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Related Experiment Video

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Creating the Capacity to Screen Deaf Women for Perinatal Depression: A Pilot Study.

Melissa L Anderson1, Kelly S Wolf Craig1, Sheri Hostovsky1

  • 1Implementation Science & Practice Advances Research Center (iSPARC), Department of Psychiatry, University of Massachusetts Medical School, 222 Maple Avenue, Chang Building, Shrewsbury, MA 01545, USA.

Midwifery
|November 9, 2020
PubMed
Summary

A pilot study translated the Edinburgh Postnatal Depression Scale into American Sign Language (ASL). This accessible screening tool aims to improve maternal mental health care for Deaf women.

Keywords:
American Sign LanguageCommunity engagementDeafEdinburgh Postnatal Depression Scale (EPDS)Perinatal depression

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Area of Science:

  • Perinatal mental health research
  • Sign language linguistics
  • Health equity for Deaf individuals

Background:

  • Deaf women experience disparities in maternal healthcare and face barriers to accessing mental health screening tools due to literacy challenges.
  • Existing perinatal depression screening tools are not readily available or accessible to Deaf individuals who primarily use American Sign Language (ASL).

Purpose of the Study:

  • To develop an accessible American Sign Language (ASL) translation of the Edinburgh Postnatal Depression Scale (EPDS).
  • To pilot test the ASL EPDS through videophone screening interviews with Deaf perinatal women.
  • To conduct preliminary statistical analyses of the pilot data to assess the tool's viability.

Main Methods:

  • A one-year community-engaged pilot study.
  • Translation of the EPDS into American Sign Language (ASL).
  • Videophone screening interviews with 36 Deaf perinatal women across the United States, from 5 weeks gestation to 1 year postpartum.

Main Results:

  • The full ASL EPDS demonstrated internal consistency.
  • Preliminary analysis showed a mean depression score of 5.6 (out of 30), with 31% in the mild and 6% in the moderate depression range.
  • The anxiety and depression subscales did not show internal consistency in the ASL format.

Conclusions:

  • The ASL EPDS shows promise for screening Deaf women for perinatal depression, despite limitations in the pilot study.
  • Future research will focus on a larger psychometric study and developing a Computer-Assisted Self-Interviewing (CASI) version for broader clinical use.
  • This work aims to reduce disparities in maternal mental healthcare access for the Deaf community.