Screening and Assessment Tools Flashcards
6 cards from real PSI practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Screening and Assessment Tools flashcards as text
What does the acronym EPDS stand for?
Answer: Edinburgh Postnatal Depression Scale
EPDS stands for Edinburgh Postnatal Depression Scale, developed in Edinburgh, Scotland in 1987 by Cox, Holden, and Sagovsky.
What barrier most commonly prevents adequate PMAD screening in the US healthcare system?
Answer: Time constraints during appointments and lack of systematic screening protocols
Time pressure during clinical appointments and lack of standardized screening protocols are the most common barriers to adequate PMAD screening in US healthcare settings.
Which US organization recommends that all obstetric providers screen patients for perinatal depression?
Answer: The American College of Obstetricians and Gynecologists (ACOG)
ACOG recommends that obstetric providers screen all patients at least once during the perinatal period using a standardized validated instrument.
What is the role of the 'Two-Question Screen' (PHQ-2) in perinatal mental health?
Answer: A brief initial screen for depression that, if positive, prompts full PHQ-9 or EPDS administration
The PHQ-2 is a two-item ultra-brief depression screen used as an initial filter; a positive result prompts administration of a more comprehensive tool like the PHQ-9 or EPDS.
How should EPDS scores be interpreted in the context of cultural differences?
Answer: Cut-off scores may need adjustment for different cultural groups due to varying expression norms for distress
Research shows that cultural variation in the expression of distress and social desirability can influence EPDS responses, and cut-off scores may need cultural adaptation.
What does it mean when a screening tool has high sensitivity but lower specificity in perinatal screening?
Answer: It correctly identifies most true cases but may include some false positives requiring clinical follow-up
High sensitivity means the tool catches most true cases (few false negatives), while lower specificity means some non-cases screen positive (false positives) requiring clinical confirmation.