Evidence map›Paper›PMID 33226453›Full record

ArticleSocial psychiatry and psychiatric epidemiology2021

Risk and resilience: a mixed methods investigation of Aboriginal Australian women's perinatal mental health screening assessments.

Emma Carlin, Kimberley H Seear, Katherine Ferrari, Erica Spry, David Atkinson, Julia V Marley

Open access · hybridAbstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Aboriginal young people's experiences of type 2 diabetes diagnosis, management and support: A qualitative study in the Kimberley region of Western Australia.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Emma CarlinThe Rural Clinical School of Western Australia, The University of Western Australia, Broome, WA, Australia. emma.carlin@rcswa.edu.au.ORCID http://orcid.org/0000-0002-1003-1981
Kimberley H SeearThe Rural Clinical School of Western Australia, The University of Western Australia, Broome, WA, Australia.ORCID http://orcid.org/0000-0002-0111-3192
Katherine FerrariKimberley Aboriginal Medical Services, Broome, WA, Australia.
Erica SpryThe Rural Clinical School of Western Australia, The University of Western Australia, Broome, WA, Australia.
David AtkinsonThe Rural Clinical School of Western Australia, The University of Western Australia, Broome, WA, Australia.ORCID http://orcid.org/0000-0001-7069-5555
Julia V MarleyThe Rural Clinical School of Western Australia, The University of Western Australia, Broome, WA, Australia.ORCID http://orcid.org/0000-0003-1014-4860
The University of Western Australia · AUKimberley Aboriginal Medical Services · AU

Funding

National Health and Medical Research Council- Australia APP1132659
6 · The paper itself

Abstract

purposeTo describe the psychosocial protective and risk factors for perinatal mental health identified in a sample of Aboriginal women's Kimberley Mum's Mood Scale (KMMS) assessments and explore the role of these factors in their screening assessment and diagnostic outcome.

methodsWe used a mixed methods approach to retrospectively analyse a cross-sectional study dataset of 91 completed KMMS assessments. This included: categorising the clinical notes from the KMMS psychosocial yarn into 'risk' and 'protective' factors and describing these categories, describing the number and type of risk and protective factors associated with different KMMS risk assessment categories (no, low, medium, high), and exploring relationships between these risk and protective factors and diagnosis of perinatal depression and/or anxiety.

resultsProtective factors were recorded for the vast majority of the women; the most prominent was positive family relationships. When protective and risk factors were stratified by KMMS risk category, women in the higher risk group less commonly had specific protective factors (11-33% high vs 61-100% no risk) and more commonly had risk factors (22-67% high vs 6-28% no risk) than women with lower KMMS assessed risk. The average number of protective factors decreased with increasing KMMS risk category (4.9 ± 1.1 to 1.6 ± 1.3), with the inverse pattern for risk factors (1.1 ± 1.1 to 3.8 ± 1.0). Having protective factors also appeared to reduce the risk of developing clinical depression or anxiety.

conclusionAssessing protective factors in mental health screening for perinatal Aboriginal women increases the effectiveness of screening and provides a foundation for the delivery of local structured psychosocial care.

Indexed as

Mental HealthAustraliaCross-Sectional StudiesFemaleHumansPregnancyRetrospective StudiesWomen's HealthAboriginalIndigenousMental healthPerinatalProtective factorsResiliency

Identifiers

PMID33226453
PMCPMC8053144
OpenAlexW3106728284

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.