ArticleJournal of the American Board of Family Medicine : JABFM
Problems with a diagnostic depression interview in a postpartum depression trial.
Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Diagnostic performance of major depression disorder case-finding instruments used among mothers of young children in the United States: A systematic review.Journal of affective disorders · 2016Pooled it
- Screening for perinatal depression with the Patient Health Questionnaire depression scale (PHQ-9): A systematic review and meta-analysis.General hospital psychiatryPooled it
- Repeated depression screening during the first postpartum year.Annals of family medicineTrial
- TRIPPD: a practice-based network effectiveness study of postpartum depression screening and management.Annals of family medicineTrial
- Environmental Chemicals and Maternal Depression During and After Pregnancy: a Scoping Review.Current environmental health reports · 2026Article
- Depression detection using deep learning and large language models from multimodalities.Frontiers in digital health · 2026Review
- Contemporary management of unipolar depression in the perinatal period.Expert review of neurotherapeutics · 2021Article
- Secondary Prevention of Depressive Prodrome in Adolescents: Before and After Attending a Jogging Program on Campus.International journal of environmental research and public health · 2020Article
- Towards an understanding of GPs' viewpoint on diagnosing postnatal depression in general practice: a small-scale realist evaluation.Primary health care research & development · 2020Article
- Validation of the Edinburgh Postnatal Depression Scale (EPDS) on the Thai-Myanmar border.Tropical doctor · 2017Article
- Beyond Screening: A Stepped Care Pathway for Managing Postpartum Depression in Pediatric Settings.Journal of women's health (2002) · 2017Article
- The Validity of the Montgomery-Asberg Depression Rating Scale in an Inpatient Sample with Alcohol Dependence.Alcoholism, clinical and experimental research · 2017Article
- Can Postpartum Depression Be Managed in Pediatric Primary Care?Journal of women's health (2002) · 2016Review
- Depression during pregnancy: a risk factor for adverse neonatal outcomes? A critical review of the literature.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2014Review
- Validation of the alcohol use module from a multidimensional prenatal psychosocial risk screening instrument.Maternal and child health journal · 2012Article
- Now what? Effects of on-site assessment on treatment entry after perinatal depression screening.Journal of women's health (2002) · 2012Article
- Postpartum Depression: Screening, Diagnosis, and Management Programs 2000 through 2010.Depression research and treatment · 2012Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundDiagnostic and Statistical Manual (DSM) IV-based depression interviews, valued for their diagnostic accuracy, are often considered to be essential for depression treatment trials. However, this requirement can be problematic because of participant burden. The purpose of this article is to describe our experience with the depression component of the Structured Clinical Interview for DSM Disorders (SCID) in a postpartum depression treatment trial.
methodsIn this prospective cohort study of 506 mothers of infants from 7 primary care clinics, participants were asked to complete the depression module of the SCID interview soon after enrollment. They were asked to complete the 9-item Patient Health Questionnaire (PHQ-9) depression survey at 0 to 1, 2, 4, 6, and 9 months postpartum.
resultsForty-five women (8.9%) had a positive SCID interview and 112 (22.1%) had a positive PHQ-9 during 0 to 9 months postpartum. Problems encountered when using the SCID depression interview included (1) lower than expected SCID-based rates of depression diagnosis (8.9%); (2) SCID noncompletion by 75 women (14.8%); SCID noncompleters (vs completers) were younger, poorer, less educated, and more likely to be single and black (vs white); and (3) inconsistent SCID/PHQ-9 results. Nineteen women with moderately severe to severe PHQ-9 score elevations (≥15) had negative SCID scores; all of these women were functionally impaired. More than 90% of women with positive PHQ-9 scores reported some degree of impairment because of their depressive symptoms.
conclusionsThe requirement of a diagnostic depression interview resulted in selection bias and missed opportunities for depression diagnosis; these are problems that detract from the interview's key strength-its diagnostic accuracy. These problems should be considered when electing to use a DSM-IV-based depression interview in research.
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