Wilson Roneé, Campos Adriana, Sandhu Mannat, Sniffen Sarah, Jones Rashida, Tackett Hope, Berry Estrellita, Louis-Jacques Adetola
College of Public Health, University of South Florida, Tampa, FL 33612, USA.
USF Health Morsani College of Medicine, University of South Florida, Tampa, FL 33612, USA.
Children (Basel). 2022 Feb 1;9(2):180. doi: 10.3390/children9020180.
Early detection of depression in at-risk populations is critical for ensuring better maternal and child health outcomes. This study assessed whether Healthy Start Prenatal Risk Screening (HSPRS) could predict depressive symptoms in women enrolled in a Healthy Start (HS) program in under-resourced, high-risk communities of Hillsborough County.
Data from HS participants were included for those who were evaluated using the HSPRS and the Edinburgh Postnatal Depression Scale (EPDS). A correlation analysis determined if the HSPRS score was associated with a positive EPDS screen, and HSPRS questions related to the participants psychosocial environment were assessed individually to determine their predictive potential. The crude odds ratio (OR) and adjusted OR (controlling for sociodemographic covariates) were calculated for each question of interest.
A total of 736 women were included, with 122 (16.5%) scoring 14 or greater on the EPDS, indicating probable depression risk. There were significant differences between women at risk for depression compared to those not at risk regarding maternal age (-value = 0.03) and marital status (-value = 0.01). There were no significant differences in education, ethnicity, or race. The total HSPRS score had a weak yet significant correlation with the EPDS score (r = 0.14, -value = 0.0001), and seven individual HSPRS questions were significantly associated with risk for perinatal depression. Conclusions for Practice: By focusing on responses to key HSPRS questions rather than the overall score, women may receive access to much needed services more quickly, thereby reducing the risk for poorer maternal and developmental outcomes.
A young maternal age and single marital status have been identified as risk factors for perinatal depression. Additionally, women from racial/ethnic minority groups or low-income populations are more likely to experience depression. Thus, in communities where women exhibit many pre-identified risk factors for perinatal depression, the ability to quickly identify those at the highest risk is imperative. This work indicates that among medically and socially high-risk mothers enrolled in a HS program, the overall HSPRS score was not as predictive of perinatal depression as individual responses to key questions. Attention to these responses could result in women receiving much needed services quicker.
在高危人群中早期发现抑郁症对于确保更好的母婴健康结局至关重要。本研究评估了“健康起步产前风险筛查”（HSPRS）能否预测希尔斯伯勒县资源匮乏的高危社区中参加“健康起步”（HS）项目的女性的抑郁症状。
纳入使用HSPRS和爱丁堡产后抑郁量表（EPDS）进行评估的HS参与者的数据。进行相关性分析以确定HSPRS评分是否与EPDS筛查呈阳性相关，并分别评估与参与者心理社会环境相关的HSPRS问题，以确定其预测潜力。对每个感兴趣的问题计算粗比值比（OR）和调整后的OR（控制社会人口统计学协变量）。
共纳入736名女性，其中122名（16.5%）在EPDS上的得分大于或等于14分，表明可能存在抑郁风险。有抑郁风险的女性与无抑郁风险的女性在母亲年龄（P值 = 0.03）和婚姻状况（P值 = 0.01）方面存在显著差异。在教育程度、种族或民族方面没有显著差异。HSPRS总分与EPDS评分呈弱但显著的相关性（r = 0.14，P值 = 0.0001），并且七个HSPRS单项问题与围产期抑郁风险显著相关。实践结论：通过关注对HSPRS关键问题的回答而非总分，女性可能更快获得急需的服务，从而降低母婴健康和发育结局较差的风险。
年轻的母亲年龄和单身婚姻状况已被确定为围产期抑郁的风险因素。此外，来自种族/族裔少数群体或低收入人群的女性更有可能经历抑郁。因此，在女性表现出许多已预先确定的围产期抑郁风险因素的社区中，迅速识别出风险最高的人群的能力至关重要。这项研究表明，在参加HS项目的医学和社会高危母亲中，HSPRS总分对围产期抑郁的预测能力不如对关键问题的单项回答。关注这些回答可能会使女性更快获得急需的服务。
