Year: 2026
Type: article
Abstract: Objective: To discuss the performance and use of postpartum depression screening instruments in primary health care, considering care following positive results. Methodology: A narrative review based on exploratory searches for Portuguese- and English-language publications, with consultation of PubMed records, SciELO and publisher websites on October 20, 2026. Validation studies, service-based research, reviews and a clinical guideline were selected for their relevance. Exhaustive searching, independent duplicate screening and formal risk-of-bias assessment were not performed. Results: The Edinburgh Postnatal Depression Scale and Patient Health Questionnaire-9 have evidence supporting their usefulness during the perinatal period. Performance varies with population, threshold and diagnostic reference standard. Implementation depends on professional training, time, acceptability and access to subsequent assessment. Integrated screening programs suggest benefits when linked to diagnosis, treatment and follow-up; such effects should not be attributed to questionnaire administration alone. Conclusion: Instrument selection should be accompanied by explicit responsibilities and care pathways. Positive screens, clinical assessments, completed referrals and treatment initiation should be distinguished when evaluating services. Interpretation is limited by the non-systematic nature of this review.
Source: Revista fisio&terapia.
DOI: 10.69849/sf1x8192
Authors: Shaira de Oliveira Ferreira, Jessica Santos de Oliveira Sodre, Anne Grasiele dos Santos, Jamile da Silva Carvalho, Maria Eduarda Lima Reis, Débora Vitória Rios Ferreira, Marissol Souza Castro, Maria Clara Freitas Amorim Soares, Maria Hozana Santos Silva, Denise Vasconcelos Moreira Marques, Sâmia Milena Gomes Porto, Yasmin Carvalho de Oliveira
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7224117088