Publicação

Adaptation of the structured clinical interview for DSM-IV disorder for assessing depression in women during pregnancy and postpartum across countries and cultures

Detalhes bibliográficos
Resumo:	Background: To date, no study has used standardised diagnostic assessment procedures to determine wether rates of perinatal depression vary across cultures. Aims:To adapt the Structured Clinical Interview for DSM IV Disorders (SCID) for assessing depression and other non-psychotic psychiatric illness perinatally and to pilot the instrument in different centres and cultures. Method: Assessments using the adapted SCID and the Edinburgh Postnatal Depression Scale were conducted during the third trimester of pregnancy and at 6 months postpartum with 296 women from ten sites in eight countries. Point prevalence rates during pregnancy and the postnatal period and adjusted 6-month period prevalence rates were computed for caseness, depression and major depression. Results: The third trimester and 6-month point prevalence rates for perinatal depression were 6.9 % and 8.0 %,respectively. Postnatal 6-month period prevalence rates for perinatal depression rates ranged from 2.1% to 31.6% across centres and there were significant differences in these rates between centres. Conclusions: Study findings suggest that the SCID was successfully adapted for this context. Further research on determinants of differences in prevalence of depression across cultures is needed.
Autores principais:	Hayes, S.
Outros Autores:	Figueiredo, Bárbara; Gorman, L. L.; O'Hara, M. W.; Jacquemain, F.; Kammerer, M. H.; Klier, C. M.; Rosi, S.; Seneviratne, G.; Sutter-Dallay, A.-L.; TCS-PND Group
Ano:	2004
País:	Portugal
Tipo de documento:	artigo
Tipo de acesso:	acesso aberto
Instituição associada:	Universidade do Minho
Idioma:	inglês
Origem:	RepositóriUM - Universidade do Minho

Descrição
Resumo:	Background: To date, no study has used standardised diagnostic assessment procedures to determine wether rates of perinatal depression vary across cultures. Aims:To adapt the Structured Clinical Interview for DSM IV Disorders (SCID) for assessing depression and other non-psychotic psychiatric illness perinatally and to pilot the instrument in different centres and cultures. Method: Assessments using the adapted SCID and the Edinburgh Postnatal Depression Scale were conducted during the third trimester of pregnancy and at 6 months postpartum with 296 women from ten sites in eight countries. Point prevalence rates during pregnancy and the postnatal period and adjusted 6-month period prevalence rates were computed for caseness, depression and major depression. Results: The third trimester and 6-month point prevalence rates for perinatal depression were 6.9 % and 8.0 %,respectively. Postnatal 6-month period prevalence rates for perinatal depression rates ranged from 2.1% to 31.6% across centres and there were significant differences in these rates between centres. Conclusions: Study findings suggest that the SCID was successfully adapted for this context. Further research on determinants of differences in prevalence of depression across cultures is needed.