Outcome of Postnatal Depression Screening Using Edinburgh Postnatal Depression Scale
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Purpose
The objective of the present study is to evaluate the effectiveness of postnatal depression screening by comparing the mental health outcome (at 6 months postpartum) of mothers under the Edinburgh Postnatal Depression Scale (EPDS) screening programme versus usual clinical practice (usual practice), using randomized controlled trial design. With the use of the EPDS for the screening of postnatal depression, it is expected that more mothers in need of intervention (including mental health intervention, guidance in childcare and parenting, counseling in family relationships, etc) will be picked up and offered appropriate intervention, compared to the usual practice. It is hypothesized that the mental health of the group of women under the EPDS screening programme will be better than those under the usual practice, on subsequent follow-up.
| Condition | Intervention | Phase |
|---|---|---|
|
Depression, Postpartum |
Procedure: Edinburgh Postnatal Depression Scale |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Diagnostic |
| Official Title: | Outcome of Postnatal Depression Screening Using Edinburgh Postnatal Depression Scale |
- Mother's mental health at 6 months postpartum, as measured on the EPDS and General Health Questionnaire-12 (GHQ-12), both being self-report questionnaires.
- Mother's parenting stress (measured by the Parenting Stress Index, a self-report questionnaire)
- Marital relationship satisfaction (measured by the Chinese Kansas Marital Satisfaction Scale, a self-report questionnaire)
- Marital status and employment status (both father and mother, where applicable) at 6 and 18 months postpartum
- Child health measures, including weight at 6 and 18 months, number of hospitalizations and visits to doctors within the first 6 and 18 months as reported by mother
- Mother's mental health outcome (EPDS and GHQ scores) at 18 months postpartum
| Estimated Enrollment: | 460 |
| Study Start Date: | October 2005 |
| Estimated Study Completion Date: | January 2008 |
Eligibility| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Chinese mothers of newborn babies <= 2 months who are registered with the 4 Maternal and Child Health Centres under study;
- Normally resident in Hong Kong (Hong Kong ID card holder, or HK Birth Certificate [with status of permanent resident indicated established] holder, or people who have been granted unconditional stay in Hong Kong, or passport holders having valid travel document showing the right to land in Hong Kong, or permission to land, or eligibility of HK permanent ID card verified, or entitlement to the right of abode in HK)
Exclusion Criteria:
- Those who do not use the Chinese language (in both the written and spoken form);
- Those who are under active psychiatric contact;
- Those who delivered in hospitals which are still conducting their own EPDS screening programme.
Contacts and Locations| Contact: Cynthia Leung | fhssro@dh.gov.hk |
| China | |
| Maternal and Child Health Centres, Department of Health | Recruiting |
| Hong Kong, China | |
| Contact: Cynthia Leung fhssro@dh.gov.hk | |
| Principal Investigator: | Dominic TS Lee, M.D. | Department of Psychiatry, The Chinese University of Hong Kong |
| Principal Investigator: | Shirley SL Leung, MPH | Family Health Service, Department of Health, HKSAR |
More Information
No publications provided by Chinese University of Hong Kong
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00251342 History of Changes |
| Other Study ID Numbers: | CRE-2005.224-T, CUHK_CCT00019 |
| Study First Received: | November 9, 2005 |
| Last Updated: | April 4, 2007 |
| Health Authority: | Hong Kong: Department of Health |
Keywords provided by Chinese University of Hong Kong:
|
Postnatal depression Randomized controlled trial Screening Outcome Edinburgh Postnatal Depression Scale |
Additional relevant MeSH terms:
|
Depression Depressive Disorder Depression, Postpartum Behavioral Symptoms |
Mood Disorders Mental Disorders Puerperal Disorders Pregnancy Complications |
ClinicalTrials.gov processed this record on June 18, 2013