n African Journal of Psychiatry - Screening tools for postpartum depression : validity and cultural dimensions : review article
|Article Title||Screening tools for postpartum depression : validity and cultural dimensions : review article|
|© Publisher:||In House Publications|
|Journal||African Journal of Psychiatry|
|Author||C. Zubaran, M. Schumacher, M.R. Roxo and K. Foresti|
|Publication Date||Nov 2010|
|Pages||357 - 365|
|Keyword(s)||Acculturation, Postnatal depression, Postpartum depression, Scales, Screening, University of Caxias do Sul, Brazil, University of Western Sydney, Australia and West Sydney Area Health Service|
Objective : The purpose of this study is to review the main postpartum screening tools currently used in terms of their ability to screen for postnatal depression. Furthermore, the cultural characteristics of depressive postpartum symptomatology are examined. Method : A systematic literature search was conducted for the period 1987-2009, using the Medline electronic database for the following keywords: postpartum depression and postnatal depression. These terms were combined with: assessment, screening and psychometric tools. Results : Of the four screening tools reviewed and compared, the Edinburgh Postnatal Depression Scale (EPDS) and the Postpartum Depression Screening Scale (PDSS) presented substantial sensitivity and specificity as screening tools. However, none of the instruments could be rated flawless when applied to different cultural contexts. Conclusions : In addition to the EPDS, a new generation of instruments is currently available. Supplementary research is needed to substantiate their use as screening tools in general practice. Additional studies are needed to adapt and test instruments to detect postnatal depression within a wider range of languages and cultures.
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