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Measuring perinatal mental health risk
The purpose of this review was to critically analyse existing tools to measure perinatal mental health risk and report on the psychometric properties of the various approaches using defined criteria. An initial literature search revealed 379 papers, from which 21 papers relating to ten instruments w...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Vienna
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3443336/ https://www.ncbi.nlm.nih.gov/pubmed/22851128 http://dx.doi.org/10.1007/s00737-012-0297-8 |
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author | Johnson, M. Schmeid, V. Lupton, S. J. Austin, M.-P. Matthey, S. M. Kemp, L. Meade, T. Yeo, A. E. |
author_facet | Johnson, M. Schmeid, V. Lupton, S. J. Austin, M.-P. Matthey, S. M. Kemp, L. Meade, T. Yeo, A. E. |
author_sort | Johnson, M. |
collection | PubMed |
description | The purpose of this review was to critically analyse existing tools to measure perinatal mental health risk and report on the psychometric properties of the various approaches using defined criteria. An initial literature search revealed 379 papers, from which 21 papers relating to ten instruments were included in the final review. A further four papers were identified from experts (one excluded) in the field. The psychometric properties of six multidimensional tools and/or criteria were assessed. None of the instruments met all of the requirements of the psychometric properties defined. Some had used large sample sizes but reported low positive predictive values (Antenatal Risk Questionnaire (ANRQ)) or insufficient information regarding their clinical performance (Antenatal Routine Psychosocial Assessment (ARPA)), while others had insufficient sample sizes (Antenatal Psychosocial Health Assessment Tool, Camberwell Assessment of Need—Mothers and Contextual Assessment of Maternity Experience). The ANRQ has fulfilled the requirements of this analysis more comprehensively than any other instrument examined based on the defined rating criteria. While it is desirable to recommend a tool for clinical practice, it is important that clinicians are made aware of their limitations. The ANRQ and ARPA represent multidimensional instruments commonly used within Australia, developed within large samples with either cutoff scores or numbers of risk factors related to service outcomes. Clinicians can use these tools, within the limitations presented here, to determine the need for further intervention or to refer women to mental health services. However, the effectiveness of routine perinatal psychosocial assessment continues to be debated, with further research required. |
format | Online Article Text |
id | pubmed-3443336 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Springer Vienna |
record_format | MEDLINE/PubMed |
spelling | pubmed-34433362012-09-20 Measuring perinatal mental health risk Johnson, M. Schmeid, V. Lupton, S. J. Austin, M.-P. Matthey, S. M. Kemp, L. Meade, T. Yeo, A. E. Arch Womens Ment Health Original Article The purpose of this review was to critically analyse existing tools to measure perinatal mental health risk and report on the psychometric properties of the various approaches using defined criteria. An initial literature search revealed 379 papers, from which 21 papers relating to ten instruments were included in the final review. A further four papers were identified from experts (one excluded) in the field. The psychometric properties of six multidimensional tools and/or criteria were assessed. None of the instruments met all of the requirements of the psychometric properties defined. Some had used large sample sizes but reported low positive predictive values (Antenatal Risk Questionnaire (ANRQ)) or insufficient information regarding their clinical performance (Antenatal Routine Psychosocial Assessment (ARPA)), while others had insufficient sample sizes (Antenatal Psychosocial Health Assessment Tool, Camberwell Assessment of Need—Mothers and Contextual Assessment of Maternity Experience). The ANRQ has fulfilled the requirements of this analysis more comprehensively than any other instrument examined based on the defined rating criteria. While it is desirable to recommend a tool for clinical practice, it is important that clinicians are made aware of their limitations. The ANRQ and ARPA represent multidimensional instruments commonly used within Australia, developed within large samples with either cutoff scores or numbers of risk factors related to service outcomes. Clinicians can use these tools, within the limitations presented here, to determine the need for further intervention or to refer women to mental health services. However, the effectiveness of routine perinatal psychosocial assessment continues to be debated, with further research required. Springer Vienna 2012-08-01 2012 /pmc/articles/PMC3443336/ /pubmed/22851128 http://dx.doi.org/10.1007/s00737-012-0297-8 Text en © The Author(s) 2012 https://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. |
spellingShingle | Original Article Johnson, M. Schmeid, V. Lupton, S. J. Austin, M.-P. Matthey, S. M. Kemp, L. Meade, T. Yeo, A. E. Measuring perinatal mental health risk |
title | Measuring perinatal mental health risk |
title_full | Measuring perinatal mental health risk |
title_fullStr | Measuring perinatal mental health risk |
title_full_unstemmed | Measuring perinatal mental health risk |
title_short | Measuring perinatal mental health risk |
title_sort | measuring perinatal mental health risk |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3443336/ https://www.ncbi.nlm.nih.gov/pubmed/22851128 http://dx.doi.org/10.1007/s00737-012-0297-8 |
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