To screen or not to screen: that is the question in perinatal depression

Buist, Anne E., Barnett, Bryanne E.W., Milgrom, Jeannette, Pope, Sherryl, Condon, John T., Ellwood, David A., Boyce, Phillip M., Austin, Marie-Paule V., and Hayes, Barbara A. (2002) To screen or not to screen: that is the question in perinatal depression. Medical Journal of Australia, 177 (7). pp. 101-105.

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Abstract

* Significant perinatal distress and depression affects 14% of women, producing short and long term consequences for the family. This suggests that measures for early detection are important, and non-identification of these women may exacerbate difficulties. * Screening provides an opportunity to access large numbers of women and facilitate pathways to best-practice care. * A valid, reliable, economical screening tool (the Edinburgh Postnatal Depression Scale, EPDS) is available. * Arguments against screening pertain largely to lack of evidence about the acceptability of routine use of the EPDS during pregnancy and the postnatal period, and inadequate evidence regarding outcomes and cost-effectiveness. * To address these concerns, the National Postnatal Depression Prevention and Early Intervention Program will evaluate outcomes of screening in terms of acceptability, cost-effectiveness, access and satisfaction with management in up to 100 000 women.

Item ID: 13636
Item Type: Article (Refereed Research - C1)
Keywords: health screening; perinatal depression; perinatal distress
ISSN: 1326-5377
Date Deposited: 19 Dec 2010 23:00
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111006 Midwifery @ 100%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920210 Nursing @ 100%
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