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The best perinatal depression screening: Is self-administered PHQ2 more feasible than a nurse-administered one?
Sarah Reinstein1, Kate Lieb1, Peter S Bernstein2
1Department of Psychiatry, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
Purpose:
To assess perinatal depression screening via self-administered PHQ2 (SAP) vs nurse-administered PHQ2 (NAP).
Design And Methods:
NAP screening was performed for 3 months, followed by SAP. Data were gathered from visits at 24 to 28 weeks gestation.
Findings:
One hundred twenty-seven patients were in NAP arm, 100 in SAP arm. SAP had higher rates of screening (odds ratio [OR], 3.25; 95% confidence interval [CI], 1.63-6.49), but no difference in positive PHQ2 screens. The SAP rate of therapeutic action for positive screens was lower (OR, 0.24; 95% CI, 0.12-0.50).
Practice Implications:
SAP provided higher perinatal depression screening rates compared to NAP, but decreased therapeutic action.
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