Psychometric properties of the postpartum depression screening scale beyond the postpartum period

Vogeli, Jo M.; Hooker, Stephanie Ann; Everhart, Kevin D.; Kaplan, Peter S.

doi:10.1002/nur.21861

Cited by 10 publications

(3 citation statements)

References 24 publications

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“…Maternal risk for postpartum depression was assessed using the Postpartum Depression Screening Scale (PDSS) [ 23 ]. The PDSS is a 35-item Likert-type self-report instrument that demonstrates strong sensitivity and specificity for postpartum depression in the 15 months after childbirth [ 24 ]. It has adequate psychometrics for mothers of infants in NICUs [ 25 ].…”

Section: Methodsmentioning

confidence: 99%

Understanding the Steps Toward Mobile Early Intervention for Mothers and Their Infants Exiting the Neonatal Intensive Care Unit: Descriptive Examination

Baggett¹,

Davis²,

Landry³

et al. 2020

J Med Internet Res

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Background Neonatal intensive care unit (NICU) history, combined with systemic inequities for mothers of nondominant cultures and mothers who are socioeconomically disadvantaged, places infants at an extraordinary risk for poor developmental outcomes throughout life. Although receipt of early intervention (EI) is the best single predictor of developmental outcomes among children with and at risk for early developmental delays, mothers and infants with the greatest needs are least likely to receive EI. Mobile internet-based interventions afford substantial advantages for overcoming logistical challenges that often prevent mothers who are economically disadvantaged from accessing EI. However, the bridge from the NICU to a mobile internet intervention has been virtually unexplored. Objective This study aims to examine progression flow from NICU exit referral to an early mobile internet intervention to increase EI access and promote parent mediation of infant social-emotional and communication development. Methods Three NICUs serving the urban poor in a Midwestern city were provided support in establishing an electronic NICU exit referral mechanism into a randomized controlled trial of a mobile internet intervention for mothers and their infants. Measurement domains to reflect the bridge to service included each crucial gateway required for navigating the path into Part C EI, including referral, screening, assessment, and intervention access. An iterative process was used and documented to facilitate each NICU in establishing an individualized accountability plan for sharing referral materials with mothers before their NICU exit. Subsequent to the referral, progression flow was documented on the basis of a real-time electronic recording of service receipt and contact records. Mother and infant risk characteristics were also assessed. Descriptive analyses were conducted to summarize and characterize each measurement domain. Results NICU referral rates for EI were 3 to 4 times higher for open-shared versus closed-single gatekeeper referral processes. Of 86 referred dyads, 67 (78%) were screened, and of those screened, 51 (76%) were eligible for assessment. Of the 51 assessment-eligible mothers and infants, 35 dyads (69%) completed the assessment and 31 (89%) went on to complete at least one remote coaching intervention session. The dyads who accessed and engaged in intervention were racially and ethnically diverse and experiencing substantial adversity. Conclusions The transition from the NICU to home was fraught with missed opportunities for an EI referral. Beyond the referral, the most prominent reason for not participating in screening was that mothers could not be located after exiting the NICU. Stronger NICU referral mechanisms for EI are needed. It may be essential to initiate mobile interventions before exiting the NICU for maintaining post-NICU contact with some mothers. In contrast to a closed, single point of referral gatekeeper systems in NICUs, open, shared referral gating systems may be less stymied by individual service provider biases and disruptions.

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Section: Methodsmentioning

confidence: 99%

Understanding the Steps Toward Mobile Early Intervention for Mothers and Their Infants Exiting the Neonatal Intensive Care Unit: Descriptive Examination

Baggett¹,

Davis²,

Landry³

et al. 2020

J Med Internet Res

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“…Evaluation of individual domain specific PROMs has been previously published for example mental health 28 , postpartum recovery 55 and incontinence 40 but no work exists examining multi domain PROM or a combination of PROMs suitable to universally examine postpartum health and wellbeing. We have also expanded on the domains put forward by ICHOM work.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Patient-reported outcome measures evaluating postpartum maternal health and well-being: a systematic review and evaluation of measurement properties

O'Byrne

Bodunde²,

Maher³

et al. 2022

American Journal of Obstetrics & Gynecology MFM

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“…A number of instruments are available for screening for maternal depression, and these include the Self Reporting Questionnaire (SRQ) [ 95 , 96 ], the Zung Self-Rating Depression Scale [ 97 , 98 ], the Postpartum Depression Screening Scale (PDSS) [ 99 , 100 ] and the Edinburgh Postnatal Depression Scale (EPDS), which is probably the most commonly used because of its substantial sensitivity and specificity as a screening tool for maternal depression. It also has a high positive predictive value, which is the probability that women who are identified with high depressive symptoms are truly depressive on clinical assessments.…”

Section: Introductionmentioning

confidence: 99%

Neglecting Maternal Depression Compromises Child Health and Development Outcomes, and Violates Children’s Rights in South Africa

Mokwena

2021

Children

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The intention of the South African Children’s Act 38 of 2005 is to provide guarantees for the protection and promotion of optimum health and social outcomes for all children. These guarantees are the provision of basic nutrition, basic health care and social services, optimal family or parental care, as well as protection from maltreatment, neglect and abuse services. However, despite these guarantees, child and maternal mortality remain high in South Africa. The literature identifies maternal depression as a common factor that contributes to negative health and social outcomes for both mothers and their children. Despite the availability of easy-to-use tools, routine screening for maternal depression is not carried out in public health services, which is the source of services for the majority of women in South Africa. The results are that the mothers miss out on being diagnosed and treated for maternal depression, which results in negative child outcomes, such as malnutrition, as well as impacts on mental, social and physical health, and even death. The long-term impacts of untreated maternal depression include compromised child cognitive development, language acquisition and deviant behaviors and economic disadvantage in later life. The author concludes that the neglect of screening for, and treatment of maternal depression therefore violates the constitutional rights of the affected children, and goes against the spirit of the Constitution. The author recommends that maternal and child health services integrate routine screening for maternal depression, which will not only satisfy the Constitutional mandate, but also improve the health and developmental outcomes of the children and reduce child mortality.

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Psychometric properties of the postpartum depression screening scale beyond the postpartum period

Cited by 10 publications

References 24 publications

Understanding the Steps Toward Mobile Early Intervention for Mothers and Their Infants Exiting the Neonatal Intensive Care Unit: Descriptive Examination

Understanding the Steps Toward Mobile Early Intervention for Mothers and Their Infants Exiting the Neonatal Intensive Care Unit: Descriptive Examination

Patient-reported outcome measures evaluating postpartum maternal health and well-being: a systematic review and evaluation of measurement properties

Neglecting Maternal Depression Compromises Child Health and Development Outcomes, and Violates Children’s Rights in South Africa

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