Journal article
Women who miscarry: The effectiveness and clinical utility of the Kessler 10 questionnaire in screening for ongoing psychological distress
Australian and New Zealand Journal of Obstetrics and Gynaecology, Vol.50(1), pp.70-76
2010
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 operat ng 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.
Details
- Title
- Women who miscarry: The effectiveness and clinical utility of the Kessler 10 questionnaire in screening for ongoing psychological distress
- Authors
- Helen M Stallman (Author) - Queensland University of TechnologyBrett M McDermott (Author) - Mater Children's HospitalMichael M Beckmann (Author) - Mater Health ServicesM Kay Wilson (Author) - Mater Health ServicesKareen Adam (Author) - Mater Children's Hospital
- Publication details
- Australian and New Zealand Journal of Obstetrics and Gynaecology, Vol.50(1), pp.70-76
- Publisher
- Wiley-Blackwell Publishing Asia
- Date published
- 2010
- DOI
- 10.1111/j.1479-828X.2009.01110.x
- ISSN
- 0004-8666; 1479-828X; 0004-8666
- Organisation Unit
- School of Social Sciences - Legacy; University of the Sunshine Coast, Queensland; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 99513907802621
- Output Type
- Journal article
Metrics
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- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Obstetrics & Gynecology
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Source: InCites