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. 2022 Feb 18;5(2):e518.
doi: 10.1002/hsr2.518. eCollection 2022 Mar.

Screening of psychiatric disorders in women with high-risk pregnancy: Accuracy of three psychological tools

Angela Hamidia  1 , Farzan Kheirkhah  1 , Mohammad Chehrazi  2 , Zahra Basirat  3 , Reza Ghadimi  4 , Shahnaz Barat  3 , Pim Cuijpers  5 , Elizabeth O'Connor  6 , Seyyedeh Mahboubeh Mirtabar  7 , Mahbobeh Faramarzi  8
Affiliations

Screening of psychiatric disorders in women with high-risk pregnancy: Accuracy of three psychological tools

Angela Hamidia et al. Health Sci Rep. .

Abstract

Purpose: This study investigated the optimal cutoff points of three psychological tools for screening psychiatric disorders in women with high-risk pregnancy.

Design and methods: In this cross-sectional study (N = 155), sensitivity/specificity of the Edinburgh Postnatal Depression Scale (EPDS), the Brief Symptom Inventory 53-items (BSI-53), and the BSI-18 were computed with respect to having a psychiatric diagnosis based on the clinical interview.

Results: The usual cutoffs (≥13 for EPDS, T-score of 63 for BSI-53) demonstrated poor diagnostic accuracy. The optimal thresholds were computed for EPDS cutoff of 6.5, GSI = 0.47 for BSI-53, and GSI = 0.5 for BSI-18.

Practice implications: The use of psychological tools among pregnant women with high-risk pregnancy may need to be modified in order to accurately identify psychiatric disorders.

Keywords: anxiety; depression; high‐risk; mental disorders; pregnancy; screening.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The authors declare that there is no conflict of interests.

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