Abstract
It has been suggested that women experience depression most commonly in the childbearing years and that reproductive events such as pregnancy and child birth may coincide with the onset of mood and anxiety disorders in women. Therefore, a brief screening tool, with good sensitivity/specificity for psychiatric diagnoses that could be administered to pregnant women would be a valuable and useful proxy measure. We assessed the validity of the K-10, using the SCID as the gold standard, in a sample of 129 healthy pregnant women who presented for care at midwife obstetric units in Cape Town, South Africa. A receiver-operating characteristic curve (ROC) analysis indicated that the K-10 showed agreeable sensitivity and specificity in detecting depression (area under the receiver-operating characteristic curve, 0.66), posttraumatic stress disorder (0.69), panic disorder (0.71), and social phobia (0.76). The K-10 may be a useful screening measure for mood and anxiety disorders in pregnant women.
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References
Baillie AJ (2005) Predictive gender and education bias in Kessler’s psychological distress Scale (K10). Soc Psychiatry Psychiatr Epidemiol 40:743–748
Bennett HA, Einarson A, Taddio A, Koren G, Einarson TR (2004) Prevalence of depression during pregnancy: a systematic review. Obstet Gynecol 103:698–709
Brooks RT, Beard J, Steel Z (2006) Factor structure and interpretation of the K10. Psychol Assess 18:62–70
Burke KC, Burke JD, Rae DS, Regier DA (1991) Comparing age at onset of major depression and other psychiatric disorders by birth cohorts in five U.S. community populations. Arch Gen Psychiatry 48:789–795
Cairney J, Veldhuizen S, Wade TJ, Kurdyak P, Streiner DL (2007) Evaluation of 2 measures of psychological distress as screeners for depression in the general population. Can J Psychiatry 52:111–120
DiPietro JA, Hilton SC, Hawkins M, Costigan KA, Pressman EK (2002) Maternal stress and affect influence fetal neurobehavioral development. Dev Psychol 38:659–668
Driscoll J (2005) Recognizing women’s common mental health problems: the earthquake assessment model. JOGNN 34:246–254
Eberhard-Gran M, Eskild A, Tambs K, Opjordsmoen S, Samuelsen SO (2001) Review of validation studies of the Edinburgh postnatal depression scale. Acta Psychiatr Scand 104:243–249
First MB, Spitzer MB, Gibbon RL, Williams JB (1995) Structured Clinical Interview for DSM-IV Axis I disorders-Clinician Version. Biometrics Research Department, New York State Psychiatric Institute, 722 West 168th Street, New York, New York 10032
Fischer JE, Bachmann LM, Jaeschke R (2003) A readers’ guide to the interpretation of diagnostic test properties: clinical example of sepsis. Intensive Care Med 29:1043–1051
Furukawa TA, Kessler RC, Slade T, Andrews G (2003) The performance of the K6 and K10 screening scales for psychological distress in the Australian National Survey of Mental Health and Well-Being. Psychol Med 33:357–362
Gill SC, Butterworth P, Rodgers B, Mackinnon A (2007) Validity of the mental health component scales of the 12-item short-form health survey (MCS-12) as a measure of common mental disorders in the general population. Psychiatry Res 152:63–71
Guler O, Sahin FK, Emul HM, Ozbulut O, Gecici O, Uguz F, Gezginc K, Zeytinci I, Karatayli S, Askin R (2008) The prevalence of panic disorder in pregnant women during the third trimester of pregnancy. Compr psychiatry 49:154–158
Hanley JA, McNeil BJ (1982) The meaning of the use of the area under a receiver operating characteristic (ROC) Curve. Radiology 143:29–36
Hansen D, Lou HC, Olsen J (2000) Serious life events and congenital malformations: a national study with complete follow-up. Lancet 356:875–880
Hedegaard M, Henriksen TB, Sabroe S, Secher NJ (1993) Psychological distress in pregnancy and preterm delivery. Br Med J 307:234–239
Heron J, O’Connor TG, Evans J, Golding J, Glover V (2004) The course of anxiety and depression through pregnancy and the postpartum in a community sample. J Affect disord 80:65–73
Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand S-L, Walters EE, Zaslavsky AM (2002) Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med 32:959–976
Kessler RC, Keller MB, Wittchen HU (2001) The epidemiology of generalized anxiety disorder. Psychiatr Clin North Am 24:19–39
Kurki T, Hiilesmaa V, Raitasalo R, Mattila H, Ylikorkala O (2000) Depression and Anxiety in early pregnancy and risk for preeclampsia. Obstet Gynecol 95:487–490
Lee DT, Yip AS, Chiu HF, Leung TY, Chung TK (2001) Screening for postnatal depression: are specific instruments mandatory? J Affect disord 63:233–238
Lou HC, Hansen D, Nordentoft M, Pryds O, Jensen F, Nim J, Hemmingsen R (1994) Prenatal stressors of human life affect fetal brain development. Dev Med Child Neurol 36:826–832
Lou HC, Nordentoft M, Jensen F, Pryds O, Nim J, Hemmingsen R (1992) Psychosocial stress and severe prematurity. Lancet 340:54
Marcus SM, Flynn HA, Blow FC, Barry KL (2003) Depressive symptoms among women screened in obstetric settings. J Women’s Health 12:373–380
McKee MD, Cunningham M, Jankowski KR, Zayas L (2001) Health-related functional status in pregnancy: relationship to depression and social support in a multiethnic population. Obstet Gynecol 97:988–993
Nicholson WK, Setse R, Hill-Briggs F, Cooper LA, Strobino D, Powe NR (2006) Depressive symptoms and health-related quality of life in early pregnancy. Obstet Gynecol 107:798–806
O’Connor TG, Heron J, Glover V, The Alspac Study Team (2002) Antenatal anxiety predicts child behavioral/emotional problems independently of postnatal depression. J Am Acad Child Adolesc Psych 41:1470–1477
O’Hara MW (1986) Social support, life events, and depression during pregnancy and the puerperium. Arch Gen Psychiatry 43:569–573
Seng JS, Oakley DJ, Sampselle CM, Killion C, Graham-Bermann S, Liberzon I (2001) Posttraumatic stress disorder and pregnancy complications. Obstet Gynecol 97:17–22
Spinelli MG (1998) Antepartum and postpartum depression. J Gender Spec Med 1:33–36
Su K-P, Chiu T-H, Huang C-L, Ho M, Lee C-C, Wu P-L, Lin C, Liau C, Liao C, Chiu W (2007) Different cut-off points for different trimesters? The use of Edinburgh postnatal depression scale and Beck depression inventory to screen for depression in pregnant Taiwanese women. Gen Hosp Psych 29:436–441
Swets JA (1988) Measuring the accuracy of diagnostic systems. Science 240:1285–1293
Zayas LH, Cunningham M, McKee MD, Janowski KR (2002) Depression and negative life events among pregnant African-American and Hispanic women. Women’s Health Issues 12:16–22
Acknowledgements
This work is based upon research supported by the MRC Unit on Anxiety Disorders and the South African Research Chairs Initiative of the Department of Science and Technology and National Research Foundation.
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Spies, G., Stein, D.J., Roos, A. et al. Validity of the Kessler 10 (K-10) in detecting DSM-IV defined mood and anxiety disorders among pregnant women. Arch Womens Ment Health 12, 69–74 (2009). https://doi.org/10.1007/s00737-009-0050-0
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DOI: https://doi.org/10.1007/s00737-009-0050-0