Sensitivity and specificity of the three Whooley and Arroll questions for detecting perinatal depression in Mexican women.

Abstract:

OBJECTIVE:To evaluate the sensitivity and specificity of the Two Whooley questions and the Arroll question, using the SCID, The Structured Clinical Interview (SCID-I) as the gold standard for detecting perinatal depression. MATERIALS AND METHODS:We interviewed 210 women during pregnancy and 6 months postpartum. RESULTS:The criterion with the greatest sensitivity was responding positively to either Whooley question (pregnancy= 94.7 %; postpartum=100.0%), while the most specific criterion was responding positively to the two Whooley questions plus the Arroll question (Pregnancy=90.0% Postpartum = 85.7%). CONCLUSIONS:The Whooley and Arroll questions have adequate psychometric properties to detect possible cases of depression during the perinatal period. They can be applied during prenatal check-ups and postpartum consultations. Timely detection of women at risk of perinatal depression can contribute to their treatment for reducing their adverse consequences in mothers and infants. OBJETIVO:Evaluar la sensibilidad y la especificidad de la Escala de las dos preguntas de Whooley y la pregunta de Arroll para detectar riesgo de depresión perinatal, usando la SCID como estándar de oro. MATERIAL Y MÉTODOS:Se entrevistó a 210 mujeres durante el embarazo y 6 meses después del parto. RESULTADOS:El criterio con mayor sensibilidad fue responder positivamente a cualquiera de las Preguntas de Whooley (embarazo = 94.7%; posparto = 100.0%) y, el más específico, responder positivamente a las preguntas de Whoo- ley más la de Arroll (embarazo = 90.0% , Posparto = 85.7%). CONCLUSIONES:Las preguntas de Whooley y Arroll tienen propiedades psicométricas adecuadas para detectar posibles casos de depresión durante el periodo perinatal. Pueden aplicarse durante las citas de control prenatal y consultas en el postparto. Detectar de manera oportuna a mujeres en riesgo de depresión perinatal puede ayudar a su atención para reducir sus consecuencias adversas en madres e infantes.

journal_name

Salud Publica Mex

journal_title

Salud publica de Mexico

authors

Navarrete L,Nieto L,Lara MA,Lara MDC

doi

10.21149/9083

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

27-34

issue

1

eissn

0036-3634

issn

1606-7916

journal_volume

61

pub_type

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