Creating the Capacity to Screen Deaf Women for Perinatal Depression: A Pilot Study.
American Sign Language
Community engagement
Deaf
Edinburgh Postnatal Depression Scale (EPDS)
Perinatal depression
Journal
Midwifery
ISSN: 1532-3099
Titre abrégé: Midwifery
Pays: Scotland
ID NLM: 8510930
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
03
03
2020
revised:
14
10
2020
accepted:
20
10
2020
pubmed:
10
11
2020
medline:
20
7
2021
entrez:
9
11
2020
Statut:
ppublish
Résumé
Compared to hearing women, Deaf female sign language users receive sub-optimal maternal health care and report more dissatisfaction with their prenatal care experiences. As healthcare providers begin to regularly screen for perinatal depression, validated screening tools are not accessible to Deaf women due to severe disparities in English literacy and health literacy. We conducted a one-year, community-engaged pilot study to create an initial American Sign Language (ASL) translation of the Edinburgh Postnatal Depression Scale (EPDS); conduct videophone screening interviews with Deaf perinatal women from across the United States; and perform preliminary statistical analyses of the resulting pilot data. We enrolled 36 Deaf perinatal women between 5 weeks gestation up to one year postpartum. Results supported the internal consistency of the full ASL EPDS, but did not provide evidence of internal consistency for the anxiety or depression subscales when presented in our ASL format. Participants reported a mean total score of 5.6 out of 30 points on the ASL EPDS (SD = 4.2). Thirty-one percent of participants reported scores in the mild depression range, six percent in the moderate range, and none in the severe range. Limitations included small sample size, a restricted range of depression scores, non-normality of our distribution, and lack of a fully-standardized ASL EPDS administration due to our interview approach. Informed by study strengths, limitations, and lessons learned, future efforts will include a larger, more robust psychometric study to inform the development of a Computer-Assisted Self-Interviewing version of the ASL EPDS with automated scoring functions that hearing, non-signing medical providers can use to screen Deaf women for perinatal depression.
Identifiants
pubmed: 33166783
pii: S0266-6138(20)30239-4
doi: 10.1016/j.midw.2020.102867
pmc: PMC7853489
mid: NIHMS1640352
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
102867Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR001453
Pays : United States
Informations de copyright
Copyright © 2020. Published by Elsevier Ltd.
Déclaration de conflit d'intérêts
Declaration of Competing Interest None declared.
Références
Rehabil Psychol. 2009 May;54(2):232-238
pubmed: 19469615
J Deaf Stud Deaf Educ. 2007 Winter;12(1):1-7
pubmed: 16950865
Int Rev Psychiatry. 2019 May;31(3):210-228
pubmed: 30701995
Acta Psychiatr Scand. 2009 May;119(5):350-64
pubmed: 19298573
Midwifery. 2013 Apr;29(4):308-15
pubmed: 22417756
Lancet. 2012 Mar 17;379(9820):1037-44
pubmed: 22423884
Womens Health Issues. 2002 Jan-Feb;12(1):16-22
pubmed: 11786288
J Womens Health (Larchmt). 2002 Oct;11(8):729-41
pubmed: 12570039
BMC Pregnancy Childbirth. 2016 Apr 04;16:72
pubmed: 27044437
Am J Psychiatry. 2007 Oct;164(10):1515-20
pubmed: 17898342
Fam Med. 2006 Nov-Dec;38(10):712-6
pubmed: 17075744
J Deaf Stud Deaf Educ. 2017 Apr 1;22(2):195-203
pubmed: 28426888
J Epidemiol Community Health. 2006 Mar;60(3):221-7
pubmed: 16476752
J Clin Psychiatry. 2013 Apr;74(4):e321-41
pubmed: 23656857
J Affect Disord. 2013 Apr 5;146(2):224-30
pubmed: 23116811
Psychiatr Serv. 2011 Jun;62(6):619-25
pubmed: 21632730
JAMA Psychiatry. 2018 Mar 1;75(3):247-253
pubmed: 29387878
J Biomed Inform. 2009 Apr;42(2):377-81
pubmed: 18929686
JAMA. 2019 Feb 12;321(6):580-587
pubmed: 30747971
J Am Board Fam Med. 2007 May-Jun;20(3):280-8
pubmed: 17478661
J Affect Disord. 1999 May;53(2):137-41
pubmed: 10360408
Annu Rev Clin Psychol. 2019 May 7;15:317-344
pubmed: 30795695
Matern Child Health J. 2016 Apr;20(4):904-14
pubmed: 26649883
Arch Womens Ment Health. 2015 Aug;18(4):607-12
pubmed: 25300676
J Affect Disord. 2003 Sep;76(1-3):151-6
pubmed: 12943945
Am J Obstet Gynecol. 2016 Oct;215(4):517.e1-8
pubmed: 27210067
Soc Psychiatry Psychiatr Epidemiol. 2017 Jun;52(6):761-776
pubmed: 28204923
Psychol Addict Behav. 2018 Jun;32(4):434-441
pubmed: 29723012
Obstet Gynecol. 2018 Nov;132(5):e208-e212
pubmed: 30629567
J Psychosom Res. 1999 Apr;46(4):391-4
pubmed: 10340239
J Affect Disord. 2009 Nov;118(1-3):101-12
pubmed: 19275960
Am J Psychiatry. 1998 Nov;155(11):1603-4
pubmed: 9812126
Br J Psychiatry. 1987 Jun;150:782-6
pubmed: 3651732
J Obstet Gynecol Neonatal Nurs. 2007 Jan-Feb;36(1):88-96
pubmed: 17238953
Int J Nurs Stud. 2009 Jun;46(6):813-23
pubmed: 19217107
Br J Psychiatry. 1997 Dec;171:550-5
pubmed: 9519095
BMC Public Health. 2009 Sep 09;9:329
pubmed: 19740443
J Biomed Inform. 2019 Jul;95:103208
pubmed: 31078660
Clin Obstet Gynecol. 2018 Sep;61(3):573-590
pubmed: 29553986
Front Psychol. 2012 Feb 15;3:34
pubmed: 22363306
Obstet Gynecol. 2005 Nov;106(5 Pt 1):1071-83
pubmed: 16260528
Transl Psychiatry. 2016 Nov 1;6(11):e935
pubmed: 27801896
J Hum Lact. 2013 Nov;29(4):564-71
pubmed: 23492762
Prev Chronic Dis. 2011 Mar;8(2):A45
pubmed: 21324259
JAMA Psychiatry. 2018 Mar 1;75(3):227-228
pubmed: 29387871
JAMA Psychiatry. 2016 Aug 1;73(8):826-37
pubmed: 27276520