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A comparison of two measures to screen for mental health symptoms in pregnancy and early postpartum: the Matthey Generic Mood Questionnaire and the Depression, Anxiety, Stress Scales short-form.
J Affect Disord. 2021 02 15; 281:824-833.JA

Abstract

BACKGROUND

The Matthey Generic Mood Questionnaire (MGMQ) provides a rapid screen of clinically significant emotional difficulties in adults. This study aimed to investigate associations between the MGMQ and Depression Anxiety Stress Scales short-form (DASS-21) and how well the MGMQ detects women scoring high on the DASS-21 in pregnancy and 1 and 2 years postpartum.

METHODS

Pregnant Australian, English-speaking women were recruited from 10 maternity hospitals across two states (for the "right@home" trial, N=729). Prioritized for their experience of social adversity (2 or more of 10 risk factors), they completed the 2-item MGMQ and 21-item DASS-21 in pregnancy and at 1 and 2 years postpartum. DASS-21 Total and subscale scores were classified "high" based on (a) normed percentiles for top 15% and (b) clinical cut-points.

RESULTS

The MGMQ and DASS-21 were completed within 7 days of each other by 296 (41%) women in pregnancy, 625 (86%) at 1 year and 573 (79%) at 2 years. Associations between the measures were weak-to-moderate in pregnancy and moderate-to-strong in the postpartum years. Most women scoring "high" on the DASS-21 could be identified with various thresholds of the MGMQ.

LIMITATIONS

Pregnant women with 0 or 1 risk factor were excluded; the DASS-21 is not a perinatal specific measure nor a gold standard diagnostic tool.

CONCLUSIONS

The MGMQ and DASS-21 appeared to assess overlapping but distinct constructs of mental health. These findings can help clinicians and researchers decide whether to use the MGMQ, and which balance of sensitivity, specificity and correct classification will suit their needs.

Authors+Show Affiliations

Murdoch Children's Research Institute, Parkville Vic 3052; Centre for Community Child Health, The Royal Children's Hospital, Vic 3052; Department of Paediatrics, The University of Melbourne, Vic 3052. Electronic address: anna.price@mcri.edu.au.Murdoch Children's Research Institute, Parkville Vic 3052; Department of Paediatrics, The University of Melbourne, Vic 3052; Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Vic 3010; Clinical Epidemiology and Biostatistics Unit, Murdoch Children's Research Institute, The Royal Children's Hospital, Vic 3052. Electronic address: melissa.middleton@mcri.edu.au.Sydney South West Local Health District, University of Sydney, NSW 2006. Electronic address: stephen.matthey@health.nsw.gov.au.Murdoch Children's Research Institute, Parkville Vic 3052; Centre for Community Child Health, The Royal Children's Hospital, Vic 3052; Department of Paediatrics, The University of Melbourne, Vic 3052. Electronic address: sharon.goldfeld@rch.org.au.Ingham Institute, Western Sydney University, NSW 2751. Electronic address: lynn.kemp@westernsydney.edu.au.Clinical Epidemiology and Biostatistics Unit, Murdoch Children's Research Institute, The Royal Children's Hospital, Vic 3052; Melbourne Children's Trials Centre, Murdoch Children's Research Institute, The Royal Children's Hospital, Vic 3052. Electronic address: francesca.orsini@mcri.edu.au.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

33334609

Citation

Price, Dr Anna Mh, et al. "A Comparison of Two Measures to Screen for Mental Health Symptoms in Pregnancy and Early Postpartum: the Matthey Generic Mood Questionnaire and the Depression, Anxiety, Stress Scales Short-form." Journal of Affective Disorders, vol. 281, 2021, pp. 824-833.
Price DAM, Middleton MM, Matthey AAPS, et al. A comparison of two measures to screen for mental health symptoms in pregnancy and early postpartum: the Matthey Generic Mood Questionnaire and the Depression, Anxiety, Stress Scales short-form. J Affect Disord. 2021;281:824-833.
Price, D. A. M., Middleton, M. M., Matthey, A. A. P. S., Goldfeld, P. S., Kemp, P. L., & Orsini, M. F. (2021). A comparison of two measures to screen for mental health symptoms in pregnancy and early postpartum: the Matthey Generic Mood Questionnaire and the Depression, Anxiety, Stress Scales short-form. Journal of Affective Disorders, 281, 824-833. https://doi.org/10.1016/j.jad.2020.11.055
Price DAM, et al. A Comparison of Two Measures to Screen for Mental Health Symptoms in Pregnancy and Early Postpartum: the Matthey Generic Mood Questionnaire and the Depression, Anxiety, Stress Scales Short-form. J Affect Disord. 2021 02 15;281:824-833. PubMed PMID: 33334609.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A comparison of two measures to screen for mental health symptoms in pregnancy and early postpartum: the Matthey Generic Mood Questionnaire and the Depression, Anxiety, Stress Scales short-form. AU - Price,Dr Anna Mh, AU - Middleton,Ms Melissa, AU - Matthey,Adj Assoc Prof Stephen, AU - Goldfeld,Prof Sharon, AU - Kemp,Prof Lynn, AU - Orsini,Ms Francesca, Y1 - 2020/11/14/ PY - 2020/07/30/received PY - 2020/10/15/revised PY - 2020/11/08/accepted PY - 2020/12/19/pubmed PY - 2021/4/24/medline PY - 2020/12/18/entrez KW - Assessment KW - Depression Anxiety Stress Scales KW - Distress KW - Perinatal mental health KW - Screening SP - 824 EP - 833 JF - Journal of affective disorders JO - J Affect Disord VL - 281 N2 - BACKGROUND: The Matthey Generic Mood Questionnaire (MGMQ) provides a rapid screen of clinically significant emotional difficulties in adults. This study aimed to investigate associations between the MGMQ and Depression Anxiety Stress Scales short-form (DASS-21) and how well the MGMQ detects women scoring high on the DASS-21 in pregnancy and 1 and 2 years postpartum. METHODS: Pregnant Australian, English-speaking women were recruited from 10 maternity hospitals across two states (for the "right@home" trial, N=729). Prioritized for their experience of social adversity (2 or more of 10 risk factors), they completed the 2-item MGMQ and 21-item DASS-21 in pregnancy and at 1 and 2 years postpartum. DASS-21 Total and subscale scores were classified "high" based on (a) normed percentiles for top 15% and (b) clinical cut-points. RESULTS: The MGMQ and DASS-21 were completed within 7 days of each other by 296 (41%) women in pregnancy, 625 (86%) at 1 year and 573 (79%) at 2 years. Associations between the measures were weak-to-moderate in pregnancy and moderate-to-strong in the postpartum years. Most women scoring "high" on the DASS-21 could be identified with various thresholds of the MGMQ. LIMITATIONS: Pregnant women with 0 or 1 risk factor were excluded; the DASS-21 is not a perinatal specific measure nor a gold standard diagnostic tool. CONCLUSIONS: The MGMQ and DASS-21 appeared to assess overlapping but distinct constructs of mental health. These findings can help clinicians and researchers decide whether to use the MGMQ, and which balance of sensitivity, specificity and correct classification will suit their needs. SN - 1573-2517 UR - https://www.unboundmedicine.com/medline/citation/33334609/A_comparison_of_two_measures_to_screen_for_mental_health_symptoms_in_pregnancy_and_early_postpartum:_the_Matthey_Generic_Mood_Questionnaire_and_the_Depression_Anxiety_Stress_Scales_short_form_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(20)32985-2 DB - PRIME DP - Unbound Medicine ER -