TY - JOUR
T1 - A comparison of three screening tools to identify perinatal depression among low-income African American women
AU - Tandon, S. Darius
AU - Cluxton-Keller, Fallon
AU - Leis, Julie
AU - Le, Huynh Nhu
AU - Perry, Deborah F.
N1 - Funding Information:
Funding for this study was provided by the Thomas Wilson Sanitarium; the funding agency had no further role in study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit this paper for publication.
PY - 2012/1
Y1 - 2012/1
N2 - Background: The purpose of the current study was to determine the sensitivity, specificity, and positive predictive value of three depression screening tools among a low-income African American population of pregnant and recently delivered women enrolled in home visitation programs in a low-income urban community. Methods: Ninety-five women enrolled in home visitation programs-32 who were pregnant and 63 with a child < 6 months comprise the study sample. Each woman completed a structured clinical interview and three depression screening tools-the Edinburgh Postnatal Depression Scale (EPDS), Center for Epidemiologic Studies Depression Scale (CES-D), and Beck Depression Inventory II (BDI-II). Results: Over a quarter of women (28.4%) were experiencing major depression. Each screening tool was highly accurate in detecting major depression and major or minor depression among prenatal and postpartum women, with areas under the curve (AUCs) > 0.90. Sensitivities of all screening tools were improved when using cutoffs lower than those considered standard by instrument developers. Limitations: Participants were recruited from home visitation programs in an urban context which may limit generalizability to other populations of low-income African American women. Given that no women during pregnancy met criteria for minor depression, it was not possible to determine optimal prenatal cutoff scores. Conclusions: Three depression screening tools-the EPDS, CES-D, and BDI-II-appear to be reliable and brief assessments of major and minor depression among low-income African American perinatal women. Providers using these tools should consider using lower cutoff scores to most effectively identify women in need of depression treatment.
AB - Background: The purpose of the current study was to determine the sensitivity, specificity, and positive predictive value of three depression screening tools among a low-income African American population of pregnant and recently delivered women enrolled in home visitation programs in a low-income urban community. Methods: Ninety-five women enrolled in home visitation programs-32 who were pregnant and 63 with a child < 6 months comprise the study sample. Each woman completed a structured clinical interview and three depression screening tools-the Edinburgh Postnatal Depression Scale (EPDS), Center for Epidemiologic Studies Depression Scale (CES-D), and Beck Depression Inventory II (BDI-II). Results: Over a quarter of women (28.4%) were experiencing major depression. Each screening tool was highly accurate in detecting major depression and major or minor depression among prenatal and postpartum women, with areas under the curve (AUCs) > 0.90. Sensitivities of all screening tools were improved when using cutoffs lower than those considered standard by instrument developers. Limitations: Participants were recruited from home visitation programs in an urban context which may limit generalizability to other populations of low-income African American women. Given that no women during pregnancy met criteria for minor depression, it was not possible to determine optimal prenatal cutoff scores. Conclusions: Three depression screening tools-the EPDS, CES-D, and BDI-II-appear to be reliable and brief assessments of major and minor depression among low-income African American perinatal women. Providers using these tools should consider using lower cutoff scores to most effectively identify women in need of depression treatment.
KW - African American
KW - Home visiting
KW - Postpartum depression
KW - Screening
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U2 - 10.1016/j.jad.2011.07.014
DO - 10.1016/j.jad.2011.07.014
M3 - Article
C2 - 21864914
AN - SCOPUS:84857039753
SN - 0165-0327
VL - 136
SP - 155
EP - 162
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
IS - 1-2
ER -