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Screening for postnatal depression: are specific instruments mandatory?

D T Lee1, A S Yip, H F Chiu

  • 1Department of Psychiatry, The Chinese University of Hong Kong, Shatin, Hong Kong. tak_lee@hms.harvard.edu

Journal of Affective Disorders
|March 14, 2001
PubMed
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The General Health Questionnaire (GHQ) and Beck Depression Inventory (BDI) effectively screen for postnatal depression in Chinese women. These non-puerperal scales show utility comparable to the Edinburgh Postnatal Depression Scale (EPDS).

Area of Science:

  • Perinatal mental health research
  • Psychometric validation studies
  • Clinical psychology

Background:

  • Limited research exists on non-puerperal scales for postnatal depression detection.
  • This study addresses the utility of the General Health Questionnaire (GHQ) and Beck Depression Inventory (BDI) in Hong Kong.

Purpose of the Study:

  • To evaluate the effectiveness of the GHQ and BDI in screening for depression in postpartum Chinese women.
  • To compare the psychometric performance of GHQ and BDI against the Edinburgh Postnatal Depression Scale (EPDS).

Main Methods:

  • A prospective cohort of 145 Chinese women was studied 6 weeks postpartum.
  • Participants completed GHQ, BDI, and EPDS, with clinical diagnosis via Structured Clinical Interview for DSM-III-R (SCID-NP).
  • Receiver operating characteristic (ROC) curves analyzed psychometric performance.

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Main Results:

  • Both the Chinese versions of GHQ and BDI demonstrated satisfactory sensitivity and positive predictive value.
  • The diagnostic accuracy of GHQ and BDI was comparable to the EPDS.
  • The criterion validity of GHQ and BDI was assessed against clinical diagnosis.

Conclusions:

  • The GHQ and BDI are valuable tools for identifying postnatal depression in recently delivered Chinese women.
  • Scales developed for non-puerperal depression screening can be applicable to the postnatal context.
  • Translated rating scales proved useful in this Chinese population.