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Screening and diagnosing postpartum depression: when and how?

Abstract Prevalence rates of postpartum depression (PPD) vary widely, depending on the methodological parameters used in studies: differences in study populations, diagnostic methods, and postpartum time frame. There is also no consensus on the ideal time to perform screening, on whether PPD can only be diagnosed in the early postnatal period, or on how soon after a delivery depression may be related to it.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title trends in psychiatry and psychotherapy
Publication Year Start




PMID- 28403324
OWN - NLM
STAT- MEDLINE
DA  - 20170413
DCOM- 20170419
LR  - 20170419
IS  - 2238-0019 (Electronic)
IS  - 2237-6089 (Linking)
VI  - 39
IP  - 1
DP  - 2017 Jan-Mar
TI  - Screening and diagnosing postpartum depression: when and how?
PG  - 54-61
LID - S2237-60892017000100054 [pii]
LID - 10.1590/2237-6089-2016-0034 [doi]
AB  - Introduction:: Prevalence rates of postpartum depression (PPD) vary widely,
      depending on the methodological parameters used in studies: differences in study 
      populations, diagnostic methods, and postpartum time frame. There is also no
      consensus on the ideal time to perform screening, on whether PPD can only be
      diagnosed in the early postnatal period, or on how soon after a delivery
      depression may be related to it. Objective:: To review which instruments have
      been used over recent years to screen and diagnose PPD and the prevailing periods
      of diagnosis. Methods:: Only articles published within 5 years and related
      exclusively to screening and diagnosis were selected. The sample comprised 22
      articles. Results:: The Edinburgh Posnatal Depression Scale (EPDS) was the most
      common screening tool, used in 68% of the sample (15 articles), followed by the
      Beck Depression Inventory (BDI-II) (27%, 6 articles), and the Patient Health
      Questionnaire-9 (PHQ-9) (18%, 4 articles). Screening time frame was reported in
      21/22 articles: 0 to 3 months postpartum in 9 (43%), up to 6 months in 4 (19%),
      and up to 12 months or more in 8 (38%). In short, 13 articles screened during the
      first 6 months (59%) while only 8 (36%) screened up to 1 year. Conclusion:: The
      most frequent PPD diagnosis tool was the EPDS, but other scales were also used.
      The most common period for diagnosis was up to 3 months postpartum. However, some
      researchers diagnosed PPD 12 months or more postpartum. Greater standardization
      of parameters for investigation of this disease is needed.
FAU - Moraes, Gustavo Paranhos de Albuquerque
AU  - Moraes GP
AD  - Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil.
FAU - Lorenzo, Laura
AU  - Lorenzo L
AD  - EPSIRE Centro Privado (Psiquiatria Perinatal y Psicofarmacologia), Argentina.
FAU - Pontes, Gabriela Arruda Reinaux
AU  - Pontes GA
AD  - Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil.
FAU - Montenegro, Maria Cristina
AU  - Montenegro MC
AD  - Universidade de Pernambuco (UPE), Recife, PE, Brazil.
FAU - Cantilino, Amaury
AU  - Cantilino A
AD  - Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - Portugal
TA  - Trends Psychiatry Psychother
JT  - Trends in psychiatry and psychotherapy
JID - 101610695
SB  - IM
MH  - Depression, Postpartum/*diagnosis
MH  - Female
MH  - Humans
MH  - Psychiatric Status Rating Scales
MH  - Time Factors
EDAT- 2017/04/14 06:00
MHDA- 2017/04/20 06:00
CRDT- 2017/04/14 06:00
PHST- 2016/04/29 [received]
PHST- 2016/08/02 [accepted]
AID - S2237-60892017000100054 [pii]
AID - 10.1590/2237-6089-2016-0034 [doi]
PST - ppublish
SO  - Trends Psychiatry Psychother. 2017 Jan-Mar;39(1):54-61. doi:
      10.1590/2237-6089-2016-0034.

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