Women who miscarry : the effectiveness and clinical utility of the Kessler 10 questionnaire in screening for ongoing psychological distress
Stallman, Helen M., McDermott, Brett M. , Beckmann, Michael M. , Wilson, M. Kay , & Adam, Kareen (2010) Women who miscarry : the effectiveness and clinical utility of the Kessler 10 questionnaire in screening for ongoing psychological distress. The Australian & New Zealand Journal of Obstetrics & Gynaecology, 50(1), pp. 70-76.
Background: Early pregnancy loss has been linked to enduring psychological morbidity.
Aims: This study aimed to investigate the utility of the Kessler 10 (K10) questionnaire as a brief screening instrument to identify women at risk for the development of psychiatric diagnoses three months post-miscarriage.
Method: Participants were 117 consecutive women presenting at a public hospital emergency department and receiving a diagnosis of miscarriage.
Main outcome measures: K10 screen for psychological distress and the Structured Clinical Interview for DSM Disorders to determine psychiatric diagnoses.
Results: A majority of women (81.2%) experienced elevated levels of distress initially, 24.8% in the very high range. They were not at increased risk of psychiatric diagnoses at three months compared with the general population; however, they were significantly more likely to report subsyndromal symptoms at this time compared with the general population. The baseline K10 score was the only significant predictor of distress at follow-up (r = 0.45, P < 0.001). The receiver operating characteristic curve shows that a cut-off of 14 on the K10 has suitable sensitivity (97%) and specificity (82%) for predicting ongoing psychological distress in women who miscarry.
Conclusions: The K10 is effective in identifying women at risk for ensuring psychological symptoms following miscarriage.
Impact and interest:
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|Item Type:||Journal Article|
|Keywords:||Early Pregnancy Loss, Mental Health, Miscarriage, Psychological Distress, Screening|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PAEDIATRICS AND REPRODUCTIVE MEDICINE (111400)|
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Mental Health (111714)
|Divisions:||Current > Research Centres > Centre for Health Research|
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Psychology & Counselling
|Copyright Owner:||Copyright 2010 Wiley-Blackwell Publishing Asia|
|Deposited On:||15 Oct 2010 08:01|
|Last Modified:||11 Aug 2011 04:21|
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