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Erschienen in: Archives of Women's Mental Health 4/2009

01.08.2009 | Original Contribution

Risk factors for postpartum depression: the role of the Postpartum Depression Predictors Inventory-Revised (PDPI-R)

Results from the Perinatal Depression-Research & Screening Unit (PNDReScU) study

verfasst von: A. Oppo, M. Mauri, D. Ramacciotti, V. Camilleri, S. Banti, C. Borri, C. Rambelli, M. S. Montagnani, S. Cortopassi, A. Bettini, S. Ricciardulli, S. Montaresi, P. Rucci, C. T. Beck, G. B. Cassano

Erschienen in: Archives of Women's Mental Health | Ausgabe 4/2009

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Abstract

The aims of this study were to identify the frequency of the risk factors for postpartum depression (PPD) listed in the Postpartum Depression Predictors Inventory-Revised (PDPI-R) during pregnancy and 1 month after delivery and to determine the predictive validity of the PDPI-R. The study used a prospective cohort design. Women completed the PDPI-R at the 3rd and the 8th months of pregnancy and at the 1st month after childbirth. Women were prospectively followed across three different time points during the postpartum using Structured Clinical Interview for DSM-IV Disorders to determine the presence of major or minor depression. The prenatal version of the PDPI-R administered at two different time points during pregnancy predicted accurately 72.6% and 78.2% of PPD and the full version administered at the 1st month after delivery predicted 83.4% of PPD. The cutoffs identified were 3.5 for the prenatal version and 5.5 for the full version. The PDPI-R is a useful and a valid screening tool for PPD.
Literatur
Zurück zum Zitat Appleby L, Gregoire A, Platz C et al (1994) Screening women for high risk of postnatal depression. J Psychosom Res 38:539–545PubMedCrossRef Appleby L, Gregoire A, Platz C et al (1994) Screening women for high risk of postnatal depression. J Psychosom Res 38:539–545PubMedCrossRef
Zurück zum Zitat Austin MP, Hadzi-Pavlovic D, Saint K et al (2005) Antenatal screening for the prediction of postnatal depression: validation of a psychosocial pregnancy risk questionnaire. Acta Psychiatr Scand 112:310–317PubMedCrossRef Austin MP, Hadzi-Pavlovic D, Saint K et al (2005) Antenatal screening for the prediction of postnatal depression: validation of a psychosocial pregnancy risk questionnaire. Acta Psychiatr Scand 112:310–317PubMedCrossRef
Zurück zum Zitat Beck CT (1996a) A meta-analysis of predictors of postpartum depression. Nurs Res 45:297–303PubMedCrossRef Beck CT (1996a) A meta-analysis of predictors of postpartum depression. Nurs Res 45:297–303PubMedCrossRef
Zurück zum Zitat Beck CT (1996b) A meta-analysis of the relationship between postpartum depression and infant temperament. Nurs Res 45:225–230PubMedCrossRef Beck CT (1996b) A meta-analysis of the relationship between postpartum depression and infant temperament. Nurs Res 45:225–230PubMedCrossRef
Zurück zum Zitat Beck CT (2002) Revision of the postpartum depression predictors inventory. J Obstet Gynecol Neonatal Nurs 31(4):394–402PubMedCrossRef Beck CT (2002) Revision of the postpartum depression predictors inventory. J Obstet Gynecol Neonatal Nurs 31(4):394–402PubMedCrossRef
Zurück zum Zitat Beck CT, Records K, Rice M (2006) Further development of the Postpartum Depression Predictors Inventory-Revised. J Obstet Gynecol Neonatal Nurs 35(6):735–745PubMed Beck CT, Records K, Rice M (2006) Further development of the Postpartum Depression Predictors Inventory-Revised. J Obstet Gynecol Neonatal Nurs 35(6):735–745PubMed
Zurück zum Zitat Bennett HA, Einarson A, Taddio A et al (2004) Prevalence of depression during pregnancy: systematic review. Obstet Gynecol 103(4):698–709PubMed Bennett HA, Einarson A, Taddio A et al (2004) Prevalence of depression during pregnancy: systematic review. Obstet Gynecol 103(4):698–709PubMed
Zurück zum Zitat Bernazzani O, Marks MN, Bifulco A et al (2005) Assessing psychosocial risk in pregnant/postpartum women using the contextual assessment of maternity experience (CAME). Soc Psychiatry Psychiatr Epidemiol 40:497–508PubMedCrossRef Bernazzani O, Marks MN, Bifulco A et al (2005) Assessing psychosocial risk in pregnant/postpartum women using the contextual assessment of maternity experience (CAME). Soc Psychiatry Psychiatr Epidemiol 40:497–508PubMedCrossRef
Zurück zum Zitat Borri C, Mauri M, Oppo A et al (2008) Axis-I psychopathology and functional impairment at the 3rd month of pregnancy. Results from the Perinatal Depression-Research & Screening Unit (PND-ReScU) Study. J Clin Psychiatry 69(10):1617–1624PubMedCrossRef Borri C, Mauri M, Oppo A et al (2008) Axis-I psychopathology and functional impairment at the 3rd month of pregnancy. Results from the Perinatal Depression-Research & Screening Unit (PND-ReScU) Study. J Clin Psychiatry 69(10):1617–1624PubMedCrossRef
Zurück zum Zitat Boyce P, Hickey A, Gilchrist J et al (2001) The development of a brief personality scale to measure vulnerability to postnatal depression. Arch Women Ment Health 3:147–153CrossRef Boyce P, Hickey A, Gilchrist J et al (2001) The development of a brief personality scale to measure vulnerability to postnatal depression. Arch Women Ment Health 3:147–153CrossRef
Zurück zum Zitat Boyer D, Van Der Leden M, Bacom C (1990) Prediction of postpartum depressive symptoms in low income Black women. Unpublished manuscript Boyer D, Van Der Leden M, Bacom C (1990) Prediction of postpartum depressive symptoms in low income Black women. Unpublished manuscript
Zurück zum Zitat Braverman J, Roux J (1978) Screening for the patient at risk for postpartum depression. Obstet Gynecol 52:731–736PubMed Braverman J, Roux J (1978) Screening for the patient at risk for postpartum depression. Obstet Gynecol 52:731–736PubMed
Zurück zum Zitat Buist AE, Barnett BEW, Milgrom J et al (2002) To screen or not to screen—that is the question in perinatal depression. Med J Aust 177:101–105 Buist AE, Barnett BEW, Milgrom J et al (2002) To screen or not to screen—that is the question in perinatal depression. Med J Aust 177:101–105
Zurück zum Zitat Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry 150:782–786PubMedCrossRef Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry 150:782–786PubMedCrossRef
Zurück zum Zitat Cox JL, Murray D, Chapman GA (1993) Controlled study of the onset, duration and prevalence of postnatal depression. Br J Psychiatry 163:27–31PubMedCrossRef Cox JL, Murray D, Chapman GA (1993) Controlled study of the onset, duration and prevalence of postnatal depression. Br J Psychiatry 163:27–31PubMedCrossRef
Zurück zum Zitat Eberhard-Gran M, Eskild A, Tambs K et al (2001) Review of validation studies of the Edinburgh postnatal depression scale. Acta Psychiatr Scand 104:243–249PubMedCrossRef Eberhard-Gran M, Eskild A, Tambs K et al (2001) Review of validation studies of the Edinburgh postnatal depression scale. Acta Psychiatr Scand 104:243–249PubMedCrossRef
Zurück zum Zitat First MB, Spitzer RL, Gibbon M et al (1995) Structured clinical interview for DSM-IV axis I disorders (SCID). New York State Psychiatric Institute, Biometrics Research, New York First MB, Spitzer RL, Gibbon M et al (1995) Structured clinical interview for DSM-IV axis I disorders (SCID). New York State Psychiatric Institute, Biometrics Research, New York
Zurück zum Zitat Fletcher RH, Fletcher SW, Wagner EH (1996) Clinical epidemiology: the essentials. Williams & Wilkins, Baltimore Fletcher RH, Fletcher SW, Wagner EH (1996) Clinical epidemiology: the essentials. Williams & Wilkins, Baltimore
Zurück zum Zitat Food and Drug Admistration (1979) Labeling and prescription drug advertising: content and format for labelling for human prescription drugs. Fed Regist 44:37434–37467 Food and Drug Admistration (1979) Labeling and prescription drug advertising: content and format for labelling for human prescription drugs. Fed Regist 44:37434–37467
Zurück zum Zitat Gaynes, BN, Gavin, N, Meltzer-Brody S et al (2005) Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evidence Report/Technology Assessment No. 119. (Prepared by the RTI-University of North Carolina Evidence-based Practice Center, under Contract No. 290-02-0016.) AHRQ Publication No. 05-E006-2. Rockville, MD: Agency for Healthcare Research and Quality Gaynes, BN, Gavin, N, Meltzer-Brody S et al (2005) Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evidence Report/Technology Assessment No. 119. (Prepared by the RTI-University of North Carolina Evidence-based Practice Center, under Contract No. 290-02-0016.) AHRQ Publication No. 05-E006-2. Rockville, MD: Agency for Healthcare Research and Quality
Zurück zum Zitat Glangeaud-Freudenthal NMC, Boyce P (2003) Postpartum depression: risk-factors and treatments—introduction. Arch Women Ment Health 6(2):s31–s32CrossRef Glangeaud-Freudenthal NMC, Boyce P (2003) Postpartum depression: risk-factors and treatments—introduction. Arch Women Ment Health 6(2):s31–s32CrossRef
Zurück zum Zitat Hanna B, Jarman H, Savage S et al (2004) The early detection of postpartum depression: midwives and nurses trial a checklist. J Obstet Gynecol Neonatal Nurs 33(2):191–7PubMedCrossRef Hanna B, Jarman H, Savage S et al (2004) The early detection of postpartum depression: midwives and nurses trial a checklist. J Obstet Gynecol Neonatal Nurs 33(2):191–7PubMedCrossRef
Zurück zum Zitat Kim HG, Mandell M, Crandall C et al (2006) Antenatal psychiatric illness and adequacy of prenatal care in an ethnically diverse inner-city obstetric population. Arch Women Ment Health 9(2):103–7CrossRef Kim HG, Mandell M, Crandall C et al (2006) Antenatal psychiatric illness and adequacy of prenatal care in an ethnically diverse inner-city obstetric population. Arch Women Ment Health 9(2):103–7CrossRef
Zurück zum Zitat Kitamura T, Shima S, Sugaware M et al (1993) Psychological and social correlates of the onset of affective disorder among pregnant women. Psychol Med 23:967–975PubMed Kitamura T, Shima S, Sugaware M et al (1993) Psychological and social correlates of the onset of affective disorder among pregnant women. Psychol Med 23:967–975PubMed
Zurück zum Zitat Marcus SM, Flynn HA, Blow FC et al (2003) Depressive symptoms among pregnant women screened in obstetric settings. J Women Health 12:373–380CrossRef Marcus SM, Flynn HA, Blow FC et al (2003) Depressive symptoms among pregnant women screened in obstetric settings. J Women Health 12:373–380CrossRef
Zurück zum Zitat Matthey S, Henshaw C, Elliott S et al (2006) Variability in use of cut-off scores and formats on the Edinburgh postnatal depression scale—implications for clinical and research practice. Arch Women Ment Health 9:309–315CrossRef Matthey S, Henshaw C, Elliott S et al (2006) Variability in use of cut-off scores and formats on the Edinburgh postnatal depression scale—implications for clinical and research practice. Arch Women Ment Health 9:309–315CrossRef
Zurück zum Zitat Milgrom J, Ericksen J, Negri L et al (2005) Screening for postnatal depression in routine primary care: properties of the Edinburgh postnatal depression scale in an Australian sample. Aust N Z J Psychiatry 39(9):833–839PubMedCrossRef Milgrom J, Ericksen J, Negri L et al (2005) Screening for postnatal depression in routine primary care: properties of the Edinburgh postnatal depression scale in an Australian sample. Aust N Z J Psychiatry 39(9):833–839PubMedCrossRef
Zurück zum Zitat Milgrom J, Gemmill AW, Bilszta JL et al (2008) Antenatal risk factors for postnatal depression. A large prospective study. J Affect Disord 108:147–157PubMedCrossRef Milgrom J, Gemmill AW, Bilszta JL et al (2008) Antenatal risk factors for postnatal depression. A large prospective study. J Affect Disord 108:147–157PubMedCrossRef
Zurück zum Zitat O’Hara MW, Swain AM (1996) Rates and risk of postpartum depression—a meta-analysis. Int Rev Psychiatry 8:37–54CrossRef O’Hara MW, Swain AM (1996) Rates and risk of postpartum depression—a meta-analysis. Int Rev Psychiatry 8:37–54CrossRef
Zurück zum Zitat O’Hara MW, Schlechte JA, Lewis DA et al (1991) Controlled prospective study of postpartum mood disorders: psychological, environmental and hormonal variables. J Abnorm Psychol 100(1):63–73PubMedCrossRef O’Hara MW, Schlechte JA, Lewis DA et al (1991) Controlled prospective study of postpartum mood disorders: psychological, environmental and hormonal variables. J Abnorm Psychol 100(1):63–73PubMedCrossRef
Zurück zum Zitat Petrick J (1984) Postpartum depression: identification of high risk mothers. J Obstet Gynecol Neonat Nurs 13:37–40CrossRef Petrick J (1984) Postpartum depression: identification of high risk mothers. J Obstet Gynecol Neonat Nurs 13:37–40CrossRef
Zurück zum Zitat Posner NA, Unterman RR, Williams KN et al (1997) Screening for postpartum depression: an antepartum questionnaire. J Reprod Med 42:207–215PubMed Posner NA, Unterman RR, Williams KN et al (1997) Screening for postpartum depression: an antepartum questionnaire. J Reprod Med 42:207–215PubMed
Zurück zum Zitat Priest SR, Austin MP, Barnett B, Buist A (2008) A psychosocial risk assessment model (PRAM) for use with pregnant and postpartum women in primary care settings. Arch Women Ment Health . doi:10.1007/s00737-008-0028-3 Priest SR, Austin MP, Barnett B, Buist A (2008) A psychosocial risk assessment model (PRAM) for use with pregnant and postpartum women in primary care settings. Arch Women Ment Health . doi:10.​1007/​s00737-008-0028-3
Zurück zum Zitat Records K, Rice M, Beck CT (2007) Psychometric assessment of the Postpartum Depression Predictors Inventory-Revised. J Nurs Meas 15(3):189–201PubMedCrossRef Records K, Rice M, Beck CT (2007) Psychometric assessment of the Postpartum Depression Predictors Inventory-Revised. J Nurs Meas 15(3):189–201PubMedCrossRef
Zurück zum Zitat Reid AJ, Biringer A, Carroll JC et al (1998) Using the ALPHA form in practice to assess antenatal psychosocial health. CMAJ 159:677–684PubMed Reid AJ, Biringer A, Carroll JC et al (1998) Using the ALPHA form in practice to assess antenatal psychosocial health. CMAJ 159:677–684PubMed
Zurück zum Zitat Robertson E, Sherry G, Wallington T et al (2004) Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry 26:289–295PubMedCrossRef Robertson E, Sherry G, Wallington T et al (2004) Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry 26:289–295PubMedCrossRef
Zurück zum Zitat Ross LE, Campbell VLS, Dennis CL et al (2006) Demographic characteristics of participants in studies of risk factors, prevention, and treatment of postpartum depression. Can J Psychiatry 51:704–710PubMed Ross LE, Campbell VLS, Dennis CL et al (2006) Demographic characteristics of participants in studies of risk factors, prevention, and treatment of postpartum depression. Can J Psychiatry 51:704–710PubMed
Zurück zum Zitat Ryan D, Milis L, Misri N (2005) Depression during pregnancy. Can Fam Physician 51:1087–1093PubMed Ryan D, Milis L, Misri N (2005) Depression during pregnancy. Can Fam Physician 51:1087–1093PubMed
Zurück zum Zitat Spitzer RL, Endicott J, Robins E (1978) Research diagnostic criteria: rationale and reliability. Arch Gen Psychiatry 35:773–782PubMed Spitzer RL, Endicott J, Robins E (1978) Research diagnostic criteria: rationale and reliability. Arch Gen Psychiatry 35:773–782PubMed
Zurück zum Zitat Stamp G, Williams A, Crowther C (1996) Predicting postnatal depression among pregnant women. Birth 23:218–223PubMedCrossRef Stamp G, Williams A, Crowther C (1996) Predicting postnatal depression among pregnant women. Birth 23:218–223PubMedCrossRef
Zurück zum Zitat Swets JA, Picket RM (1982) Evaluation of diagnostic systems. Academic, New York Swets JA, Picket RM (1982) Evaluation of diagnostic systems. Academic, New York
Zurück zum Zitat Swets JA (1992) The science of choosing the right decision threshold in high-stakes diagnostics. Am Psychol 47:522–532PubMedCrossRef Swets JA (1992) The science of choosing the right decision threshold in high-stakes diagnostics. Am Psychol 47:522–532PubMedCrossRef
Zurück zum Zitat Webster J, Pritchard MA, Creedy D et al (2003) A simplified predictive index for the detection of women at risk for postnatal depression. Birth 30:101–108PubMedCrossRef Webster J, Pritchard MA, Creedy D et al (2003) A simplified predictive index for the detection of women at risk for postnatal depression. Birth 30:101–108PubMedCrossRef
Metadaten
Titel
Risk factors for postpartum depression: the role of the Postpartum Depression Predictors Inventory-Revised (PDPI-R)
Results from the Perinatal Depression-Research & Screening Unit (PNDReScU) study
verfasst von
A. Oppo
M. Mauri
D. Ramacciotti
V. Camilleri
S. Banti
C. Borri
C. Rambelli
M. S. Montagnani
S. Cortopassi
A. Bettini
S. Ricciardulli
S. Montaresi
P. Rucci
C. T. Beck
G. B. Cassano
Publikationsdatum
01.08.2009
Verlag
Springer Vienna
Erschienen in
Archives of Women's Mental Health / Ausgabe 4/2009
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-009-0071-8

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