Sensitivity and specificity of screening tools for postpartum depression: a systematic review
Postpartum depression is a depressive episode that can start at any point during the first year after childbirth. There are several tools that can be used for PPD screening. The need to define a predictive tool that is clinically useful and has acceptable sensitivity and sensitivity is important esp...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Persatuan Pakar Perubatan Kesihatan Awam Malaysia,Malaysian Public Health Physicians Association
2019
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| Online Access: | http://psasir.upm.edu.my/id/eprint/82089/ http://psasir.upm.edu.my/id/eprint/82089/1/Sensitivity%20and%20specificity%20of%20screening%20tools%20for%20postpartum%20depression.pdf |
| _version_ | 1848859235659546624 |
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| author | Che Abdullah, Azreena Zulkefli, Nor Afiah Mohd Minhat, Halimatus Sakdiah Baharom, Anisah Ahmad, Norliza |
| author_facet | Che Abdullah, Azreena Zulkefli, Nor Afiah Mohd Minhat, Halimatus Sakdiah Baharom, Anisah Ahmad, Norliza |
| author_sort | Che Abdullah, Azreena |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Postpartum depression is a depressive episode that can start at any point during the first year after childbirth. There are several tools that can be used for PPD screening. The need to define a predictive tool that is clinically useful and has acceptable sensitivity and sensitivity is important especially to be used in the primary care setting. This systematic review investigates the evidence of the sensitivity and specificity of screening tools used for PPD screening. The Standard for Reporting of Diagnostic Accuracies (STARD) guidelines were used to conduct the review as a basis for our methodology. PubMed, ScienceDirect and Springerlink databases between 2007 until 2017 were comprehensively searched EPDS and BDI instrument has sensitivity of more than 80% but findings for specificity was inconclusive. The heterogeneity across studies could be the result of methodological differences in validation of the instruments. In addition, these studies were conducted across continents and settings with different cultures, languages and resources. We have identified 5 different instruments used to screen for postpartum depression. The EPDS was the most validated instrument in the review and we found that EPDS and BDI have higher accuracy to screen postpartum depression because the sensitivity reported were more than 80%. |
| first_indexed | 2025-11-15T12:26:07Z |
| format | Article |
| id | upm-82089 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T12:26:07Z |
| publishDate | 2019 |
| publisher | Persatuan Pakar Perubatan Kesihatan Awam Malaysia,Malaysian Public Health Physicians Association |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-820892021-08-26T23:48:30Z http://psasir.upm.edu.my/id/eprint/82089/ Sensitivity and specificity of screening tools for postpartum depression: a systematic review Che Abdullah, Azreena Zulkefli, Nor Afiah Mohd Minhat, Halimatus Sakdiah Baharom, Anisah Ahmad, Norliza Postpartum depression is a depressive episode that can start at any point during the first year after childbirth. There are several tools that can be used for PPD screening. The need to define a predictive tool that is clinically useful and has acceptable sensitivity and sensitivity is important especially to be used in the primary care setting. This systematic review investigates the evidence of the sensitivity and specificity of screening tools used for PPD screening. The Standard for Reporting of Diagnostic Accuracies (STARD) guidelines were used to conduct the review as a basis for our methodology. PubMed, ScienceDirect and Springerlink databases between 2007 until 2017 were comprehensively searched EPDS and BDI instrument has sensitivity of more than 80% but findings for specificity was inconclusive. The heterogeneity across studies could be the result of methodological differences in validation of the instruments. In addition, these studies were conducted across continents and settings with different cultures, languages and resources. We have identified 5 different instruments used to screen for postpartum depression. The EPDS was the most validated instrument in the review and we found that EPDS and BDI have higher accuracy to screen postpartum depression because the sensitivity reported were more than 80%. Persatuan Pakar Perubatan Kesihatan Awam Malaysia,Malaysian Public Health Physicians Association 2019 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/82089/1/Sensitivity%20and%20specificity%20of%20screening%20tools%20for%20postpartum%20depression.pdf Che Abdullah, Azreena and Zulkefli, Nor Afiah Mohd and Minhat, Halimatus Sakdiah and Baharom, Anisah and Ahmad, Norliza (2019) Sensitivity and specificity of screening tools for postpartum depression: a systematic review. Malaysian Journal of Public Health Medicine, 19 (2). pp. 160-169. ISSN 1675-0306 http://mjphm.org/index.php/mjphm/article/view/293 10.37268/mjphm/vol.19/no.2/art.293 |
| spellingShingle | Che Abdullah, Azreena Zulkefli, Nor Afiah Mohd Minhat, Halimatus Sakdiah Baharom, Anisah Ahmad, Norliza Sensitivity and specificity of screening tools for postpartum depression: a systematic review |
| title | Sensitivity and specificity of screening tools for postpartum depression: a systematic review |
| title_full | Sensitivity and specificity of screening tools for postpartum depression: a systematic review |
| title_fullStr | Sensitivity and specificity of screening tools for postpartum depression: a systematic review |
| title_full_unstemmed | Sensitivity and specificity of screening tools for postpartum depression: a systematic review |
| title_short | Sensitivity and specificity of screening tools for postpartum depression: a systematic review |
| title_sort | sensitivity and specificity of screening tools for postpartum depression: a systematic review |
| url | http://psasir.upm.edu.my/id/eprint/82089/ http://psasir.upm.edu.my/id/eprint/82089/ http://psasir.upm.edu.my/id/eprint/82089/ http://psasir.upm.edu.my/id/eprint/82089/1/Sensitivity%20and%20specificity%20of%20screening%20tools%20for%20postpartum%20depression.pdf |