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Predicting postnatal depression.

Abstract：

BACKGROUND:The contribution that recently identified risk factors for Postnatal Depression (PND) made to an existing prenatal screening tool ('Predictive Index' of PND; Cooper et al., 1996) was assessed in an attempt to improve the performance of this measure. METHOD:The Predictive Index and measures of appraisal and coping were administered during the final trimester of pregnancy (n=306). The Edinburgh Postnatal Depression Scale (EPDS) and Childcare Stress Inventory were completed at 6-weeks postpartum (n=223). RESULTS:The predictive index identified 23% of PND cases. The addition of specific appraisal and coping factors increased predictive performance by 26%. Inclusion of maternal reports of childcare stress in the early postpartum period resulted in a further 15% of PND cases being identified. LIMITATIONS:Diagnostic criteria were not used to assess the incidence of PND; instead PND case status was assessed using an established cut-off criterion on the EPDS. In addition, the contribution that women's prenatal appraisal and coping processes made to improving the predictive index was not assessed on a second independent sample. CONCLUSIONS:The inclusion of prenatal appraisal, coping and maternal reports of childcare stress in a screening tool for PND substantially increased predictive performance, resulting in 64% of PND cases being identified. These findings highlight the importance of negative prenatal appraisal and coping processes in the development of PND and have important implications for the prevention and treatment of this disorder.

journal_name

J Affect Disord

journal_title

Journal of affective disorders

authors

Honey KL,Bennett P,Morgan M

doi

10.1016/s0165-0327(02)00085-x

subject

Has Abstract

pub_date

2003-09-01 00:00:00

pages

201-10

issue

1-3

eissn

0165-0327

issn

1573-2517

pii

S016503270200085X

journal_volume

76

pub_type

临床试验,杂志文章

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