Routine antenatal maternal screening for current mental health: evaluation of a change in the use of the Edinburgh Depression Scale in clinical practice
Routine antenatal maternal screening for current mental health: evaluation of a change in the use of the Edinburgh Depression Scale in clinical practice
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DOI：
10.1007/s00737-015-0570-8
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发表时间：
2016-04-01
影响因子：
4.5
通讯作者：
Sheridan-Magro, Adele
中科院分区：
文献类型：
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作者：
Matthey, Stephen;Souter, Kay;Sheridan-Magro, Adele
一家进行常规心理社会筛查的医院产前诊所改变了爱丁堡抑郁症量表（EDS）的转诊标准，以确定哪些妇女需要转诊到多学科会议卫生专业人员（“安全开始会议”）。当不存在其他社会心理风险时，标准从10分或以上改为13分或以上。在EDS上得分为10-12分、没有其他社会心理风险的妇女现在被告知，如果她们有问题想与卫生专业人员讨论，她们应该联系社会工作部门。该研究评估了这一变化对EDS临床实践的影响。审计记录的时间长达20个月。此外，20名得分在EDS边缘范围（10-12），没有其他社会心理风险的女性参加了电话访谈，以确定她们是否应该被转介到安全开始会议。174名符合条件的女性在EDS边缘范围内得分，没有人联系过社会工作部门。此外，在接受采访的20名妇女中，没有人表示她们想与保健专业人员进一步交谈。临床实践的这一变化使每月转介到安全开始会议的人数减少了约20%。增加的EDS类别得分与社会心理风险被认可的可能性之间存在线性关系。将自动转诊EDS分值从10分或以上提高到13分或以上，似乎不会导致“有需要”的妇女被遗漏。转诊人数的减少使安全开始会议有更多时间专门讨论有更大需要的妇女。
A hospital antenatal clinic conducting routine psychosocial screening changed the Edinburgh Depression Scale (EDS) referral criterion for determining which women needed to be referred to a multidisciplinary meeting health professional ("Safe Start meeting"). The criterion was changed from a score of 10 or more to 13 or more, when no other psychosocial risks were present. Women scoring 10-12 on the EDS, with no other psychosocial risks, were now informed they should contact the Social Work Department if they had issues they wanted to discuss with a health professional. The study evaluated the impact of this change in EDS clinical practice. Records were audited over a 20-month period. In addition, 20 women scoring in this EDS marginal range (10-12), with no other psychosocial risks, participated in a telephone interview to ascertain if they should have been referred to the Safe Start meeting. Of 174 eligible women who scored in the marginal EDS range, none had contacted the Social Work Department. In addition, none of the 20 women interviewed indicated that they would have wanted to talk further with a health professional. This change in clinical practice reduced monthly referrals to the Safe Start meeting by about 20 %. There was a linear relationship between the increasing EDS category scores and the likelihood of psychosocial risks being endorsed. Increasing the automatic referral EDS cutoff score from 10 or more to 13 or more does not appear to result in women "in need" being missed. The reduction in referrals allowed more time in the Safe Start meeting to be devoted to women with greater needs.