Screening of psychiatric disorders in women with high‐risk pregnancy: Accuracy of three psychological tools

Abstract Purpose This study investigated the optimal cutoff points of three psychological tools for screening psychiatric disorders in women with high‐risk pregnancy. Design and Methods In this cross‐sectional study (N = 155), sensitivity/specificity of the Edinburgh Postnatal Depression Scale (EPDS...

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Main Authors: Angela Hamidia, Farzan Kheirkhah, Mohammad Chehrazi, Zahra Basirat, Reza Ghadimi, Shahnaz Barat, Pim Cuijpers, Elizabeth O'Connor, Seyyedeh Mahboubeh Mirtabar, Mahbobeh Faramarzi
Format: Article
Language:English
Published: Wiley 2022-03-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.518
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author Angela Hamidia
Farzan Kheirkhah
Mohammad Chehrazi
Zahra Basirat
Reza Ghadimi
Shahnaz Barat
Pim Cuijpers
Elizabeth O'Connor
Seyyedeh Mahboubeh Mirtabar
Mahbobeh Faramarzi
author_facet Angela Hamidia
Farzan Kheirkhah
Mohammad Chehrazi
Zahra Basirat
Reza Ghadimi
Shahnaz Barat
Pim Cuijpers
Elizabeth O'Connor
Seyyedeh Mahboubeh Mirtabar
Mahbobeh Faramarzi
author_sort Angela Hamidia
collection DOAJ
description Abstract Purpose This study investigated the optimal cutoff points of three psychological tools for screening psychiatric disorders in women with high‐risk pregnancy. Design and Methods In this cross‐sectional study (N = 155), sensitivity/specificity of the Edinburgh Postnatal Depression Scale (EPDS), the Brief Symptom Inventory 53‐items (BSI‐53), and the BSI‐18 were computed with respect to having a psychiatric diagnosis based on the clinical interview. Results The usual cutoffs (≥13 for EPDS, T‐score of 63 for BSI‐53) demonstrated poor diagnostic accuracy. The optimal thresholds were computed for EPDS cutoff of 6.5, GSI = 0.47 for BSI‐53, and GSI = 0.5 for BSI‐18. Practice Implications The use of psychological tools among pregnant women with high‐risk pregnancy may need to be modified in order to accurately identify psychiatric disorders.
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spelling doaj.art-13b2e4d05846407ebf8898147d2bb4502024-04-03T12:41:03ZengWileyHealth Science Reports2398-88352022-03-0152n/an/a10.1002/hsr2.518Screening of psychiatric disorders in women with high‐risk pregnancy: Accuracy of three psychological toolsAngela Hamidia0Farzan Kheirkhah1Mohammad Chehrazi2Zahra Basirat3Reza Ghadimi4Shahnaz Barat5Pim Cuijpers6Elizabeth O'Connor7Seyyedeh Mahboubeh Mirtabar8Mahbobeh Faramarzi9Social Determinants of Health Research Center, Health Research Institute, Department of Psychiatry Babol University of Medical Sciences Babol IranSocial Determinants of Health Research Center, Health Research Institute, Department of Psychiatry Babol University of Medical Sciences Babol IranDepartment of Biostatistics and Epidemiology, School of Public Health Babol University of Medical Sciences Babol IranInfertility and Health Reproductive Research Center, Health Research Institute, Department of Obstetrics and Gynecology Babol University of Medical Sciences Babol IranSocial Determinants of Health Research Center, Health Research Institute, Social Medicine Department Babol University of Medical Sciences Babol IranInfertility and Health Reproductive Research Center, Health Research Institute, Department of Obstetrics and Gynecology Babol University of Medical Sciences Babol IranDepartment of Clinical Neuro and Developmental Psychology, Amsterdam Public Health Research Institute Vrije Universiteit Amsterdam Amsterdam NetherlandsCenter for Health Research Kaiser Permanente Northwest Portland Oregon USAStudent Research Committee Babol University of Medical Sciences Babol IranSocial Determinants of Health Research Center, Health Research Institute, Department of General Courses Babol University of Medical Sciences Babol IranAbstract Purpose This study investigated the optimal cutoff points of three psychological tools for screening psychiatric disorders in women with high‐risk pregnancy. Design and Methods In this cross‐sectional study (N = 155), sensitivity/specificity of the Edinburgh Postnatal Depression Scale (EPDS), the Brief Symptom Inventory 53‐items (BSI‐53), and the BSI‐18 were computed with respect to having a psychiatric diagnosis based on the clinical interview. Results The usual cutoffs (≥13 for EPDS, T‐score of 63 for BSI‐53) demonstrated poor diagnostic accuracy. The optimal thresholds were computed for EPDS cutoff of 6.5, GSI = 0.47 for BSI‐53, and GSI = 0.5 for BSI‐18. Practice Implications The use of psychological tools among pregnant women with high‐risk pregnancy may need to be modified in order to accurately identify psychiatric disorders.https://doi.org/10.1002/hsr2.518anxietydepressionhigh‐riskmental disorderspregnancyscreening
spellingShingle Angela Hamidia
Farzan Kheirkhah
Mohammad Chehrazi
Zahra Basirat
Reza Ghadimi
Shahnaz Barat
Pim Cuijpers
Elizabeth O'Connor
Seyyedeh Mahboubeh Mirtabar
Mahbobeh Faramarzi
Screening of psychiatric disorders in women with high‐risk pregnancy: Accuracy of three psychological tools
Health Science Reports
anxiety
depression
high‐risk
mental disorders
pregnancy
screening
title Screening of psychiatric disorders in women with high‐risk pregnancy: Accuracy of three psychological tools
title_full Screening of psychiatric disorders in women with high‐risk pregnancy: Accuracy of three psychological tools
title_fullStr Screening of psychiatric disorders in women with high‐risk pregnancy: Accuracy of three psychological tools
title_full_unstemmed Screening of psychiatric disorders in women with high‐risk pregnancy: Accuracy of three psychological tools
title_short Screening of psychiatric disorders in women with high‐risk pregnancy: Accuracy of three psychological tools
title_sort screening of psychiatric disorders in women with high risk pregnancy accuracy of three psychological tools
topic anxiety
depression
high‐risk
mental disorders
pregnancy
screening
url https://doi.org/10.1002/hsr2.518
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