A systematic review of screening instruments for depression for use in antenatal services in low resource settings

dc.contributor.authorChorwe-Sungani, Genesis
dc.contributor.authorChipps, Jennifer
dc.date.accessioned2018-10-31T08:39:42Z
dc.date.available2018-10-31T08:39:42Z
dc.date.issued2017
dc.description.abstractBACKGROUND: In low resource settings, short, valid and reliable instruments with good high sensitivity and specificity are essential for the screening of depression in antenatal care. A review of published evidence on screening instruments for depression for use in antenatal services in low resource settings was conducted. The aim of this review was to appraise the best available evidence on screening instruments suitable for detecting depression in antenatal care in low resource settings. METHODS: Searching, selection, quality assessment, and data abstraction was done by two reviewers. ScienceDirect, CINAHL, MEDLINE, PubMed, SABINET and PsychARTICLES databases were searched using relevant search terms. Retrieved studies were evaluated for relevancy (whether psychometric data were reported) and quality. Data were synthesised and sensitivity and specificity of instruments were pooled using forest plots. RESULTS: Eleven articles were included in the review. The methodological quality ranged from adequate to excellent. The review found 7 tools with varying levels of accuracy, sensitivity and specificity, including the Edinburgh Postnatal Depression Scale, Beck Depression Index, Centre for Epidemiologic Studies Depression Scale 20, Hamilton Rating Scale for Depression, Hopkins Symptoms Checklist-25, Kessler Psychological Distress Scale and Self-Reporting Questionnaire. The Edinburgh Postnatal Depression Scale was most common and had the highest level of accuracy (AUC = .965) and sensitivity. CONCLUSION: This review suggests that the Edinburgh Postnatal Depression Scale can be a suitable instrument of preference for screening antenatal depression in low resource settings because of the reported level of accuracy, sensitivity and specificity.en_US
dc.identifier.citationChorwe-Sungani, G. & Chipps, J. (2017). A systematic review of screening instruments for depression for use in antenatal services in low resource settings. BMC Psychiatry, 17: 112en_US
dc.identifier.issn1471-244X
dc.identifier.urihttp://dx.doi.org/10.1186/s12888-017-1273-7
dc.identifier.urihttp://hdl.handle.net/10566/4169
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherBMCen_US
dc.status.ispeerreviewedTRUE
dc.subjectDepressionen_US
dc.subjectScreening instrumenten_US
dc.subjectAntenatalen_US
dc.subjectEPDSen_US
dc.subjectLow resource settingen_US
dc.titleA systematic review of screening instruments for depression for use in antenatal services in low resource settingsen_US
dc.typeArticleen_US

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