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Gaynes et al. (109) did a meta-analysis of screening instruments (i.e., EPDS, Beck Depression Inventory (BDI), Postpartum Depression Screening Scale (PDSS), and the Center for Epidemiological Studies Depression Scale (CES-D)) for depression and concluded that, "various screening instruments can identify perinatal depression". They concluded that these instruments have high specificity and low sensitivity for depressive states, and this acquires a greater importance when deciding on whether false-positives or false-negatives are preferred. However, psychological distress does not necessarily mean mental disorder, and the establishment of a psychiatric diagnosis implies either an interview with a skilled mental health worker or. | Maternal mental health and child health and development in low and middle income countries Report of the meeting held in Geneva Switzerland 30 January - 1 February 2008 I I World Health Organization Maternal mental health and child health and development in low and middle income countries Report of the WHO-UNFPA meeting held in Geneva Switzerland 30 January - 1 February 2008 ỂấỆI World Health Organization Department of Mental Health and Substance Abuse World Health Organization
