Grussu Pietro, Severo Melania, Jorizzo Gianfranco J, Quatraro Rosa Maria
Consultorio Familiare, Italian National Health Service, Azienda ULSS 6 Euganea, 35100 Padova, Italy.
Department of Humanistic Studies, University of Foggia, 71122 Foggia, Italy.
Healthcare (Basel). 2024 Dec 18;12(24):2549. doi: 10.3390/healthcare12242549.
BACKGROUND/OBJECTIVES: Mental health screening of perinatal women is recommended as an essential element of routine maternity health care. Knowledge of screening conditions in healthcare settings as indicated by NICE is limited. This scoping review examines current expert considerations in the scientific literature on the use of Whooley questions and GAD-2 tools in screening for women's perinatal mental health.
The search included literature in English published prior to April 2023. Searches in PsycINFO, PubMed, Scopus, Scilit, and Google Scholar used the terms "Whooley questions" and "GAD-2".
A total of 9 articles on studies using both of these tools were included. During pregnancy, rapid screening instruments permit the identification of women at increased risk for postpartum depression. They also detect continuity between depressive or anxious symptoms during pregnancy and depressive symptoms after delivery. Effectiveness compares favorably to that of some lengthier screening instruments. Rapid self-report tools appear to be most suitable for initial screening. They are indicative only of perinatal mental health and have no diagnostic value. In the individual studies considered in this review, the reliability and sensitivity of the Whooley questions and GAD-2 are unclear. Because of their self-reporting nature, outcomes may be subject to recall bias.
Future evaluation of the instruments' performance over the perinatal period is needed.
背景/目的：围产期妇女心理健康筛查被推荐为常规孕产妇保健的重要组成部分。关于英国国家卫生与临床优化研究所（NICE）所指出的医疗环境中的筛查情况的了解有限。本范围综述考察了科学文献中当前关于使用胡利问题（Whooley questions）和广泛性焦虑障碍-2项量表（GAD-2）工具筛查妇女围产期心理健康的专家考量。
检索包括2023年4月之前发表的英文文献。在心理学文摘数据库（PsycINFO）、医学期刊数据库（PubMed）、Scopus、Scilit和谷歌学术中使用术语“胡利问题”和“GAD-2”进行检索。
总共纳入了9篇关于使用这两种工具的研究的文章。在孕期，快速筛查工具能够识别出产后抑郁风险增加的女性。它们还能检测出孕期抑郁或焦虑症状与产后抑郁症状之间的连续性。其有效性与一些更长的筛查工具相比具有优势。快速自我报告工具似乎最适合初始筛查。它们仅指示围产期心理健康，没有诊断价值。在本综述中考虑的个别研究中，胡利问题和GAD-2的可靠性和敏感性尚不清楚。由于其自我报告的性质，结果可能存在回忆偏差。
需要对这些工具在围产期的表现进行未来评估。
