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Open Access Validation of Two Postpartum Depression Screening Scales with a Sample of First Nations and Métis Women Validation de deux échelles de dépistage de dépression postpartum auprès d'un échantillonnage de femmes des Premières Nations et de femmes métisses

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Abstract:

The purposes of this study were to determine the prevalence of postpartum depression (PPD) and to examine the utility of the Postpartum Depression Screening Scale (PDSS) and the Edinburgh Postnatal Depression Scale (EPDS) in First Nations and Métis women in the Canadian province of Saskatchewan. A total of 103 women who had given birth in the preceding 1 to 12 months were recruited from the city of Regina and from First Nations health centres in Saskatchewan. Self-report screening instruments assessing PPD were administered along with a structured clinical interview for DSM-IV Axis I disorders (SCID) to confirm the diagnosis of PPD. Of the 103 women, 17% were diagnosed with PPD. The findings support the validity of the PDSS and the EPDS as measures of PPD in First Nations and Métis women. The author discusses the need for primary health care professionals, including nurses, to offer postnatal screening for women who may be at risk for PPD.

French
L'étude a pour objectif de déterminer la prévalence de la dépression postpartum (DPP) et d'examiner l'utilité de l'échelle de dépistage de dépression postpartum [Postpartum Depression Screening Scale – PDSS] et de l'échelle de dépression postnatale d'Edinburgh [Edinburgh Postnatal Depression Scale – EPDS] chez les femmes des Premières Nations et les femmes métisses, dans la province canadienne de la Saskatchewan. Un total de 103 femmes qui ont accouché dans une période de un à douze mois précédant l'enquête ont été recrutées dans la ville de Regina et dans des centres de santé desservant les Premières Nations de cette province. Des outils d'autoévaluation servant à dépister la DPP ont été remis dans le cadre d'une entrevue clinique structurée pour identifier la présence d'un trouble de l'axe 1 du DSM-IV (SCID) et dépister la DPP. Des 103 femmes, 17% ont reçu un diagnostic de DPP. Les résultats confirment la validité des échelles PDSS et EPDS comme outils de dépistage de DPP chez les femmes des Premières Nations et les femmes métisses. L'auteure discute de la nécessité de mettre en place des professionnels de la santé primaire, y compris des infirmières, pour offrir des services de dépistage postnataux aux femmes risquant la DPP.

Keywords: FIRST NATIONS; POSTPARTUM DEPRESSION; PPD; SCREENING; VALIDATION; WOMEN

Document Type: Research Article

Publication date: March 1, 2008

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