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Reliability and validity of the center for epidemiologic studies-depression scale in screening for depression among HIV-infected and -uninfected pregnant women attending antenatal services in…

Overview of attention for article published in BMC Psychiatry, November 2014
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Title
Reliability and validity of the center for epidemiologic studies-depression scale in screening for depression among HIV-infected and -uninfected pregnant women attending antenatal services in northern Uganda: a cross-sectional study
Published in
BMC Psychiatry, November 2014
DOI 10.1186/s12888-014-0303-y
Pubmed ID
Authors

Barnabas K Natamba, Jane Achan, Angela Arbach, Thomas O Oyok, Shibani Ghosh, Saurabh Mehta, Rebecca J Stoltzfus, Jeffrey K Griffiths, Sera L Young

Abstract

BackgroundThere are limited data on the prevalence and approaches to screening for depression among pregnant women living in resource poor settings with high HIV burden.MethodsWe studied the reliability and accuracy of the Center for Epidemiologic Studies Depression (CES-D) scale in 123 (36 HIV-infected and 87 -uninfected) pregnant women receiving antenatal care at Gulu Regional Referral Hospital, Uganda. CES-D scores were compared to results from the psychiatrist-administered Mini-International Neuropsychiatric Interview (MINI) for current major depressive disorder (MDD), a ¿gold standard¿ for assessing depression. We employed measures of internal consistency (Cronbach¿s alpha), and criterion validity [Area Under the Receiver Operating Characteristic Curve (AUROC), sensitivity (Se), specificity (Sp), and positive predictive value (PPV)] to evaluate the reliability and validity of the CES-D scale.Results35.8% of respondents were currently experiencing an MDD, as defined from outputs of the MINI-D. The CES-D had high internal consistency (Cronbach¿s alpha =0.92) and good discriminatory ability in detecting MINI-defined current MDDs (AUROC =0.82). The optimum CES-D cutoff score for the identification of probable MDD was between 16 and 17. A CES-D cutoff score of 17, corresponding to Se, Sp, and PPV values of 72.7%, 78.5%, and 76.5% is proposed for adoption in this population and performs well for HIV-infected and -uninfected women. After adjusting for baseline differences between HIV subgroups (maternal age and marital status), HIV-infected pregnant women scored 6.2 points higher on the CES-D than HIV-uninfected women (p =0.032).ConclusionsThe CES-D is a suitable instrument for screening for probable major depression among pregnant women of mixed HIV status attending antenatal services in northern Uganda.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 186 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 2 1%
Unknown 184 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 38 20%
Student > Ph. D. Student 23 12%
Researcher 20 11%
Student > Bachelor 17 9%
Student > Doctoral Student 15 8%
Other 30 16%
Unknown 43 23%
Readers by discipline Count As %
Medicine and Dentistry 46 25%
Psychology 27 15%
Social Sciences 19 10%
Nursing and Health Professions 17 9%
Agricultural and Biological Sciences 4 2%
Other 23 12%
Unknown 50 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 November 2014.
All research outputs
#20,243,777
of 22,771,140 outputs
Outputs from BMC Psychiatry
#4,198
of 4,678 outputs
Outputs of similar age
#302,739
of 361,557 outputs
Outputs of similar age from BMC Psychiatry
#85
of 100 outputs
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