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A systematic review of screening instruments for depression for use in antenatal services in low resource settings.
BMC Psychiatry. 2017 03 24; 17(1):112.BP

Abstract

BACKGROUND

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.

PROSPERO REGISTRATION

CRD42015020316 .

Authors+Show Affiliations

School of Nursing, University of the Western Cape, Private Bag X17, Bellville, 7535, South Africa. genesischorwe@kcn.unima.mw. Kamuzu College of Nursing, University of Malawi, Blantyre, Malawi. genesischorwe@kcn.unima.mw.School of Nursing, University of the Western Cape, Private Bag X17, Bellville, 7535, South Africa. Honorary Affiliate, Sydney Nursing School, University of Sydney, Sydney, Australia.

Pub Type(s)

Journal Article
Review
Systematic Review

Language

eng

PubMed ID

28340609

Citation

Chorwe-Sungani, Genesis, and Jennifer Chipps. "A Systematic Review of Screening Instruments for Depression for Use in Antenatal Services in Low Resource Settings." BMC Psychiatry, vol. 17, no. 1, 2017, p. 112.
Chorwe-Sungani G, Chipps J. A systematic review of screening instruments for depression for use in antenatal services in low resource settings. BMC Psychiatry. 2017;17(1):112.
Chorwe-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(1), 112. https://doi.org/10.1186/s12888-017-1273-7
Chorwe-Sungani G, Chipps J. A Systematic Review of Screening Instruments for Depression for Use in Antenatal Services in Low Resource Settings. BMC Psychiatry. 2017 03 24;17(1):112. PubMed PMID: 28340609.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A systematic review of screening instruments for depression for use in antenatal services in low resource settings. AU - Chorwe-Sungani,Genesis, AU - Chipps,Jennifer, Y1 - 2017/03/24/ PY - 2016/09/24/received PY - 2017/03/15/accepted PY - 2017/3/26/entrez PY - 2017/3/28/pubmed PY - 2017/8/18/medline KW - Depression KW - EPDS KW - Low resource setting KW - antenatal KW - screening instrument SP - 112 EP - 112 JF - BMC psychiatry JO - BMC Psychiatry VL - 17 IS - 1 N2 - BACKGROUND: 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. PROSPERO REGISTRATION: CRD42015020316 . SN - 1471-244X UR - https://www.unboundmedicine.com/medline/citation/28340609/A_systematic_review_of_screening_instruments_for_depression_for_use_in_antenatal_services_in_low_resource_settings_ L2 - https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-017-1273-7 DB - PRIME DP - Unbound Medicine ER -