Archives of Women's Mental Health

, Volume 12, Issue 2, pp 97–103

Antenatal psychosocial assessment: how accurate are we in determining ‘low-risk’ status? A pilot study

  • Janan C. Karatas
  • Stephen Matthey
  • Bryanne Barnett
Original Contribution

DOI: 10.1007/s00737-009-0047-8

Cite this article as:
Karatas, J.C., Matthey, S. & Barnett, B. Arch Womens Ment Health (2009) 12: 97. doi:10.1007/s00737-009-0047-8

Abstract

Routine Comprehensive Psychosocial Assessment was implemented antenatally at a public hospital in Sydney in 2000. The assessment, completed on all women, classifies them as (1) currently, or at high-risk of becoming, distressed, or, (2) not currently, or at low risk of becoming, distressed during the perinatal period. This pilot study followed up a sample of women (N = 50) from the latter group at 6 weeks postpartum to explore the accuracy of ‘low risk’ identification. All but one woman reported that they continued to do well during their pregnancy. By 6 weeks postpartum only one woman scored high on the validated depression measure though data from a semi-structured interview indicated that a further four women experienced sub-clinical difficulty in the early weeks postpartum. The antenatal classification of women as ‘low risk’ using this assessment method appears to be substantially accurate, though this finding needs to be replicated in a larger study.

Keywords

Psychosocial screening Assessment Pregnancy Perinatal mental health Postnatal depression 

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Janan C. Karatas
    • 1
    • 2
  • Stephen Matthey
    • 2
    • 3
  • Bryanne Barnett
    • 1
    • 2
  1. 1.beyondblue Perinatal Mental Health Program, Phase 1Postnatal Depression Research, NSW ComponentMelbourneAustralia
  2. 2.Infant, Child and Adolescent Mental Health ServiceSydney South West Area Health ServiceSydneyAustralia
  3. 3.Infant, Child and Adolescent Mental Health Service, Mental Health CentreLiverpool HospitalLiverpool BCAustralia