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Changes in mood after screening for antenatal anxiety and depression
Carina Marsay1, Lenore Manderson2, Ugasvaree Subramaney3
1a Department of Psychiatry, School of Clinical Medicine, Faculty of Health Sciences , University of the Witwatersrand , Parktown , South Africa.
Journal of Reproductive and Infant Psychology
|March 31, 2018
Summary
Screening interviews for antenatal depression may improve outcomes through measurement reactivity, not just intervention effectiveness. This phenomenon, where the screening itself causes changes, needs consideration in research design.
Area of Science:
- Perinatal mental health research
- Psychological measurement
- Maternal and child health
Background:
- Screening programs with referral are vital for addressing perinatal depression.
- Measuring the effectiveness of these screening programs is crucial.
- Measurement reactivity, where the measurement process influences outcomes, is a potential challenge.
Purpose of the Study:
- To explain the mechanisms and circumstances of measurement reactivity.
- To investigate measurement reactivity in antenatal women undergoing screening interviews.
Main Methods:
- Qualitative interviews were conducted with 55 women.
- Participants were interviewed in their second and third trimesters.
- Interviews took place between September 2015 and April 2016.
Main Results:
- Measurement reactivity occurred via disclosure, self-knowledge gain, and validation of experiences.
- These mechanisms led to increased personal agency.
- Participants actively sought social support following the screening.
Conclusions:
- Screening interviews may enhance maternal outcomes through measurement reactivity.
- This reactivity must be accounted for when designing studies on antenatal depression screening effectiveness.
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