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Updated: May 20, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Published on: August 25, 2014

Measuring perinatal mental health risk.

M Johnson1, V Schmeid, S J Lupton

  • 1Centre for Applied Nursing Research, South Western Sydney Local Health District/University of Western Sydney, Sydney, NSW, Australia. m.johnson@uws.edu.au

Archives of Women'S Mental Health
|August 2, 2012
PubMed
Summary

This review assessed perinatal mental health risk tools. No single tool met all psychometric criteria, though the Antenatal Risk Questionnaire (ANRQ) performed best, offering guidance for clinicians despite limitations.

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Area of Science:

  • Perinatal Mental Health
  • Psychometrics
  • Healthcare Assessment Tools

Background:

  • Perinatal mental health is crucial for maternal and infant well-being.
  • Accurate risk assessment tools are needed for timely intervention.
  • Existing tools vary in their psychometric properties and clinical utility.

Purpose of the Study:

  • To critically analyze existing tools for measuring perinatal mental health risk.
  • To report on the psychometric properties of various assessment approaches.
  • To evaluate the suitability of these tools for clinical practice.

Main Methods:

  • A systematic literature search identified 379 papers.
  • 21 papers detailing 10 instruments were included in the final review.

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  • Psychometric properties of six multidimensional tools were assessed against defined criteria.

    • Main Results:

    • No single instrument met all defined psychometric property requirements.
    • The Antenatal Risk Questionnaire (ANRQ) demonstrated the most comprehensive performance.
    • Other tools like ARPA had limitations in predictive value or sample size.

    Conclusions:

    • Clinicians can use tools like ANRQ and ARPA with awareness of their limitations for intervention decisions.
    • Further research is needed to establish the effectiveness of routine perinatal psychosocial assessment.
    • No current tool is perfect, highlighting the need for cautious clinical application and ongoing development.