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The acceptability of case-finding questions to identify perinatal depression

Lookup NU author(s): Professor Joy Adamson


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© MA Healthcare Limited 2014.Background: Guidance from the National Institute for Health and Care Excellence advocates the use of two case-finding questions about depressed mood and loss of interest in activities to identify perinatal depression. However, there are no studies of their acceptability when administered in the antenatal and postnatal period. Methods: The study was an intra-mixed methods cohort study set in an antenatal clinic in an inner-city hospital in the North of England. Pregnant women attending a routine antenatal appointment at approximately 26 weeks' gestation completed a self-report survey at a routine hospital antenatal appointment and a postal survey between 5 and 13 weeks postnatal. Survey responses and free-text commentaries of women's views were analysed using descriptive statistics and qualitative content analysis. Results: Ninety-three percent of participants felt it was desirable to ask about perinatal mental wellbeing, and 97% felt comfortable answering the questions. Free-text comments revealed depressed and non-depressed women found the questions easy, simple and straightforward to answer. Conclusions: Case-finding questions to identify perinatal depression were generally acceptable to depressed and non-depressed pregnant and newly delivered mothers. Health professionals should consider the acceptability and appropriateness of this strategy in order to facilitate identification of perinatal mental health issues in routine maternity care practice.

Publication metadata

Author(s): Mann R, Adamson J, Gilbody S

Publication type: Article

Publication status: Published

Journal: British Journal of Midwifery

Year: 2015

Volume: 23

Issue: 9

Pages: 630-638

Print publication date: 01/09/2015

Online publication date: 02/09/2015

Acceptance date: 01/01/1900

ISSN (print): 0969-4900

Publisher: MA Healthcare Ltd


DOI: 10.12968/bjom.2015.23.9.630


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