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Psychosocial Assessment and Depression Screening in the Perinatal Period: Benefits, Challenges and Implementation

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Abstract

Primary prevention and early intervention have the potential to be very powerful approaches perinatally, because of the frequent contacts that women have with health services at this time and the significant morbidity associated with untreated maternal mental health conditions, not only for mother but also infant and family. Implicit in this public health approach is the use of screening tools and programmes, with all the challenges that they bring. Early identification and treatment of psychosocial morbidity are especially important in relation to the functioning of the family unit and the critical parent-infant relationship with potential to positively impact on the health of the next generation.

Keywords

  • Intimate Partner Violence
  • Postpartum Depression
  • Postnatal Depression
  • Depression Screening
  • Perinatal Depression

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Notes

  1. 1.

    Marcé International Society (2013) Position statement on psychosocial assessment and depression screening in perinatal women http://marcesociety.com/.

References

  • American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn, (text rev.), Washington, DC, American Psychiatric Association

    Google Scholar 

  • Austin M-P (2004) Antenatal screening and early intervention for ‘perinatal’ distress, depression and anxiety: where to from here? Arch Womens Ment Health 7:1–6

    CrossRef  PubMed  Google Scholar 

  • Austin M-P, Hadzi-Pavlovic D, Priest SR et al (2010) Depressive and anxiety disorders in the postpartum period: how prevalent are they and can we improve their detection? Arch Womens Ment Health 13:395–401

    Google Scholar 

  • Austin M-P, Hadzi-Pavlovic D, Saint K et al (2005) Antenatal screening for the prediction of postnatal depression: validation of a psychosocial Pregnancy Risk Questionnaire. Acta Psychiatr Scand 112:310–317

    CrossRef  PubMed  Google Scholar 

  • Austin M-P, Highet N and the Guidelines Expert Advisory Committee (2011) Clinical practice guidelines for depression andrelated disorders – anxiety, bipolar disorder and puerperal psychosis – in the perinatal period. A guideline for primary care health professionals. beyondblue: the national depression initiative, Melbourne

    Google Scholar 

  • Austin M-P, Marcé Society Position Statement Advisory Committee (2014) Marce International Society position statement on psychosocial assessment and depression screening in perinatal women. Best Pract Res Clin Obstet Gynaecol 28:179–187

    Google Scholar 

  • Austin M-P, Middleton P, Reilly NM et al (2013a) Detection and management of mood disorders in the maternity setting: the Australian Clinical Practice Guidelines. Women Birth J Aust Coll Midwives 26:2–9

    CrossRef  Google Scholar 

  • Austin M-P, Colton J, Priest S et al (2013b) The antenatal risk questionnaire (ANRQ): acceptability and use for psychosocial risk assessment in the maternity setting. Women Birth 26:17–25

    Google Scholar 

  • Bales M, Pambrun E, Melchior M et al (2015) Prenatal psychological distress and access to mental health care in the ELFE cohort. Eur Psychiatry 30:322–328

    CAS  CrossRef  PubMed  Google Scholar 

  • Bauer A, Pawlby S, Plant DT et al (2015) Perinatal depression and child development: exploring the economic consequences from a South London cohort. Psychol Med 45:51–61

    CAS  CrossRef  PubMed  Google Scholar 

  • Beckwith L, Howard J, Espinosa M et al (1999) Psychopathology, mother-child interaction, and infant development: substance-abusing mothers and their offspring. Dev Psychopathol 11:715–725

    CAS  CrossRef  PubMed  Google Scholar 

  • Bowen A, Bowen R, Butt P et al (2012) Patterns of depression and treatment in pregnant and postpartum women. Can J Psychiatry 57:161–167

    PubMed  Google Scholar 

  • Buist A, Condon J, Brooks J et al (2006) Acceptability of routine screening for perinatal depression. J Affect Disord 93:233–237

    Google Scholar 

  • Byatt N, Simas TAM, Lunddquist RS et al (2012) Strategies for improving perinatal depression treatment in North American outpatient obstetric settings. J Psychosom Obstet Gynecol 33:143–161

    CrossRef  Google Scholar 

  • Campbell S, Norris S, Standfield L et al (2008) Screening for postnatal depression within the Well Child Tamariki Ora Framework. HSAC Report 2(1) University of Canterbury, Christchurch

    Google Scholar 

  • Canadian Task Force on Preventive Health Care; Joffres M, Jaramillo A, Dickinson J et al (2013) Recommendations on screening for depression in adults. CMAJ Can Med Assoc J 185:775–782

    Google Scholar 

  • Cao-Lei L, Massart R, Suderman MJ et al (2014) DNA methylation signatures triggered by prenatal maternal stress exposure to a natural disaster: Project Ice Storm. PLoS One 9, e107653

    Google Scholar 

  • Carroll JC, Reid AJ, Biringer A et al (2005) Effectiveness of the Antenatal Psychosocial Health Assessment (ALPHA) form in detecting psychosocial concerns: a randomized controlled trial. CMAJ 173:253–259

    Google Scholar 

  • Carroll AE, Biondich P, Anand V et al (2013) A randomized controlled trial of screening for maternal depression with a clinical decision support system. J Am Med Inform Assoc 20:311–316

    Google Scholar 

  • Chaudron LH, Wisner KL (2014) Perinatal depression screening: let’s not throw the baby out with the bath water! J Psychosom Res 76(6):489–491

    CrossRef  PubMed  Google Scholar 

  • Chew-Graham C, Chamberlain E, Turner K et al (2008) GPs’ and health visitors’ views on the diagnosis and management of postnatal depression: a qualitative study. Br J Gen Pract 58:169–176

    PubMed Central  CrossRef  PubMed  Google Scholar 

  • Chew-Graham CA, Sharp D, Chamberlain E et al (2009) Disclosure of symptoms of postnatal depression, the perspectives of health professionals and women: a qualitative study. BMC Fam Pract 10:7

    Google Scholar 

  • Christl B, Reilly N, Yin C et al (2015) Clinical profile and outcomes of women admitted to a psychiatric mother-baby unit. Arch Women Ment Health (in press)

    Google Scholar 

  • Coates AO, Schaefer CA, Alexander JL (2004) Detection of postpartum depression and anxiety in a large health plan. J Behav Health Serv Res 31:117–133

    CrossRef  PubMed  Google Scholar 

  • Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression. Development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry 150:782–786

    CAS  CrossRef  PubMed  Google Scholar 

  • Davalos DB, Yadon CA, Tregellas HC (2012) Untreated prenatal maternal depression and the potential risks to offspring: a review. Arch Womens Ment Health 15:1–14

    CrossRef  PubMed  Google Scholar 

  • Dayan J, Creveuil C, Marks MN et al (2006) Prenatal depression, prenatal anxiety, and spontaneous preterm birth: a prospective cohort study among women with early and regular care. Psychosom Med 68:938–946

    Google Scholar 

  • Dennis CL (2006) Intensive postpartum support for postnatal depression has the most beneficial outcome – meta-analysis. Evid Based Obstet Gynecol 8:94–95

    CrossRef  Google Scholar 

  • Dennis CL, Hodnett E (2007) Psychosocial and psychological interventions for treating postpartum depression. Cochrane Database Syst Rev (4):CD006116

    Google Scholar 

  • Dennis CL, Hodnett E, Kenton L et al (2009) Effect of peer support on prevention of postnatal depression among high risk women: multisite randomised controlled trial. BMJ 338:a3064

    Google Scholar 

  • Department of Health and Ageing (2010) National perinatal depression initiative [online]. http://www.health.gov.au/internet/main/publishing.nsf/Content/mental-perinat. Accessed 8 May 2012

  • Desmarais SL, Prtichard A, Lowder EM et al (2014) Intimate partner abuse before and during pregnancy as risk factors for postpartum mental health problems. BMC Pregnancy Childbirth 14:132

    PubMed Central  CrossRef  PubMed  Google Scholar 

  • Dunkel Schetter C, Tanner L (2012) Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry 25:141–148

    PubMed Central  CrossRef  PubMed  Google Scholar 

  • Fisher J, Chatham E, Haseler S (2012) Uneven implementation of the National Perinatal Depression Initiative: findings from a survey of Australian women’s hospitals. Aust N Z J Obstet Gynaecol 52:559–564

    CrossRef  PubMed  Google Scholar 

  • Flynn HA, Henshaw E, O’Mahen H et al (2010) Patient perspectives on improving the depression referral processes in obstetrics settings: a qualitative study. Gen Hosp Psychiatry 32:9–16

    PubMed Central  CrossRef  PubMed  Google Scholar 

  • Gavin NI, Gaynes BN, Lohr KN et al (2005) Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol 106:1071–1083

    Google Scholar 

  • Gemmill AW (2014) The long gestation of screening programmes for perinatal depressive disorders. J Psychosom Res 77:242–243

    CrossRef  PubMed  Google Scholar 

  • Gemmill AW, Leigh B, Ericksen J et al (2006) A survey of the clinical acceptability of screening for postnatal depression in depressed and non-depressed women. BMC Public Health 6:211

    Google Scholar 

  • Giallo R, Woolhouse H, Gartland D et al (2015) The emotional-behavioural functioning of children exposed to maternal depressive symptoms across pregnancy and early childhood: a prospective Australian pregnancy cohort study. Eur Child Adolesc Psychiatry

    Google Scholar 

  • Gilbody S, Bower P, Fletcher J et al (2006) Collaborative care for depression: a cumulative meta-analysis and review of longer-term outcomes. Arch Inter Med 166(21):2314–2321

    Google Scholar 

  • Glover V (2014) Maternal depression, anxiety and stress during pregnancy and child outcome; what needs to be done. Best Pract Res Clin Obstet Gynaecol 28:25–35

    CrossRef  PubMed  Google Scholar 

  • Grant KA, McMahon C, Austin MP (2008) Maternal anxiety during the transition to parenthood: a prospective study. J Affect Disord 108:101–111

    CrossRef  PubMed  Google Scholar 

  • Griffiths KM, Farrer L, Christensen H (2010) The efficacy of internet interventions for depression and anxiety disorders: a review of randomised controlled trials. Med J Aust 192:S4–S11

    PubMed  Google Scholar 

  • Gross R, Brammli-Greenberg S, Tabenkin H (2007) Primary care physicians’ discussion of emotional distress and patient satisfaction. Int J Psychiatry Med 37:331–335

    CrossRef  PubMed  Google Scholar 

  • Grote NK, Bridge JA, Gavin AR et al (2010) A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine birth restriction. Arch Gen Psychiatry 67:1012–1024

    Google Scholar 

  • Hill C (2010) An evaluation of screening for postnatal depression against NSC criteria. UK National Screening Committee, London

    Google Scholar 

  • Horwitz SM, Briggs-Gowan MJ, Storfer-Isser A et al (2009) Persistence of maternal depressive symptoms throughout the early years of childhood. J Womens Health (Larchmt) 18:637–645

    Google Scholar 

  • Howard LM, Oram S, Galley H et al (2013) Domestic violence and perinatal mental disorders: a systematic review and meta-analysis. PLoS Med 10:e1001452

    Google Scholar 

  • Johnson M, Schmeid V, Lupton SJ et al (2012) Measuring perinatal mental health risk. Arch Womens Ment Health 15:375–386

    Google Scholar 

  • Jones I, Chandra PS, Dazzan P et al (2014) Bipolar disorder, affective psychosis, and schizophrenia in pregnancy and the post-partum period. Lancet 384:1789–1799

    Google Scholar 

  • Kim JJ, La Porte LM, Corcoran M et al (2010) Barriers to mental health treatment among obstetric patients at risk for depression. Am J Obstet Gynecol 202:312.e1–312.e5

    Google Scholar 

  • Kingston D, Heaman M, Fell D et al (2012a) Factors associated with perceived stress and stressful life events in pregnant women: findings from a Canadian Maternity Experiences Survey. Matern Child Health J 16:158–168

    Google Scholar 

  • Kingston D, Tough S, Whitfield H (2012b) Prenatal and postpartum maternal psychological distress and infant development: a systematic review. Child Psychiatry Hum Dev 43:683–714

    CrossRef  PubMed  Google Scholar 

  • Kingston D, Tough S (2014) Prenatal and postnatal maternal mental health and school-age child development: a systematic review. Matern Child Health J 18:1728–1741

    CrossRef  PubMed  Google Scholar 

  • Kingston D, Austin MP, Hegadoren K et al (2014a) Study protocol for a randomized, controlled, superiority trial comparing the clinical- and cost-effectiveness of integrated online mental health assessment-referral-care in pregnancy to usual prenatal care on prenatal and postnatal mental health and infant health and development: the Integrated Maternal Psychosocial Assessment to Care Trial (IMPACT). BMC Trials 15:72

    Google Scholar 

  • Kingston D, McDonald S, Austin MP et al (2014b) The public’s views of mental health in pregnant and postpartum women: a population-based study. BMC Pregnancy Childbirth 14:84

    PubMed Central  CrossRef  PubMed  Google Scholar 

  • Kingston D, Janes-Kelley S, Tyrell J et al (2015a) An integrated web-based mental health intervention of assessment-referral-care to reduce stress, anxiety, and depression in hospitalized pregnant women with medically high-risk pregnancies: a feasibility study protocol of hospital-based implementation. JMIR Res Protoc 4:e9

    Google Scholar 

  • Kingston D, Biringer A, McDonald S et al (2015b) Preferences of screening among pregnant women: a cross-sectional study. Am J Prev Med (in press)

    Google Scholar 

  • Korhonen M, Luoma I, Salmelin R et al (2012) A longitudinal study of maternal prenatal, postnatal and concurrent depressive symptoms and adolescent well-being. J Affect Disord 136:680–692

    CrossRef  PubMed  Google Scholar 

  • Korhonen M, Luoma I, Salmelin R et al (2014) Maternal depressive symptoms: associations with adolescents’ internalizing and externalizing problems and social competence. Nord J Psychiatry 68:323–332

    Google Scholar 

  • Leiferman JA, Dauber SE, Heisler K et al (2008) Primary care physicians’ beliefs and practices toward maternal depression. J Womens Health (Larchmt) 17:1143–1150

    CrossRef  Google Scholar 

  • Leung SS, Leung C, Lam TH et al (2011) Outcome of a postnatal depression screening programme using the Edinburgh Postnatal Depression Scale: a randomized controlled trial. J Public Health (Oxf) 33:292–301

    Google Scholar 

  • Mann R, Adamson J, Gilbody S (2012) Diagnostic accuracy of case-finding questions to identify perinatal depression. CMAJ Can Med Assoc J 184:E424–E430

    CrossRef  Google Scholar 

  • Marcus SM, Flynn HA, Blow FC et al (2003) Depressive symptoms among pregnant women screened in obstetrics settings. J Womens Health (Larchmt) 12:373–380

    CrossRef  Google Scholar 

  • Matthey S, Ross-Hamid C (2012) Repeat testing on the Edinburgh Depression Scale and the HADS-A in pregnancy: differentiating between transient and enduring distress. J Affect Disord 141:213–221

    CrossRef  PubMed  Google Scholar 

  • Matthey S, White T, Phillips J et al (2005) Acceptability of routine antenatal psychosocial assessments to women from English and non-English speaking backgrounds. Arch Womens Ment Health 8:171–180

    CAS  CrossRef  PubMed  Google Scholar 

  • Midmer D, Bryanton J, Brown R (2004) Assessing antenatal psychosocial health: randomized controlled trial of two versions of the ALPHA form. Can Fam Physician 50:80–87

    PubMed Central  PubMed  Google Scholar 

  • Milgrom J, Gemmill A (2014) Feasibility and efficacy of an internet treatment for postnatal depression utilising a behavioural activation approach. Evid Based Nurs 17(4):102

    CrossRef  PubMed  Google Scholar 

  • Milgrom J, Gemmill A, Bilstza JL et al (2008) Antenatal risk factors for postnatal depression: a large prospective study. J Affect Disord 108:147–157

    CrossRef  PubMed  Google Scholar 

  • Milgrom J, Mendelsohn J, Gemmill AW (2011) Does postnatal depression screening work? Throwing out the bathwater, keeping the baby. J Affect Disord 132:301–310

    CrossRef  PubMed  Google Scholar 

  • Miller L, Shade M, Vasireddy V (2009) Beyond screening: assessment of perinatal depression in a perinatal care setting. Arch Womens Ment Health 12:329–334

    CrossRef  PubMed  Google Scholar 

  • Mitchell AJ, Coyne J (2009) Screening for postnatal depression: barriers to success. BJOG 116:11–14

    CAS  CrossRef  PubMed  Google Scholar 

  • Mitchell AJ, Rao S, Vaze A (2011) Can general practitioners identify people with distress and mild depression? A meta-analysis of clinical accuracy. J Affect Disord 130:26–36

    CrossRef  PubMed  Google Scholar 

  • Morrell C, Warner R, Slade P et al (2009) Psychological interventions for postnatal depression: cluster randomised trial and economic evaluation. The PoNDER trial. Health Technol Assess 13:1–176

    Google Scholar 

  • Mrazek PJ, Haggerty RJ (1994) Reducing risks for mental disorders: frontiers for preventive intervention research. The National Academies Press, Washington, DC

    Google Scholar 

  • Murray L, Carothers AD (1990) The validation of the Edinburgh Postnatal Depression Scale on a community sample. Br J Psychiatry 157:288–290

    CAS  CrossRef  PubMed  Google Scholar 

  • Murray L, Arteche A, Fearon P et al (2010) The effects of maternal postnatal depression and child sex on academic performance at age 16 years: a developmental approach. J Child Psychol Psychiatry 51:1150–1159

    Google Scholar 

  • Murray L, Arteche A, Fearon P et al (2011) Maternal postnatal depression and the development of depression in offspring up to 16 years of age. J Am Acad Child Adolesc Psychiatry 50:460–470

    Google Scholar 

  • Myers ER, Aubuchon-Endlsey N, Bastian LA et al (2013) Efficacy and safety of screening for postpartum depression. Comparative effectiveness review 106. AHRQ Publication No. 13-EHC064-EF. Agency for Healthcare Research and Quality, Rockville

    Google Scholar 

  • National Institute for Health and Clinical Excellence (2014) Antenatal and postnatal mental health: clinical management and service guidance, updated edition, Clinical Guidance 192. National Collaborating Centre for Mental Health, London

    Google Scholar 

  • O’Donnell KJ, Glover V, Barker ED et al (2014) The persisting effect of maternal mood in pregnancy on childhood psychopathology. Dev Psychopathol 26:393–403

    CrossRef  PubMed  Google Scholar 

  • O’Hara MW, Swain AM (1996) Rates and risk of postpartum depression: a meta-analysis. Int Rev Psychiatry 8:37–54

    CrossRef  Google Scholar 

  • Oberlander TF, Warburton W, Misri S et al (2006) Neonatal outcomes after prenatal exposure to selective serotonin reuptake inhibitor antidepressants and maternal depression using population-based linked health data. Arch Gen Psychiatry 63:898–906

    Google Scholar 

  • Paulden M, Palmer S, Hewitt S et al (2009) Screening for postnatal depression in primary care: cost effectiveness analysis. BMJ 339:b5203

    Google Scholar 

  • Post and Antenatal Depression Association (2012) The cost of perinatal depression in Australia. Final report (executive summary). Deloitte Access Economics, Melbourne

    Google Scholar 

  • Priest SR, Barnett B (2008) Perinatal depression and anxiety: issues, outcomes and interventions. In: Sved-Williams A, Cowling V (eds) Infants of parents with mental illness. Australian Academic Press, Bowen Hills

    Google Scholar 

  • Priest SR, Austin MP, Barnett BB et al (2008) A psychosocial risk assessment model (PRAM) for use with pregnant and postpartum women in primary care settings. Arch Womens Ment Health 11:307–317

    CAS  CrossRef  PubMed  Google Scholar 

  • Reay R, Matthey S, Ellwood D et al (2011) Long-term outcomes of participants in a perinatal depression early detection program. J Affect Disord 129:94–103

    CrossRef  PubMed  Google Scholar 

  • Reid AJ, Biringer A, Carroll JD et al (1998) Using the ALPHA form in practice to assess antenatal psychosocial health. Antenatal Psychosocial Health Assessment. CMAJ 159:677–684

    Google Scholar 

  • Reilly N, Harris S, Loxton D et al (2013a) Disparities in reported psychosocial assessment across public and private maternity settings: a national survey of women in Australia. BMC Public Health 13:1–15

    Google Scholar 

  • Reilly N, Harris S, Loxton D et al (2013b) Referral for management of emotional health issues during the perinatal period: does mental health assessment make a difference? Birth 40:297–306

    Google Scholar 

  • Reilly N, Harris S, Loxton D et al (2014) The impact of routine assessment of past or current mental health on help-seeking in the perinatal period. Women Birth 27:e20–e27

    Google Scholar 

  • Reilly N, Yin C, Monterosso L et al (2015) Identifying psychosocial risk of mothers in an Australian private maternity setting: a pilot study. ANZJOG (in press)

    Google Scholar 

  • Robertson E, Grace S, Wallongton T et al (2004) Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry 26:289–295

    Google Scholar 

  • Silverman M, Loudon H (2010) Antenatal reports of pre-pregnancy abuse is associated with symptoms of depression in the postpartum period. Arch Womens Ment Health 13:411–415

    CrossRef  PubMed  Google Scholar 

  • Spitztler RL, Wolliams JB, Kroenke K et al (2000) Validity and utility of the PRIME-MD patient health questionnaire in assessment of 3000 obstetric-gynecologic patients: the PRIME-MD Patient Health Questionnaire Obstetrics-Gynecology Study. Am J Obstet Gynecol 183:759–769

    Google Scholar 

  • Sword W, Busser D, Ganann R et al (2008) Women’s care-seeking experiences after referral for postpartum depression. Qual Health Res 18:1161–1173

    CrossRef  PubMed  Google Scholar 

  • Talge NM, Neal C, Glover V (2007) Antenatal maternal stress and long-term effects on child neurodevelopment: how and why? J Child Psychol Psychiatry 48:245–261

    Google Scholar 

  • Thombs BD, Arthurs E, Coronado-Montoya S et al (2014) Depression screening and patient outcomes in pregnancy or postpartum: a systematic review. J Psychosom Res 76:433–446

    CrossRef  PubMed  Google Scholar 

  • UK National Screening Committee (2009) Criteria for appraising the viability, effectiveness and appropriateness of a screening program. National Health Service, Southampton

    Google Scholar 

  • Vythilingum B, Field S, Kafaar Z et al (2013) Screening and pathways to maternal mental health care in a South African antenatal setting. Arch Womens Ment Health 16:371–379

    CAS  CrossRef  PubMed  Google Scholar 

  • Whooley MA, Avins AL, Miranda J et al (1997) Case-finding instruments for depression. Two questions are as good as many. J Gen Intern Med 12:439–445

    Google Scholar 

  • Wisner KL, Sit DK, McShea MC et al (2013) Onset timing, thoughts of self-harm, and diagnoses in postpartum women with screen-positive depression findings. JAMA Psychiatry 70:490–498

    PubMed Central  CrossRef  PubMed  Google Scholar 

  • Woolhouse H, Brown S, Krastev A et al (2009) Seeking help for anxiety and depression after childbirth: results of the Maternal Health Study. Archives Women Ment Health 12:75–83

    CrossRef  Google Scholar 

  • Woolhouse H, Gartland D, Mensah F et al (2015) Maternal depression from early pregnancy to 4 years postpartum in a prospective pregnancy cohort study: implications for primary health care. BJOG Int J ObstetGynaecol 122(3):312–21

    CAS  CrossRef  Google Scholar 

  • Yawn BP, Dietrich AJ, Wollan P et al (2012) TRIPPD: a practice-based network effectiveness study of postpartum depression screening and management. Ann Fam Med 10:320–329

    PubMed Central  CrossRef  PubMed  Google Scholar 

  • Zelkowitz P, Gold I, Feeley N et al (2014) Psychosocial stress moderates the relationships between oxytocin, perinatal depression, and maternal behavior. Horm Behav 66:351–360

    Google Scholar 

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Appendix A: The Antenatal Risk Questionnaire (ANRQ)

Appendix A: The Antenatal Risk Questionnaire (ANRQ)

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Austin, MP., Kingston, D. (2016). Psychosocial Assessment and Depression Screening in the Perinatal Period: Benefits, Challenges and Implementation. In: Sutter-Dallay, AL., Glangeaud-Freudenthal, NC., Guedeney, A., Riecher-Rössler, A. (eds) Joint Care of Parents and Infants in Perinatal Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-319-21557-0_11

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