TY - JOUR
PY - 2023//
TI - Routine screening for peripartum depression in the gynecologic and pediatric setting - evaluation of an Adapted EPDS Version
JO - Zeitschrift fur Geburtshilfe und Neonatologie
A1 - Simen, Susanne
A1 - Kuscher, Katharina
A1 - Schröder, Lea
A1 - Yilmaz-Terzioglu, Neslisah
A1 - Schröder, Torsten
A1 - Jung, Ronny
A1 - Köhler, Wolfgang
A1 - Dammer, Ulf
A1 - Kastner, Brigitte
A1 - Hillemacher, Thomas
A1 - Berg, Neeltje van den
A1 - Rauber, Susanne
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - PURPOSE: The aim of the study was to investigate the feasibility and acceptability of a routine screening for peripartum depression (PD) by gynecologists and pediatricians. In addition, it was investigated whether two separate Plus Questions (PQ) of the "EPDS-Plus" are valid for screening experiences of violence or a traumatic birth and whether they can be associated with symptoms of PD.
METHODS: Using the EPDS-Plus the prevalence of PD was investigated in 5235 women. The convergent validity of the PQ with the Childhood Trauma Questionnaire (CTQ) and Salmon's Item List (SIL) was assessed using correlation analysis. The association between the experience of violence and/or traumatic birth experience and PD was subjected to the chi-square test. Furthermore, a qualitative analysis for acceptance and satisfaction by the practitioners was performed.
RESULTS: The prevalence was 9.94%/10.18% for antepartum/postpartum depression. The convergent validity of the PQ showed strong correlation with CTQ (p<0.001) and SIL (p<0.001). For violence and PD, a significant association was found. There was no significant association for traumatic birth experience and PD. There was a high level of satisfaction and acceptance of the EPDS-Plus questionnaire.
CONCLUSION: Screening for peripartum depression is feasible in regular care and can help to identify depressed as well as potentially traumatized mothers, especially in preparing trauma-sensitive birth care and treatment. Therefore, specialized peripartum "psych" treatment for all affected mothers in all regions has to be implemented.
Language: en
LA - en SN - 0948-2393 UR - http://dx.doi.org/10.1055/a-2016-9737 ID - ref1 ER -