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Adaptation of the Structured Clinical Interview for DSM-IV Disorders for assessing depression in women during pregnancy and post-partum across countries and cultures

2004; Cambridge University Press; Volume: 184; Issue: S46 Linguagem: Inglês

10.1192/bjp.184.46.s17

1472-1465

Laura Gorman, Michael W. O’Hara, Bárbara Figueiredo, Sandra Hayes, Frédérique Jacquemain, Martin Kammerer, Claudia M. Klier, Simone Rosi, Gertrude Seneviratne, Anne‐Laure Sutter‐Dallay,

Breastfeeding Practices and Influences

Background To date, no study has used standardised diagnostic assessment procedures to determine whether rates of perinatal depression vary across cultures. Aims To adapt the Structured Clinical Interview for DSM–IV Disorders (SCID) for assessing depression and other non-psychotic psychiatric illness perinatally and to pilot the instrument in different centres and cultures. Method Assessments using the adapted SCID and the Edinburgh Postnatal Depression Scale were conducted during the third trimester of pregnancy and at 6 months postpartum with 296 women from ten sites in eight countries. Point prevalence rates during pregnancy and the postnatal period and adjusted 6-month period prevalence rates were computed for caseness, depression and major depression. Results The third trimester and 6-month point prevalence rates for perinatal depression were 6.9% and 8.0%, respectively. Postnatal 6-month period prevalence rates for perinatal depression ranged from 2.1% to 31.6% across centres and there were significant differences in these rates between centres. Conclusions Study findings suggest that the SCID was successfully adapted for this context. Further research on determinants of differences inprevalence of depression across cultures isneeded.