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The role of self-report questionnaire in the screening of postnatal depression- a community sample survey in central Tokyo.
Soc Psychiatry Psychiatr Epidemiol. 2004 Mar; 39(3):185-90.SP

Abstract

BACKGROUND

Numerous studies have shown that health care professionals often experience difficulty in detecting postnatal depression. In Japan, where mental illness has traditionally been stigmatized, detection seems even more difficult. This study investigates the prevalence of postnatal depression in the community and its relation to screening methodology.

METHODS

The Edinburgh Postnatal Depression Scale (EPDS) was distributed at community health centers in a district in central Tokyo. The results from both non-identifiable questionnaires and identifiable questionnaires were compared. Screening by EPDS and clinical judgment by community nurses were compared.

RESULTS

Making the questionnaire identifiable did not change the score distribution pattern. Among mothers with 3- to 4-month-old babies in the community, 13.9% scored high (9 or above) on EPDS. In 51.1% of high scorers,nurses did not detect postnatal depression. Clinically, postnatal depression can be easily missed in the community health-check setting especially when there was hitherto no report of obstetric abnormality during pregnancy or delivery.

CONCLUSION

The prevalence of high scorers is comparable to those reported in other countries. The use of the questionnaire was helpful in drawing the attention of mothers and health care professionals to issues of mental health.

Authors+Show Affiliations

Department of Child and Adolescent Psychiatry, Tokyo Institute of Psychiatry, 2-1-8 Kamikitazawa, Setagaya-ku, 156-8585, Tokyo, Japan. nisizono@prit.go.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

14999450

Citation

Nishizono-Maher, Aya, et al. "The Role of Self-report Questionnaire in the Screening of Postnatal Depression- a Community Sample Survey in Central Tokyo." Social Psychiatry and Psychiatric Epidemiology, vol. 39, no. 3, 2004, pp. 185-90.
Nishizono-Maher A, Kishimoto J, Yoshida H, et al. The role of self-report questionnaire in the screening of postnatal depression- a community sample survey in central Tokyo. Soc Psychiatry Psychiatr Epidemiol. 2004;39(3):185-90.
Nishizono-Maher, A., Kishimoto, J., Yoshida, H., Urayama, K., Miyato, M., Otsuka, Y., & Matsui, H. (2004). The role of self-report questionnaire in the screening of postnatal depression- a community sample survey in central Tokyo. Social Psychiatry and Psychiatric Epidemiology, 39(3), 185-90.
Nishizono-Maher A, et al. The Role of Self-report Questionnaire in the Screening of Postnatal Depression- a Community Sample Survey in Central Tokyo. Soc Psychiatry Psychiatr Epidemiol. 2004;39(3):185-90. PubMed PMID: 14999450.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The role of self-report questionnaire in the screening of postnatal depression- a community sample survey in central Tokyo. AU - Nishizono-Maher,Aya, AU - Kishimoto,Junji, AU - Yoshida,Hiromichi, AU - Urayama,Kyoko, AU - Miyato,Miki, AU - Otsuka,Yuki, AU - Matsui,Hiroko, PY - 2003/09/16/accepted PY - 2004/3/5/pubmed PY - 2004/5/11/medline PY - 2004/3/5/entrez SP - 185 EP - 90 JF - Social psychiatry and psychiatric epidemiology JO - Soc Psychiatry Psychiatr Epidemiol VL - 39 IS - 3 N2 - BACKGROUND: Numerous studies have shown that health care professionals often experience difficulty in detecting postnatal depression. In Japan, where mental illness has traditionally been stigmatized, detection seems even more difficult. This study investigates the prevalence of postnatal depression in the community and its relation to screening methodology. METHODS: The Edinburgh Postnatal Depression Scale (EPDS) was distributed at community health centers in a district in central Tokyo. The results from both non-identifiable questionnaires and identifiable questionnaires were compared. Screening by EPDS and clinical judgment by community nurses were compared. RESULTS: Making the questionnaire identifiable did not change the score distribution pattern. Among mothers with 3- to 4-month-old babies in the community, 13.9% scored high (9 or above) on EPDS. In 51.1% of high scorers,nurses did not detect postnatal depression. Clinically, postnatal depression can be easily missed in the community health-check setting especially when there was hitherto no report of obstetric abnormality during pregnancy or delivery. CONCLUSION: The prevalence of high scorers is comparable to those reported in other countries. The use of the questionnaire was helpful in drawing the attention of mothers and health care professionals to issues of mental health. SN - 0933-7954 UR - https://www.unboundmedicine.com/medline/citation/14999450/The_role_of_self_report_questionnaire_in_the_screening_of_postnatal_depression__a_community_sample_survey_in_central_Tokyo_ L2 - https://dx.doi.org/10.1007/s00127-004-0727-7 DB - PRIME DP - Unbound Medicine ER -