Screening for depression in pre- or postnatal women

Each year between six to nine thousand Norwegian women experience depressive symptoms during pregnancy or the first year after birth. In order to supply the right treatment it is essential to identify whether the woman has a clinical depression, depressive symptoms or is downcast. This review looks...

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Bibliographic Details
Main Authors: Larun, Lillebeth, Fønhus, Marita S. (Author), Håvelsrud, Kari (Author), Gundro Brurberg, Kjetil (Author)
Corporate Author: Nasjonalt kunnskapssenter for helsetjenesten
Format: eBook
Language:English
Published: Oslo, Norway Norwegian Knowledge Centre for the Health Services January 2013, 2013
Subjects:
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
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653 |a Depressive Disorder / diagnosis 
653 |a Depression, Postpartum / diagnosis 
653 |a Norway 
653 |a Psychiatric Status Rating Scales 
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700 1 |a Håvelsrud, Kari  |e [author] 
700 1 |a Gundro Brurberg, Kjetil  |e [author] 
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500 |a English summary excerpted from full report in Norwegian: Depresjonsscreening av gravide og barselkvinner. Excerpt of Report, no. 01-2013 
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520 |a Each year between six to nine thousand Norwegian women experience depressive symptoms during pregnancy or the first year after birth. In order to supply the right treatment it is essential to identify whether the woman has a clinical depression, depressive symptoms or is downcast. This review looks at accuracy studies of screening for post- and antenatal depression as well as the effect of screening combined with interventions on depressive symptoms. Screening tests accuracy for identification of depression We identified the Edinburgh Postnatal Depression Scale (EPDS, score for 0 to 30) as the most commonly used instrument for accuracy and effect. EPDS identified 93 percent (95 % CI: 85 to 97) of the postpartum women with clinical depression. EPDS identified 78 percent (95 % CI: 68 to 97) of the postpartum women without clinical depression as healthy. Approximately 20 percent of the women without clinical depression were classifed at risk for developing depression (false positive) with the use EPDS. Effect of screening in combination with intervention for depressive symptoms The prevalence of depressive symptoms for up to six months after birth is reduced from 10 to 6 percent (95 % CI: 5 % to 8 %) with the use of a postnatal screening programme. No studies reported physical or social outcomes for the mother, and no results of negative or adverse effects of screening or intervention for the mother, child or family were identified