Titre :
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Predicting postnatal mental disorder with a screening questionnaire : a prospective cohort study from Zimbabwe. (1998)
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Auteurs :
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S. NHIWATIWA ;
W. ACUDA ;
V. PATEL ;
Department of Psychiatry. University of Zimbabwe Medical School. Harare. ZWE
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Type de document :
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Article
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Dans :
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Journal of epidemiology and community health (vol. 52, n° 4, 1998)
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Pagination :
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262-266
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Langues:
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Anglais
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Mots-clés :
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Santé mentale
;
Questionnaire
;
Epidémiologie
;
Dépistage
;
Diagnostic prénatal
;
Diagnostic
;
Homme
;
Femme
;
Zimbabwe
;
Afrique
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Résumé :
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[BDSP. Notice produite par INIST 7lR0xaB4. Diffusion soumise à autorisation]. Background-Postnatal mental disorders are common causes of morbidity but are rarely diagnosed or treated in busy primary care clinics in developing countries. Objective-To determine whether a brief psychiatric screening questionnaire used in the 8th month of pregnancy can predict postnatal mental disorder. Study design-Prospective cohort study. Site-A peri-urban settlement in Zimbabwe. Population-500 women in the 8th month of pregnancy identified by traditional birth attendants and primary care clinics. Sample- "High risk" cohort consisted of all women who scored 8 or more on the Shona Symptom Questionnaire (SSQ), an indigenous psychiatric questionnaire (n=95). Low risk cohort consisted of 105 women randomly selected from the remainder of the sampling frame. Outcome measure-Revised Clinical Interview Schedule at six to eight weeks postpartum ; scores of 14 or more indicate psychiatric caseness. Results-The prevalence of postnatal mental illness was 16%. Odds ratios (95% confidence intervals) for high risk women becoming cases in the postnatal period were 10.6,4.8,23.9, p
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