Recognizing and Screening for Postpartum Depression in Mothers of NICU Infants

Adv Neonatal Care. 2003;3(1) 

In This Article

Predictors of PPD

Identifying reliable predictors of PPD is a critical step in early detection, support, referral, and appropriate treatment for this devastating disorder. Beck conducted a meta-analysis of 84 studies published in the 1990s to identify significant risk factors of PPD and recently updated this list of predictors.[17] Thirteen significant predictors (P < 0.001) for PPD were identified ( Table 1 ).

Based on this meta-analysis, the PPD Predictors Inventory (PDPI)[18] was developed and recently up-dated and published in the form of the PDPI-Revised.[19] For a complete copy of the instrument, see the related Family Screening Tool, "Screening for PPD," in this issue. The PDPI-Revised is an inventory of 13 predictors, in the form of questions, that is designed to be used as a screening tool in a guided interview format.

The PDPI-Revised tool can help evaluate the pre-existing risks for PPD and can be used during pregnancy and in the postpartum period. This inventory was not designed and has not been tested as a self-report checklist. It is designed to be administered during an interview with a clinician. Once complete, the inventory can serve as a basis for both referral and interventions. It identifies individual vulnerabilities for which specific interventions can be initiated.


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