Postpartum depression: a developed and validated model predicting individual risk in new mothers

Research output: Contribution to journalJournal articleResearchpeer-review

Documents

  • Fulltext

    Final published version, 943 KB, PDF document

  • Trine Munk-Olsen
  • Xiaoqin Liu
  • Kathrine Bang Madsen
  • Mette Marie Zacher Kjeldsen
  • Liselotte Vogdrup Petersen
  • Veerle Bergink
  • Alkistis Skalkidou
  • Simone N. Vigod
  • Frøkjær, Vibe Gedsø
  • Carsten B. Pedersen
  • Merete L. Maegbaek

Postpartum depression (PPD) is a serious condition associated with potentially tragic outcomes, and in an ideal world PPDs should be prevented. Risk prediction models have been developed in psychiatry estimating an individual’s probability of developing a specific condition, and recently a few models have also emerged within the field of PPD research, although none are implemented in clinical care. For the present study we aimed to develop and validate a prediction model to assess individualized risk of PPD and provide a tentative template for individualized risk calculation offering opportunities for additional external validation of this tool. Danish population registers served as our data sources and PPD was defined as recorded contact to a psychiatric treatment facility (ICD-10 code DF32-33) or redeemed antidepressant prescriptions (ATC code N06A), resulting in a sample of 6,402 PPD cases (development sample) and 2,379 (validation sample). Candidate predictors covered background information including cohabitating status, age, education, and previous psychiatric episodes in index mother (Core model), additional variables related to pregnancy and childbirth (Extended model), and further health information about the mother and her family (Extended+ model). Results indicated our recalibrated Extended model with 14 variables achieved highest performance with satisfying calibration and discrimination. Previous psychiatric history, maternal age, low education, and hyperemesis gravidarum were the most important predictors. Moving forward, external validation of the model represents the next step, while considering who will benefit from preventive PPD interventions, as well as considering potential consequences from false positive and negative test results, defined through different threshold values.

Original languageEnglish
Article number419
JournalTranslational Psychiatry
Volume12
Issue number1
Number of pages10
ISSN2158-3188
DOIs
Publication statusPublished - 2022

Bibliographical note

Publisher Copyright:
© 2022, The Author(s).

Number of downloads are based on statistics from Google Scholar and www.ku.dk


No data available

ID: 322791409