Symptoms associated with the DSM IV diagnosis of depression in pregnancy and post-partum
Open accessAbstract
Pregnancy and the postpartum may affect symptoms of depression. However it has not yet been tested how the symptoms used for the DSM IV diagnosis of depression discriminate depressed from non depressed women perinatally. A modified version of the Structured Clinical Interview for DSM IV (SCID interview) was used that allowed assessment of all associated DSM IV symptoms of depression with depressed and non depressed women in pregnancy and the postpartum period. Loss of appetite was not associated with depression either ante or postnatally. The antenatal symptom pattern was different from the postnatal. The sensitivity of the symptoms ranged from 0.7% to 51.6%, and specificity from 61.3% to 99.1%. The best discriminating symptoms were motor retardation/agitation and concentration antenatally, and motor retardation/agitation, concentration and fatigue postnatally. Depression in pregnancy and postpartum depression show significantly different symptom profiles. Appetite is not suitable for the diagnosis of depression in the perinatal period.
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The use of a measurement instrument such as the PHQ-9 has been proposed as a practical approach to addressing the questions of the 'threshold' for subsyndromal depression and the assessment of the severity of depression.
“The use of a measurement instrument - such as the 9-item version of the Patient Health Questionnaire (PHQ-9), 68 based on DSM criteria - has been proposed as a practical approach to addressing the questions of the 'threshold' for subsyndromal depression and the assessment of the severity of depression.”
From Time for united action on depression: a Lancet–World Psychiatric Association Commission (2022) · cites this paper as [68]
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References 34 · Cited by 70
Research works printed but not linked: 1
- Ascaso Terren C, Garcia Esteve L et al (2003) [Prevalence of postpartum depression in Spanish mothers: comparison of estimation by mean of the structured clinical interview for DSM-IV with the Edinburgh Postnatal Depression Scale]. Med Clin (Barc) 120(9):326 -329
- Authors
- Kammerer, M., Marks, M. N., Pinard, C., Taylor, A., von Castelberg, B., Künzli, H., & Glover, V.
- Affiliations
- Imperial College London (GB)
- King's College London (GB)
- ZHAW Zurich University of Applied Sciences (CH)
- Corresponding author
- Kammerer, Martin
- Venue
- Archives of Women's Mental Health
- Published
- 2009-04-01
- Volume
- 12
- Issue
- 3
- Pages
- 135-141
- ISSN
- 1434-1816 (ISSN-L)
- 1435-1102
- OpenAlex
- W2129579242
- Cited by
- 70
- References
- 34
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 4 · 2018: 1 · 2017: 5 · 2016: 4 · 2015: 1 · 2014: 8 · 2013: 7 · 2012: 3
- FWCI
- 7.03
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- cc-by-nc-nd
- www.springer.com/tdm (tdm)
- Locations
- Archives of Women s Mental Health (publishedVersion)
- PubMed (publishedVersion)
- reroDoc Digital Library (submittedVersion)
- Zürcher Hochschule für Angewandte Wissenschaften digital collection (Zurich University of Applied Sciences) (submittedVersion, cc-by-nc-nd)
- Research Portal (King's College London) (submittedVersion)
- ZHAW Digital Collection
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- perinatal depression, antenatal depression, postpartum depression, symptom profiles, motor retardation, concentration, fatigue, appetite, sensitivity and specificity, severe combined immunodeficiency
- MeSH terms
- Adult, Anxiety, Depression, Female, Humans, Interpersonal Relations, Life Change Events, Maternal Behavior, Pregnancy, Pregnancy Complications, Prenatal Care, Prenatal Diagnosis, Psychiatric Status Rating Scales, Psychometrics, Surveys and Questionnaires, Risk Factors, Social Support, Switzerland, Depression, Postpartum, Diagnostic and Statistical Manual of Mental Disorders, Postpartum Period, Young Adult
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