accessioned2016-07-13T11:05:48Z-
dc.conference.date2016en
dc.conference.name27th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationCape Town, South Africaen
dc.descriptionTheme: Leading Global Research: Advancing Practice, Advocacy, and Policyen
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