作者: Dina Khalifa , Kari Glavin , Espen Bjertness , Lars Lien
DOI: 10.2147/IJWH.S81401
关键词: Obstetrics 、 Referral 、 Depression (differential diagnoses) 、 Health care 、 Psychiatry 、 Medicine 、 Population 、 Odds ratio 、 Edinburgh Postnatal Depression Scale 、 Epidemiology 、 Mental health
摘要: Purpose Postnatal depression (PND) rates in low-resource countries have reached levels between 4.9% and 59%. Maternal mental health has not been researched Sudan, there are no existing statistics on prevalence or significant risk factors for PND. Consequently, screening test validated to screen PND at the primary care level. This study investigates 3 months of validates Edinburgh Depression Scale (EPDS) against Mini-International Neuropsychiatric Interview (MINI). Methodology Pregnant Sudanese women second third trimesters were recruited during routine antenatal visits two major maternity hospitals Khartoum state. They screened postpartum using EPDS. Test positive matched with negative according nearest date birth. A clinical psychologist verified their status MINI. Results The follow-up rate was 79%. At a cutoff point ≥12, 9.2%. sensitivity specificity EPDS 89% 82%, respectively. MINI showed strong relationship (odds ratio =36). predictive value value, this study's prevalence, 33% 98.7%, receiver operator characteristic analysis an area under curve 0.89. cut-off ≥12 most acceptable as it had lowest number needed diagnose (1.4) false-positive 18%. Conclusion is valid tool population. It accepted, easily administered, understood by postnatal women. Health personnel, especially village midwives, should be trained referral depressed evaluation management. Due limited resources available shorter tests need future.