ArticleInternational journal of environmental research and public health2021
Scalable Screening and Treatment Response Monitoring for Perinatal Depression in Low- and Middle-Income Countries.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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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
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Exploring Heterogeneity in perinatal depression: a comprehensive review.BMC psychiatry · 2023Pooled it
- Screening programs for common maternal mental health disorders among perinatal women: report of the systematic review of evidence.BMC psychiatry · 2022Pooled it
- Identification, Prevention, and Treatment of Perinatal Depression in Low- and Middle-Income Countries: A Narrative Review.Biological psychiatry · 2026Review
- Impacts of chronic suicidal ideation on parenting and child development: A longitudinal mother-child cohort study in Pakistan.Social science & medicine (1982) · 2025Article
- Predictive Validity of Screening Tools and Role of Self-Esteem and Coping in Postpartum Depression Risk.Diagnostics (Basel, Switzerland) · 2025Review
- Screening for Perinatal Depression: Barriers, Guidelines, and Measurement Scales.Journal of clinical medicine · 2024Review
- Optimizing psychotherapies for perinatal depressive symptom dimensions by strengthening social support networks: an exploratory mediation analysis approach.Global mental health (Cambridge, England) · 2024Article
- Technology-assisted peer therapy: a new way of delivering evidence-based psychological interventions.BMC health services research · 2022Article
- WHODAS Assessment Feasibility and Mental Health Impact on Functional Disability in Systemic Lupus Erythematosus.Healthcare (Basel, Switzerland) · 2022Article
- Persistent disparities in COVID-19-associated impacts on HIV prevention and care among a global sample of sexual and gender minority individuals.Global public health · 2022Article
- Psychiatric medication use among pregnant and breastfeeding mothers who used cannabis for mental health concerns: A cross-sectional survey study.Women's health (London, England)Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Common perinatal mental disorders such as anxiety and depression are a public health concern in low- and middle-income countries. Several tools exist for screening and monitoring treatment responses, which have frequently been tested globally in clinical and research settings. However, these tools are relatively long and not practical for integration into routine data systems in most settings. This study aims to address this gap by considering three short tools: The Community Informant Detection Tool (CIDT) for the identification of women at risk, the 4-item Patient Health Questionnaire (PHQ-4) for screening women at high-risk, and the 4-item Hamilton Depression Rating Scale (HAMD-4) for measuring treatment responses. Studies in rural Pakistan showed that the CIDT offered a valid and reliable key-informant approach for the detection of perinatal depression by utilizing a network of peers and local health workers, yielding a sensitivity of 97.5% and specificity of 82.4%. The PHQ-4 had excellent psychometric properties to screen women with perinatal depression through trained community health workers, with a sensitivity of 93.4% and specificity of 91.70%. The HAMD-4 provided a good model fit and unidimensional construct for assessing intervention responses. These short, reliable, and valid tools are scalable and expected to reduce training, administrative and human resource costs to health systems.
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Registered trials
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