TY - JOUR PY - 2021// TI - Comparative performance of WHO-5, PHQ-9 and PSS Scale for screening antenatal depression and suicide risk [conference abstract] JO - International journal of epidemiology A1 - Do, Phuc Huyen A1 - Vo, Van Thang A1 - Luong-Thanh, Bao-Yen A1 - Nguyen, Lan Hoang A1 - Valdebenito, Sara A1 - Eisner, Manuel A1 - Tran, Xuan Bach A1 - Baker, Philip A1 - Dunne, Michael SP - dyab168.166 EP - dyab168.166 VL - 50 IS - Suppl 1 N2 - IEA World Congress of Epidemiology 2021 - Scientific Program Abstracts Background This study evaluated the psychometric properties of three self-reported scales including WHO Well-Being Index (WHO-5), Patient Health Questionnaire-9 items (PHQ-9), and Perceived Stress Scale (PSS) for determining the severity of antenatal depression and suicide risk. Methods Extracted from a multi-site birth cohort study in eight countries, we test the reliability and validity of tri-scales among 148 women in the third trimester and 3-months after childbirth in Vietnam. Results Reliability testing achieved good internal consistency for the set of scales (Alpha = 0.75-0.81). The multitrait-multimethods matrix and SEM model indicated a good fit [Chi-square (230) = 337.5, p < 0.001; Root Mean Square Error of approximation= 0.56, Comparative Fit Index= 0.91] and good discriminant validity of WHO-5 lower discriminant validity of PSS and PHQ-9. The proportion of correctly classified cases and optimum balanced indicators of sensitivity and specificity suggested the cut-off scores of ≥ 6 for PHQ-9 and ≥ 25 for PSS for suicide risk screening. Regarding to predictive validity for postpartum depression of PHQ-9, we found that the cut-off scores of ≥ 6 for prenatal PHQ-9 screening can predict approx.70% of mild postpartum depression cases after 3-month childbirth. Conclusions This present study suggested adequate validity and reliability of the WHO-5, PHQ9 and PSS to measure antenatal depression and suicide risk in Vietnam. Key messages Further studies might consider to use one or a set of scales to understand multiple domains of mental disorder as it is simple to administer and acceptable duration for completion in the community.

Language: en

LA - en SN - 0300-5771 UR - http://dx.doi.org/10.1093/ije/dyab168.166 ID - ref1 ER -