Validated screening tools to identify common mental disorders in perinatal and postpartum women in India: a systematic review and meta-analysis.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read Online Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968559 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-244X (Electronic) Linking ISSN: 1471244X NLM ISO Abbreviation: BMC Psychiatry Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Depression, Postpartum*/diagnosis ; Maternal Health Services*; Female ; Humans ; India ; Mass Screening ; Postpartum Period ; Pregnancy ; Psychiatric Status Rating Scales
    • Abstract:
      Background: Perinatal common mental disorders are associated with significant adverse outcomes for women and their families, particularly in low- and middle-income settings. Early detection through screening with locally-validated tools can improve outcomes.
      Methods: We searched MEDLINE, Embase, PsycINFO, Global Health, Cochrane Library, Web of Science and Google Scholar for articles on the validation of screening tools for common mental disorders in perinatal women in India, with no language or date restrictions. Quality was assessed using the QUADAS-2 tool. We used bivariate and hierarchical summary receiver operating characteristic models to calculate pooled summary estimates of sensitivity and specificity. Heterogeneity was assessed by visualising the distance of individual studies from the summary curve.
      Results: Seven studies involving 1003 women were analysed. All studies assessed the validity of the Edinburgh Postnatal Depression Scale (EPDS) in identifying perinatal depression. No validation studies of any other screening tools were identified. Using a common threshold of ≥13 the EPDS had a pooled sensitivity and specificity of 88·9% (95%CI 77·4-94·9) and 93·4 (95%CI 81·5-97·8), respectively. Using optimal thresholds (range ≥ 9 to ≥13) the EPDS had a pooled sensitivity and specificity of 94·4% (95%CI 81·7-98·4) and 90·8 (95%CI 83·7-95·0), respectively.
      Conclusion: The EPDS is psychometrically valid in diverse Indian settings and its use in routine maternity care could improve detection of perinatal depression. Further research is required to validate screening tools for other perinatal common mental disorders in India.
    • References:
      J Affect Disord. 2019 May 1;250:363-370. (PMID: 30877859)
      Lancet Psychiatry. 2016 Oct;3(10):973-982. (PMID: 27650773)
      Evid Based Ment Health. 2015 Nov;18(4):103-9. (PMID: 26446042)
      Am J Psychiatry. 2002 Jan;159(1):43-7. (PMID: 11772688)
      Trop Doct. 2017 Oct;47(4):339-347. (PMID: 28699396)
      Int Health. 2013 Mar;5(1):11-4. (PMID: 23580905)
      BMC Psychiatry. 2018 Mar 6;18(1):61. (PMID: 29510751)
      BMC Psychiatry. 2017 Mar 24;17(1):112. (PMID: 28340609)
      Qual Health Res. 2019 Jan;29(1):80-95. (PMID: 30799765)
      Lancet. 2018 Oct 27;392(10157):1553-1598. (PMID: 30314863)
      J Nerv Ment Dis. 2001 Apr;189(4):238-42. (PMID: 11339319)
      Br J Psychiatry. 2017 May;210(5):315-323. (PMID: 28302701)
      Obstet Gynecol. 2017 Mar;129(3):422-430. (PMID: 28178041)
      PLoS Med. 2009 Jul 21;6(7):e1000097. (PMID: 19621072)
      BMC Psychiatry. 2012 Nov 01;12:187. (PMID: 23116126)
      Acta Psychiatr Scand. 2009 May;119(5):350-64. (PMID: 19298573)
      J Affect Disord. 2011 Aug;132(3):301-10. (PMID: 20952072)
      PLoS One. 2016 Jun 16;11(6):e0156939. (PMID: 27310297)
      Asian J Psychiatr. 2020 Feb;48:101919. (PMID: 31927197)
      Arch Womens Ment Health. 2011 Jun;14(3):209-16. (PMID: 21061137)
      Ann Intern Med. 2011 Oct 18;155(8):529-36. (PMID: 22007046)
      Cochrane Database Syst Rev. 2019 Oct 3;10:ED000142. (PMID: 31643080)
      Lancet. 2014 Nov 15;384(9956):1800-19. (PMID: 25455250)
      J Epidemiol Community Health. 2019 Aug;73(8):768-777. (PMID: 31010821)
      BMC Pregnancy Childbirth. 2016 Apr 04;16:72. (PMID: 27044437)
      Bull World Health Organ. 2017 Oct 01;95(10):706-717C. (PMID: 29147043)
      Asian J Psychiatr. 2018 Aug;36:46-53. (PMID: 29966886)
      Br J Psychiatry. 1987 Jun;150:782-6. (PMID: 3651732)
      J Affect Disord. 2017 Sep;219:86-92. (PMID: 28531848)
      PLoS One. 2013 Dec 10;8(12):e82521. (PMID: 24340036)
      Front Public Health. 2018 Jun 11;6:149. (PMID: 29942800)
    • Contributed Indexing:
      Keywords: Common mental disorder; India; Low- and middle-income country (LMIC); Perinatal; Screening; Systematic review; Validation
    • Publication Date:
      Date Created: 20210421 Date Completed: 20210426 Latest Revision: 20240401
    • Publication Date:
      20240401
    • Accession Number:
      PMC8056564
    • Accession Number:
      10.1186/s12888-021-03190-6
    • Accession Number:
      33879130