Validation of the Whooley questions for antenatal depression and anxiety among low-income women in urban South Africa

South African Journal of Psychiatry

 
 
Field Value
 
Title Validation of the Whooley questions for antenatal depression and anxiety among low-income women in urban South Africa
 
Creator Marsay, Carina Manderson, Lenore Subramaney, Ugasvaree
 
Subject Psychiatry perinatal depression; screening; South Africa
Description Background/objective: In South Africa, approximately 40% of women suffer from depression during pregnancy. Although perinatal depression and anxiety are significant public health problems impacting maternal and infant morbidity and mortality, no routine mental health screening programmes exist in the country. A practical, accurate screening tool is needed to identify cases in these busy, resource-scarce settings.Method: A convenience sample of 145 women between 22 and 28 weeks gestation was recruited from Rahima Moosa Hospital antenatal clinic in Johannesburg. All women completed a biographical interview, the Edinburgh Postnatal Depression Scale (EPDS), the Whooley questions and a structured clinical interview.Results: The results demonstrate the sensitivity and specificity of the Whooley questions and the EPDS in identifying depression, anxiety and stress disorders of varying severity. The importance of personal, social and cultural context in influencing the content and expression of these common perinatal conditions was also identified.Discussion and conclusion: The validity of the Whooley questions in the context of urban South Africa, and the importance of ensuring clinical interviews to supplement any screening tools, is emphasised.
 
Publisher AOSIS
 
Contributor University of the Witwatersrand South African Medical Research Council
Date 2017-04-11
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip application/xml application/pdf
Identifier 10.4102/sajpsychiatry.v23i0.1013
 
Source South African Journal of Psychiatry; Vol 23 (2017); 7 pages 2078-6786 1608-9685
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajp.org.za/index.php/sajp/article/view/1013/827 https://sajp.org.za/index.php/sajp/article/view/1013/826 https://sajp.org.za/index.php/sajp/article/view/1013/828 https://sajp.org.za/index.php/sajp/article/view/1013/822
 
Coverage — — —
Rights Copyright (c) 2017 Carina Marsay, Lenore Manderson, Ugasvaree Subramaney https://creativecommons.org/licenses/by/4.0
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