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01-08-2009 | Original Contribution

Risk factors for postpartum depression: the role of the Postpartum Depression Predictors Inventory-Revised (PDPI-R)

Results from the Perinatal Depression-Research & Screening Unit (PNDReScU) study

Authors: A. Oppo, M. Mauri, D. Ramacciotti, V. Camilleri, S. Banti, C. Borri, C. Rambelli, M. S. Montagnani, S. Cortopassi, A. Bettini, S. Ricciardulli, S. Montaresi, P. Rucci, C. T. Beck, G. B. Cassano

Published in: Archives of Women's Mental Health | Issue 4/2009

Abstract

The aims of this study were to identify the frequency of the risk factors for postpartum depression (PPD) listed in the Postpartum Depression Predictors Inventory-Revised (PDPI-R) during pregnancy and 1 month after delivery and to determine the predictive validity of the PDPI-R. The study used a prospective cohort design. Women completed the PDPI-R at the 3rd and the 8th months of pregnancy and at the 1st month after childbirth. Women were prospectively followed across three different time points during the postpartum using Structured Clinical Interview for DSM-IV Disorders to determine the presence of major or minor depression. The prenatal version of the PDPI-R administered at two different time points during pregnancy predicted accurately 72.6% and 78.2% of PPD and the full version administered at the 1st month after delivery predicted 83.4% of PPD. The cutoffs identified were 3.5 for the prenatal version and 5.5 for the full version. The PDPI-R is a useful and a valid screening tool for PPD.

Appleby L, Gregoire A, Platz C et al (1994) Screening women for high risk of postnatal depression. J Psychosom Res 38:539–545PubMedCrossRef

Austin MP, Hadzi-Pavlovic D, Saint K et al (2005) Antenatal screening for the prediction of postnatal depression: validation of a psychosocial pregnancy risk questionnaire. Acta Psychiatr Scand 112:310–317PubMedCrossRef

Beck CT (1996a) A meta-analysis of predictors of postpartum depression. Nurs Res 45:297–303PubMedCrossRef

Beck CT (1996b) A meta-analysis of the relationship between postpartum depression and infant temperament. Nurs Res 45:225–230PubMedCrossRef

Beck CT (2001) Predictors of postpartum depression: an update. Nurs Res 50:275–285PubMedCrossRef

Beck CT (2002) Revision of the postpartum depression predictors inventory. J Obstet Gynecol Neonatal Nurs 31(4):394–402PubMedCrossRef

Beck CT, Records K, Rice M (2006) Further development of the Postpartum Depression Predictors Inventory-Revised. J Obstet Gynecol Neonatal Nurs 35(6):735–745PubMed

Bennett HA, Einarson A, Taddio A et al (2004) Prevalence of depression during pregnancy: systematic review. Obstet Gynecol 103(4):698–709PubMed

Bernazzani O, Marks MN, Bifulco A et al (2005) Assessing psychosocial risk in pregnant/postpartum women using the contextual assessment of maternity experience (CAME). Soc Psychiatry Psychiatr Epidemiol 40:497–508PubMedCrossRef

Borri C, Mauri M, Oppo A et al (2008) Axis-I psychopathology and functional impairment at the 3rd month of pregnancy. Results from the Perinatal Depression-Research & Screening Unit (PND-ReScU) Study. J Clin Psychiatry 69(10):1617–1624PubMedCrossRef

Boyce P, Hickey A, Gilchrist J et al (2001) The development of a brief personality scale to measure vulnerability to postnatal depression. Arch Women Ment Health 3:147–153CrossRef

Boyer D, Van Der Leden M, Bacom C (1990) Prediction of postpartum depressive symptoms in low income Black women. Unpublished manuscript

Braverman J, Roux J (1978) Screening for the patient at risk for postpartum depression. Obstet Gynecol 52:731–736PubMed

Buist AE, Barnett BEW, Milgrom J et al (2002) To screen or not to screen—that is the question in perinatal depression. Med J Aust 177:101–105

Committee on Drugs (2000) Use of psychoactive medication during pregnancy and possible effects on the fetus and newborn. Pediatrics 105:880–887. doi:10.1542/peds.1054.880 CrossRef

Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry 150:782–786PubMedCrossRef

Cox JL, Murray D, Chapman GA (1993) Controlled study of the onset, duration and prevalence of postnatal depression. Br J Psychiatry 163:27–31PubMedCrossRef

Eberhard-Gran M, Eskild A, Tambs K et al (2001) Review of validation studies of the Edinburgh postnatal depression scale. Acta Psychiatr Scand 104:243–249PubMedCrossRef

First MB, Spitzer RL, Gibbon M et al (1995) Structured clinical interview for DSM-IV axis I disorders (SCID). New York State Psychiatric Institute, Biometrics Research, New York

Fletcher RH, Fletcher SW, Wagner EH (1996) Clinical epidemiology: the essentials. Williams & Wilkins, Baltimore

Food and Drug Admistration (1979) Labeling and prescription drug advertising: content and format for labelling for human prescription drugs. Fed Regist 44:37434–37467

Gaynes, BN, Gavin, N, Meltzer-Brody S et al (2005) Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evidence Report/Technology Assessment No. 119. (Prepared by the RTI-University of North Carolina Evidence-based Practice Center, under Contract No. 290-02-0016.) AHRQ Publication No. 05-E006-2. Rockville, MD: Agency for Healthcare Research and Quality

Glangeaud-Freudenthal NMC, Boyce P (2003) Postpartum depression: risk-factors and treatments—introduction. Arch Women Ment Health 6(2):s31–s32CrossRef

Hanna B, Jarman H, Savage S et al (2004) The early detection of postpartum depression: midwives and nurses trial a checklist. J Obstet Gynecol Neonatal Nurs 33(2):191–7PubMedCrossRef

Kim HG, Mandell M, Crandall C et al (2006) Antenatal psychiatric illness and adequacy of prenatal care in an ethnically diverse inner-city obstetric population. Arch Women Ment Health 9(2):103–7CrossRef

Kitamura T, Shima S, Sugaware M et al (1993) Psychological and social correlates of the onset of affective disorder among pregnant women. Psychol Med 23:967–975PubMed

Marcus SM, Flynn HA, Blow FC et al (2003) Depressive symptoms among pregnant women screened in obstetric settings. J Women Health 12:373–380CrossRef

Matthey S, Henshaw C, Elliott S et al (2006) Variability in use of cut-off scores and formats on the Edinburgh postnatal depression scale—implications for clinical and research practice. Arch Women Ment Health 9:309–315CrossRef

Milgrom J, Ericksen J, Negri L et al (2005) Screening for postnatal depression in routine primary care: properties of the Edinburgh postnatal depression scale in an Australian sample. Aust N Z J Psychiatry 39(9):833–839PubMedCrossRef

Milgrom J, Gemmill AW, Bilszta JL et al (2008) Antenatal risk factors for postnatal depression. A large prospective study. J Affect Disord 108:147–157PubMedCrossRef

O’Hara MW, Swain AM (1996) Rates and risk of postpartum depression—a meta-analysis. Int Rev Psychiatry 8:37–54CrossRef

O’Hara MW, Schlechte JA, Lewis DA et al (1991) Controlled prospective study of postpartum mood disorders: psychological, environmental and hormonal variables. J Abnorm Psychol 100(1):63–73PubMedCrossRef

Petrick J (1984) Postpartum depression: identification of high risk mothers. J Obstet Gynecol Neonat Nurs 13:37–40CrossRef

Posner NA, Unterman RR, Williams KN et al (1997) Screening for postpartum depression: an antepartum questionnaire. J Reprod Med 42:207–215PubMed

Priest SR, Austin MP, Barnett B, Buist A (2008) A psychosocial risk assessment model (PRAM) for use with pregnant and postpartum women in primary care settings. Arch Women Ment Health . doi:10.1007/s00737-008-0028-3

Records K, Rice M, Beck CT (2007) Psychometric assessment of the Postpartum Depression Predictors Inventory-Revised. J Nurs Meas 15(3):189–201PubMedCrossRef

Reid AJ, Biringer A, Carroll JC et al (1998) Using the ALPHA form in practice to assess antenatal psychosocial health. CMAJ 159:677–684PubMed

Robertson E, Sherry G, Wallington T et al (2004) Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry 26:289–295PubMedCrossRef

Ross LE, Campbell VLS, Dennis CL et al (2006) Demographic characteristics of participants in studies of risk factors, prevention, and treatment of postpartum depression. Can J Psychiatry 51:704–710PubMed

Ryan D, Milis L, Misri N (2005) Depression during pregnancy. Can Fam Physician 51:1087–1093PubMed

Shakespeare J (2002) Evaluation of screening for postnatal depression against the NSC handbook criteria. Prepared for a working party, June 2001. <http://www.nelh.nhs.uk/screening/adult_pps/ postnatal_depression.html>. Accessed Jan 2002, Jul 2002.

Spitzer RL, Endicott J, Robins E (1978) Research diagnostic criteria: rationale and reliability. Arch Gen Psychiatry 35:773–782PubMed

Stamp G, Williams A, Crowther C (1996) Predicting postnatal depression among pregnant women. Birth 23:218–223PubMedCrossRef

Swets JA, Picket RM (1982) Evaluation of diagnostic systems. Academic, New York

Swets JA (1992) The science of choosing the right decision threshold in high-stakes diagnostics. Am Psychol 47:522–532PubMedCrossRef

Webster J, Pritchard MA, Creedy D et al (2003) A simplified predictive index for the detection of women at risk for postnatal depression. Birth 30:101–108PubMedCrossRef

Title: Risk factors for postpartum depression: the role of the Postpartum Depression Predictors Inventory-Revised (PDPI-R)
Results from the Perinatal Depression-Research & Screening Unit (PNDReScU) study
Authors: A. Oppo
M. Mauri
D. Ramacciotti
V. Camilleri
S. Banti
C. Borri
C. Rambelli
M. S. Montagnani
S. Cortopassi
A. Bettini
S. Ricciardulli
S. Montaresi
P. Rucci
C. T. Beck
G. B. Cassano
Publication date: 01-08-2009
Publisher: Springer Vienna
Published in: Archives of Women's Mental Health / Issue 4/2009
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI: https://doi.org/10.1007/s00737-009-0071-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk factors for postpartum depression: the role of the Postpartum Depression Predictors Inventory-Revised (PDPI-R)

Results from the Perinatal Depression-Research & Screening Unit (PNDReScU) study

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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