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Related Experiment Videos

Screening for maternal depression in pediatric clinics.

K J Kemper1, T R Babonis

  • 1Department of Pediatrics, Harborview Medical Center, Seattle, WA 98104.

American Journal of Diseases of Children (1960)
|July 1, 1992
PubMed
Summary

Depression is common in mothers of young children, affecting 19% of those surveyed. A brief, three-item screening tool effectively identifies depression, comparing favorably to a longer version.

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Area of Science:

  • Psychiatry
  • Maternal Health
  • Epidemiology

Background:

  • Depressive disorders are a significant concern among mothers of young children.
  • Identifying and screening for maternal depression is crucial for early intervention and improved child outcomes.
  • Existing screening tools vary in length and ease of administration.

Purpose of the Study:

  • To determine the prevalence of depressive disorders in mothers of young children.
  • To identify risk factors associated with maternal depression.
  • To compare the efficacy of an eight-item RAND screening instrument with a simplified three-item version.

Main Methods:

  • A cross-sectional survey was conducted with 667 mothers of young children across various pediatric clinic settings.
  • Participants completed an anonymous, self-administered questionnaire assessing family health and depression.
  • Data were analyzed to identify demographic and clinical risk factors for depression.

Main Results:

  • 19% of mothers screened positive for depression using the RAND instrument.
  • Risk factors included younger age, lower education, lower income, single marital status, non-white ethnicity, and positive drug screening results.
  • The three-item version demonstrated 100% sensitivity, 88% specificity, and 66% positive predictive value compared to the eight-item version.

Conclusions:

  • Depression is a prevalent issue among mothers of young children.
  • The three-item screening tool is a sensitive and efficient alternative to the eight-item RAND instrument for identifying maternal depression.

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