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Adaptation of the Structured Clinical Interview for DSM–IV Disorders for assessing depression in women during pregnancy and post-partum across countries and cultures

Iowa Depression and Clinical Research Center, University of Iowa

Michael W. O'Hara, PhD

Department of Psychology, University of Iowa, USA

Barbara Figueiredo, PhD

Department of Psychology, University of Minho, Braga, Portugal

Sandra Hayes, MPsychSc

University College Dublin, Ireland

Frédérique Jacquemain, PhD

University Department of Child Psychiatry, Centre HospitalierSaint Vincent de Paul, Paris, France

Martin H. Kammerer, Dr med

University of Zurich, Switzerland

Claudia M. Klier, MD

Department of Psychiatry, University of Vienna, Austria

Simone Rosi, MD

Department of Neurologic and Psychiatric Sciences, University of Florence, Italy

Gertrude Seneviratne, MRCPsych

Section of Perinatal Psychiatry, Institute of Psychiatry, London, UK

Anne-Laure Sutter-Dallay, MD

University Department of Psychiatry, Centre Hospitalier Charles Perrens, Bordeaux, France

TCS–PND Group^*

Correspondence: Professor Michael O'Hara, Department of Psychology, E11 Seashore Hall, University of Iowa, Iowa City, IA 52242, USA. E-mail: mike-ohara{at}uiowa.edu

Declaration of interest None.

^* TCS–PND Group membership and funding detailed in Acknowledgements, p. iv, this supplement.

Background To date, no study has used standardised diagnostic assessment procedures to determine whether rates of perinatal depression vary across cultures.

Aims To adaptthe Structured Clinical Interview for DSM–IV Disorders (SCID) for assessing depression and other non-psychotic psychiatric illness perinatally and to pilotthe instrument in different centres and cultures.

Method Assessments using the adapted SCID and the Edinburgh Postnatal Depression Scale were conducted during the third trimester of pregnancy and at 6 months postpartum with 296 women from ten sites in eight countries. Point prevalence rates during pregnancy and the postnatal period and adjusted 6-month period prevalence rates were computed for caseness, depression and major depression.

Results The third trimester and 6-month point prevalence rates for perinatal depression were 6.9% and 8.0%, respectively. Postnatal 6-month period prevalence rates for perinatal depression ranged from 2.1% to 31.6% across centres and there were significant differences in these rates between centres.

Conclusions Study findings suggest that the SCID was successfully adapted for this context. Further research on determinants of differences in prevalence of depression across cultures is needed.

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