Successful five-item triage for the broad spectrum of mental disorders in pregnancy – a validation study

Quispel, Chantal; Schneider, T.; Hoogendijk, Witte J.G.; Bonsel, Gouke J.; Berg, Mijke P. Lambregtse–van den

doi:10.1186/s12884-015-0480-9

Cited by 18 publications

(13 citation statements)

References 25 publications

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“…Pregnancy has an enhanced vulnerability for the development of stress, depression and anxiety that are key components in the management of high risk mothers . Healthcare system may encourage several screening instruments using psychological measures during the pregnancy period and after birth . Screening and subsequent treatment in community‐based postnatal contact services have been implemented in urban and rural communities .…”

Section: Introductionmentioning

confidence: 99%

“…6,7 Healthcare system may encourage several screening instruments using psychological measures during the pregnancy period and after birth. 8 Screening and subsequent treatment in community-based postnatal contact services have been implemented in urban and rural communities. 9 Since 2017, using specific servicedelivery systems, the implementation of best clinical practice on postnatal health care has been provided in Japan.…”

Section: Introductionmentioning

confidence: 99%

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Satisfaction of a new telephone consultation service for prenatal and postnatal health care

Kobayashi

Sado

2019

J of Obstet and Gynaecol

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Aims In October 2017, the ‘Prenatal and Postnatal Health Care Service in Nara (PPHSN)’ has piloted the introduction of a new telephone consultation service to support prenatal and postnatal health care and childcare. This study aimed to document the feasibility, acceptability and satisfaction with the service provided by a trained nurse specialist who can access to clinician support when necessary. Methods The pilot study was conducted between November 2017 and February 2018. Japanese women who are undergoing a health checkup at the Nara Medical University hospital for delivery and post‐partum women who had recently (<1 year) given birth at this hospital (they are raising a child) were invited to participate in the study. They called a free mobile phone number, and spoke to a trained nurse to consult maternal and newborn care practices. The PPHSN project also provided information for supporting raising a child. The postal survey of the PPHSN service was conducted in March 2018. Results A total of 26 participants were enrolled. The questionnaire was answered by 23 (88.5%) participants, of which over half (52.2–95.7%) of participants declared they were ‘strongly agree’ plus ‘agree’ regarding ‘patient‐centered care’, ‘communication and information’, ‘technical quality’, ‘efficiency’, ‘access and convenience (feasibility)’, and ‘willing to use the service again (acceptability)’. The majority (95.7%) of respondents reported being willing to use the service again for a similar health problem. Conclusion This study provided the first evidence of satisfaction with telephone or social networking consultation service by nurse specialists in Japan.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Satisfaction of a new telephone consultation service for prenatal and postnatal health care

Kobayashi

Sado

2019

J of Obstet and Gynaecol

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“…Overall, the instrument had 82% sensitivity and 86% specificity. However, 25% of cases of psychosis were missed (Quispel et al, 2015). To the best of our knowledge, no one has examined the validity of the PQ-16 or any other versions of the prodromal questionnaire among pregnant women.…”

Section: Introductionmentioning

confidence: 99%

The psychometric properties of the 16-item version of the Prodromal Questionnaire (PQ-16) as a screening instrument for perinatal psychosis

Levey

Rondón

et al. 2018

Arch Womens Ment Health

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Psychiatric illness can pose serious risks to pregnant and postpartum women and their infants. There is a need for screening tools that can identify women at risk for postpartum psychosis, the most dangerous perinatal psychiatric illness. This study used exploratory factor analysis (EFA) and Rasch item response theory (IRT) models to evaluate the psychometric properties and construct validity of the Spanish language version of the 16-item Prodromal Questionnaire (PQ-16) as a screening tool for psychosis in a population of pregnant Peruvian women. The EFA yielded a four-factor model, which accounted for 44% of the variance. Factor 1, representing "unstable sense of self," accounted for 22.1% of the total variance; factor 2, representing "ideas of reference/paranoia," for 8.4%; factor 3, representing "sensitivity to sensory experiences," accounted for 7.2%; and factor 4, possibly representing negative symptoms, accounted for 6.3%. Rasch IRT analysis found that all of the items fit the model. These findings support the construct validity of the PQ-16 in this pregnant Peruvian population. Also, further research is needed to establish definitive psychiatric diagnoses to determine the predictive power of the PQ-16 as a screening tool.

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“…Depression, anxiety and pregnancy-related anxiety are the most frequent occurring psychological signs and symptoms that construct maternal distress, varying in severity [1]. Prevalence rates of maternal distress among Dutch healthy pregnant women vary from 2 % to 30 % [3][4][5][6][7][8][9][10][11][12][13][14] measured with psychometric measures of depression and/ or (pregnancy-related) anxiety with scores above set cut-off points. Maternal distress can be caused by either pregnancy itself or non-pregnancy related factors [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

An Intervention to Prevent and Reduce Maternal Distress in the Netherlands - Its Development from Start to Finish

Fontein-Kuipers¹

2016

Women Heal Int

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IntroductionPregnancy is not solely a physical process. The many emotional and social changes and the challenges and demands that accompany pregnancy mark it as a psychosocial process as well. These changes, challenges and demands can affect a woman's emotional wellbeing during pregnancy and for some women this effect is more profound than it is for others [1,2]. Affected emotional wellbeing accompanied by psychological signs and symptoms during pregnancy is defined as maternal distress. Depression, anxiety and pregnancy-related anxiety are the most frequent occurring psychological signs and symptoms that construct maternal distress, varying in severity [1]. Prevalence rates of maternal distress among Dutch healthy pregnant women vary from 2 % to 30 % [3][4][5][6][7][8][9][10][11][12][13][14] measured with psychometric measures of depression and/ or (pregnancy-related) anxiety with scores above set cut-off points. Maternal distress can be caused by either pregnancy itself or non-pregnancy related factors [1][2][3]. Maternal distress can be regarded as a spectrum. This is consistent with a broad approach to antenatal maternal emotional health and wellbeing, as opposed to a one-dimensional view that emphasizes distinct psychological constructs such as depression and anxiety. A broad approach can be interpreted as viewing all aspects of health and wellbeing without emphasizing a specific construct [15,16]. There does not seem to be a need to prioritize or select between the above-mentioned mood disorders, as there is a recognized interrelation between them [17]. Maternal distress can be a predictor for negative birth outcomes and short or long-term post partum health problems for both mother as well as child [18][19][20][21].In the Netherlands, midwives are the main providers of antenatal care [22], making them the default healthcare practitioners for the identification of women who are at-risk to develop maternal distress or who experience maternal distress [23]. A timely antenatal intervention in midwife-led care may prevent or reduce maternal distress. To prevent or reduce maternal distress an intervention must be based on an understanding of the factors that can promote positive change, factors that consider not only the situation of pregnant women, but also the abilities of the midwives who will provide the intervention [24]. "Promoting Healthy Pregnancy" And the Development of the InterventionThe "Promoting Healthy Pregnancy" project (2011Pregnancy" project ( -2015 was funded and launched as a response to the Department of Health concerns about maternal distress and to midwives' uncertainty about their specific role and responsibilities in providing care for women with maternal distress [25]. The aim of the "Promoting Healthy Pregnancy" project was to gather evidence that could be used to create an antenatal intervention for the prevention or reduction of maternal distress during pregnancy for women receiving midwife-led care, i.e. women with healthy pregnancies.The Intervention Mapping protocol [24] was use...

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Successful five-item triage for the broad spectrum of mental disorders in pregnancy – a validation study

Cited by 18 publications

References 25 publications

Satisfaction of a new telephone consultation service for prenatal and postnatal health care

Satisfaction of a new telephone consultation service for prenatal and postnatal health care

The psychometric properties of the 16-item version of the Prodromal Questionnaire (PQ-16) as a screening instrument for perinatal psychosis

An Intervention to Prevent and Reduce Maternal Distress in the Netherlands - Its Development from Start to Finish

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