Ian M. Bennett|A. Coco|James C. Coyne|Alex J. Mitchell|James Nicholson|Earl Johnson|Michael Horst|Sarah J. Ratcliffe
Efficiency of a Two-Item Pre-Screen to Reduce the Burden of Depression Screening in Pregnancy and Postpartum: An IMPLICIT Network Study
University of Pennsylvania|Hess (United States)|Leicester General Hospital|Lebanon VA Medical Center|Lancaster General Hospital|University of Pennsylvania|Hess (United States)|Leicester General Hospital|Lebanon VA Medical Center|Lancaster General Hospital|Lancaster General Hospital|University of Pennsylvania|Hess (United States)|Leicester General Hospital|Lebanon VA Medical Center|Lancaster General Hospital|University of Pennsylvania|Hess (United States)|Lebanon VA Medical Center|Leicester General Hospital|University of Pennsylvania|Hess (United States)|Leicester General Hospital|Lebanon VA Medical Center|Lancaster General Hospital|University of Pennsylvania|Hess (United States)|Leicester General Hospital|Lebanon VA Medical Center|Lancaster General Hospital|Lancaster General Hospital|Hess (United States)|Lebanon VA Medical Center|University of Pennsylvania|Leicester General Hospital|Lancaster General Hospital|University of Pennsylvania|Hess (United States)|Leicester General Hospital|Lebanon VA Medical Center
objective systems efficient case finding women major depression pregnancy postpartum neededhere assess diagnostic accuracy modified 2item patient health questionnaire phq2 prescreen assessing depressionmethods crosssectional assessments 15 weeks gestation n 414 30 weeks gestation n 334 6 16 weeks postpartum n 193 among women diverse set racesethnicities participating implicit maternal care quality improvement networkthe edinburgh postnatal depression scale score 13 used criterion measure phq2results positive 2item screen sensitivity 93 82 80 specificity 75 80 86 edinburgh postnatal depression scale score 13 assessment 15 30 weeks gestational age postpartum respectivelythe positivenegative predictive values phq2 4498 2491 3098 time point respectivelyareas receiver operating characteristic curve analysis suggested 2item assessments time point approximately equal diagnostic validityconclusions two questions efficient rule depression reduced need screening approximately 60 80 women depending point pregnancy postpartuma diagnostic interview followup women screening positive still required