Table 3 Screening guidelines
From: Management of depression during the perinatal period: state of the evidence
Guideline | Perinatal period | Time interval | Setting | Instrumentation (clinical cutoff score) |
|---|---|---|---|---|
1. Alhusen and Alvarez [6] | •Postpartum period | •1-, 2- and 4-month WCV | •Pediatrics | N/A |
2. Austin et al. [11] | •Pregnancy and postpartum period | •Twice in pregnancy (earliest possible in pregnancy and repeat) •Twice postpartum (6–12 weeks after birth and repeat once in first postnatal year) | •Obstetrics | •EPDS (10–12) •Psychosocial assessment |
3. Austin et al. [10] | •Pregnancy and postpartum period | •At least once, preferably twice, in pregnancy •At least once, preferably twice, postnatal period (ideally 6–12 weeks after the birth) | •Obstetrics | •EPDS (10–12) |
4. Chua et al. [22] | N/A | N/A | N/A | •PHQ-2 (unreported) |
5. Committee on Obstetric Practice [23] | •Postpartum period | N/A | •Obstetrics | •Psychosocial assessment |
6. Curry et al. [26] | •Postpartum period | N/A | N/A | •No accurate screening tools |
7. Diaz and Plunkett [27] | •Pregnancy and postpartum period | •1-, 2-, 4- and 6-month WCV | •Obstetrics and pediatric | •EPDS (9.5–12.5) •PHQ-9 (unreported) •PHQ-2 (unreported) |
8. Earls et al. [29] | •Postpartum period | •1-, 2-, 4- and 6-month WCV | •Pediatrics | N/A |
9. NICE [52] | •Pregnancy and postpartum period | N/A | •Obstetrics | •PHQ-2 (unreported) |
10. Nordeng and Jettestad [53] | N/A | N/A | N/A | •EPDS (unreported) •MADRS (unreported) |
11. O’Hara and Engeldinger [55] | •Pregnancy and postpartum period | •At least once in pregnancy •After delivery or at the 6-week follow-up appointment | •Obstetrics | N/A |
12. PSI [56] | •Pregnancy and postpartum period | N/A | N/A | •EPDS (10) •PHQ-9 (10) |
13. Rafferty et al. [57] | •Postpartum period | N/A | •Pediatrics | N/A |
14. RNAO [58] | N/A | •Optimal screening intervals are unknown | N/A | N/A |
15. SIGN [63] | •Pregnancy and postpartum period | N/A | •Obstetrics | •EPDS (9/10 or 12/13) •Whooley Questions (unreported) |
16. Siu et al. [65] | N/A | •Optimal screening intervals are unknown | N/A | •EPDS (unreported) •PHQ-9 (unreported) •GDS (unreported) •HADS (unreported) |
17. Sparks et al. [68] | •Pregnancy and postpartum period | •Four times in pregnancy (first prenatal visit, 16-weeks, 32-weeks, postpartum) •Four times in postpartum (7–14-day WCV, 4-, 6- and 12-month WCV) | •Obstetrics and pediatric | •MBH (unreported) |
18. Williams et al. [73] | •Pregnancy | •28- and 32-weeks' gestation | •Obstetrics | •EPDS (9–14) |