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 and Adam, Kareen (2010) Women who miscarry: The effectiveness and clinical utility of the Kessler 10 questionnaire in screening for ongoing psychological distress. Australian & New Zealand Journal of Obstetrics & Gynaecology, 50 1: 70-76. doi:10.1111/j.1479-828X.2009.01110.x


Author Stallman, Helen M.
McDermott, Brett M.
Beckmann, Michael M.
Wilson, M. Kay
Adam, Kareen
Title Women who miscarry: The effectiveness and clinical utility of the Kessler 10 questionnaire in screening for ongoing psychological distress
Journal name Australian & New Zealand Journal of Obstetrics & Gynaecology   Check publisher's open access policy
ISSN 0004-8666
1479-828X
Publication date 2010-02
Sub-type Article (original research)
DOI 10.1111/j.1479-828X.2009.01110.x
Volume 50
Issue 1
Start page 70
End page 76
Total pages 7
Place of publication Melbourne
Publisher Blackwell
Collection year 2011
Language eng
Formatted 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.
Keyword Early pregnancy loss
Mental health
Miscarriage
Psychological distress
Screening
Mental illness
Pregnancy loss
Scale K10
Disorders
Morbidity
Health
Reliability
Population
Trends
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Medicine Publications
 
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Created: Sun, 28 Feb 2010, 00:06:58 EST