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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.

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Abstract

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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ID Code: 37968
Item Type: Journal Article
Additional URLs:
Keywords: Early Pregnancy Loss, Mental Health, Miscarriage, Psychological Distress, Screening
DOI: 10.1111/j.1479-828X.2009.01110.x
ISSN: 0004-8666
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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