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

doi:10.1002/hsr2.518

. 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

Affiliations

¹ Social Determinants of Health Research Center, Health Research Institute, Department of Psychiatry Babol University of Medical Sciences Babol Iran.
² Department of Biostatistics and Epidemiology, School of Public Health Babol University of Medical Sciences Babol Iran.
³ Infertility and Health Reproductive Research Center, Health Research Institute, Department of Obstetrics and Gynecology Babol University of Medical Sciences Babol Iran.
⁴ Social Determinants of Health Research Center, Health Research Institute, Social Medicine Department Babol University of Medical Sciences Babol Iran.
⁵ Department of Clinical Neuro and Developmental Psychology, Amsterdam Public Health Research Institute Vrije Universiteit Amsterdam Amsterdam Netherlands.
⁶ Center for Health Research Kaiser Permanente Northwest Portland Oregon USA.
⁷ Student Research Committee Babol University of Medical Sciences Babol Iran.
⁸ Social Determinants of Health Research Center, Health Research Institute, Department of General Courses Babol University of Medical Sciences Babol Iran.

PMID: 35224219
PMCID: PMC8855636
DOI: 10.1002/hsr2.518

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

Angela Hamidia et al. Health Sci Rep. 2022.

. 2022 Feb 18;5(2):e518.

doi: 10.1002/hsr2.518. eCollection 2022 Mar.

Affiliations

¹ Social Determinants of Health Research Center, Health Research Institute, Department of Psychiatry Babol University of Medical Sciences Babol Iran.
² Department of Biostatistics and Epidemiology, School of Public Health Babol University of Medical Sciences Babol Iran.
³ Infertility and Health Reproductive Research Center, Health Research Institute, Department of Obstetrics and Gynecology Babol University of Medical Sciences Babol Iran.
⁴ Social Determinants of Health Research Center, Health Research Institute, Social Medicine Department Babol University of Medical Sciences Babol Iran.
⁵ Department of Clinical Neuro and Developmental Psychology, Amsterdam Public Health Research Institute Vrije Universiteit Amsterdam Amsterdam Netherlands.
⁶ Center for Health Research Kaiser Permanente Northwest Portland Oregon USA.
⁷ Student Research Committee Babol University of Medical Sciences Babol Iran.
⁸ Social Determinants of Health Research Center, Health Research Institute, Department of General Courses Babol University of Medical Sciences Babol Iran.

PMID: 35224219
PMCID: PMC8855636
DOI: 10.1002/hsr2.518

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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References

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[1] India State‐Level Disease Burden Initiative Mental Disorders Collaborators . The burden of mental disorders across the states of India: the Global Burden of Disease Study 1990‐2017. Lancet Psychiatry. 2020;7(2):148‐161. doi: 10.1016/s2215-0366(19)30475-4 - DOI - PMC - PubMed

[2] India State‐Level Disease Burden Initiative Mental Disorders Collaborators . The burden of mental disorders across the states of India: the Global Burden of Disease Study 1990‐2017. Lancet Psychiatry. 2020;7(2):148‐161. doi: 10.1016/s2215-0366(19)30475-4 - DOI - PMC - PubMed

[3] Faramarzi M, Kheirkhah F, Barat S, et al. Prevalence and factors related to psychiatric symptoms in low risk pregnancy. Caspian J Intern Med. 2020;11(2):211‐218. doi: 10.22088/cjim.11.2.211 - DOI - PMC - PubMed

[4] Faramarzi M, Kheirkhah F, Barat S, et al. Prevalence and factors related to psychiatric symptoms in low risk pregnancy. Caspian J Intern Med. 2020;11(2):211‐218. doi: 10.22088/cjim.11.2.211 - DOI - PMC - PubMed

[5] Hasanjanzadeh P, Faramarzi M. Relationship between maternal general and specific‐pregnancy stress, anxiety, and depression symptoms and pregnancy outcome. J Clin Diagn Res. 2017;11(4):VC04‐VC07. doi: 10.7860/jcdr/2017/24352.9616 - DOI - PMC - PubMed

[6] Hasanjanzadeh P, Faramarzi M. Relationship between maternal general and specific‐pregnancy stress, anxiety, and depression symptoms and pregnancy outcome. J Clin Diagn Res. 2017;11(4):VC04‐VC07. doi: 10.7860/jcdr/2017/24352.9616 - DOI - PMC - PubMed

[7] Howard LM, Molyneaux E, Dennis CL, Rochat T, Stein A, Milgrom J. Non‐psychotic mental disorders in the perinatal period. Lancet. 2014;384(9956):1775‐1788. doi: 10.1016/s0140-6736(14)61276-9 - DOI - PubMed

[8] Howard LM, Molyneaux E, Dennis CL, Rochat T, Stein A, Milgrom J. Non‐psychotic mental disorders in the perinatal period. Lancet. 2014;384(9956):1775‐1788. doi: 10.1016/s0140-6736(14)61276-9 - DOI - PubMed

[9] Haghparast E, Faramarzi M, Hassanzadeh R. Psychiatric symptoms and pregnancy distress in subsequent pregnancy after spontaneous abortion history. Pak J Med Sci. 2016;32(5):1097‐1101. doi: 10.12669/pjms.325.10909 - DOI - PMC - PubMed

[10] Haghparast E, Faramarzi M, Hassanzadeh R. Psychiatric symptoms and pregnancy distress in subsequent pregnancy after spontaneous abortion history. Pak J Med Sci. 2016;32(5):1097‐1101. doi: 10.12669/pjms.325.10909 - DOI - PMC - PubMed

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

Affiliations

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

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