Accuracy of Community Informant Led Detection of Maternal Depression in Rural Pakistan
Bibliographic Data
Maternal depression is a global mental health and a public health priority. Despite the priority its active detection is still a challenge. We tested the accuracy of an adapted version of Community Informant Detection Tool for Maternal Depression (CIDT-MD) in rural settings of Pakistan. Using a single stage design, trained community informants (lady health workers and lay peers) identified women (pregnant and/or with children) with symptoms of probable depression using CIDT-MD. This was immediately followed by diagnostic interviews of all the women using the Structured Clinical Interview for the Diagnostic and Statistical Manual (SCID-V) for current major depressive episode by trained assessors, blinded to the outcome of CIDT-MD. Data were analyzed using Statistical Package for Social Sciences (Version 25.0, IBM Corp., Armonk, NY, USA) and FACTOR software (Version. 10.3.01, Virgili University, Tarragona, Spain). Descriptive statistics, factor analysis, validity, reliability and known group validity was conducted to evaluate the psychometric properties of the adapted CIDT-MD. In all, 425 women, with mean age of 28 years (SD = 4.7), participated. Nearly 10% were illiterate, while the rest (90%) had an education ranging from eight to 15 years of schooling. The majority (73.2%) of the participants had 1-3 children while only 17.4% had >3 children. The sensitivity and specificity of CIDT-MD in detecting depressive symptoms was 97.5% (95% CI: 94.2-99.1) and 82.4% (95% CI: 77.8-86.4) respectively. It's positive predictive value (PPV), 77.3% (95% CI: 72.9-81.2) and the negative predictive value (NPV) was 98.17% (95% CI: 95.7-99.2). While factor analysis revealed high inter-item correlation for most items (0.62-0.77) with an adequately fair Kaiser-Meyer-Olkin (KMO) sampling adequacy (0.73), significant Bartlett's test of sphericity ( p p < 0.001). The adapted version of the Community Informant Detection Tool for Maternal Depression is a valid and a reliable tool for active case detection of maternal depression in rural settings of Pakistan
Anxiety · Depression (economics · Descriptive statistics · Mental health · Mini-international neuropsychiatric interview · Psychiatry · Public health · Statistics · Attachment and Relationship Dynamics · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Demography · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Nursing · Psychology · Gerontology
On exploratory factor analysis
Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries
Maternal depression and mental health in early childhood
Validated Screening Tools for Common Mental Disorders in Low and Middle Income Countries
Validity of the patient health questionnaire-9 for depression screening and diagnosis in East Africa
Cognitive behaviour therapy-based intervention by community health workers for mothers with depression and their infants in rural Pakistan
Sample size used to validate a scale
Improving detection of mental health problems in community settings in Nepal
Cultural Adaptation of Community Informant Tool for Detection of Maternal Depression in Rural Pakistan
Prevalence of Maternal Postpartum Depression, Health-Seeking Behavior and Out of Pocket Payment for Physical Illness and Cost Coping Mechanism of the Poor Families in Bangladesh
| Unique citing works | 3 |
|---|---|
| Citations per year | 0,6 |
| Citation span | 2021 - 2025 (5) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 3 |