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Is the 12-item General Health Questionnaire (GHQ-12) confounded by scoring method during pregnancy and following birth?

Martin, CR; Jomeen, J

Authors

CR Martin

Abstract

The GHQ-12 has been recommended as a reliable screening instrument for psychological distress in all clinical groups. The usefulness of the GHQ-12 was evaluated in pregnant women experiencing pre-labour rupture of membrane (PROM) at term. The GHQ-12 was administered to two groups of pregnant women presenting with term PROM over three observation points (baseline, at labour/prior to induction, 28 days post-delivery). The type of scoring method used had a significant impact on both interpretation of data and the relative prevalence of 'cases' in this study cohort. The use of the GHQ-12 as a screening instrument to determine psychological distress in women with PROM at term cannot be recommended due to confound of case determination by alternative scoring methods. A further study is required to determine the optimal threshold score for the GHQ-12 in this clinical population before the instrument can be seriously considered as a screening tool in pregnancy.

Journal Article Type Article
Publication Date Nov 1, 2003
Journal JOURNAL OF REPRODUCTIVE AND INFANT PSYCHOLOGY
Print ISSN 0264-6838
Electronic ISSN 1469-672X
Publisher Taylor & Francis (Routledge)
Peer Reviewed Peer Reviewed
Volume 21
Issue 4
Pages 267-278
Institution Citation Martin, C., & Jomeen, J. (2003). Is the 12-item General Health Questionnaire (GHQ-12) confounded by scoring method during pregnancy and following birth?. Journal of reproductive and infant psychology, 21(4), 267-278. doi:10.1080/02646830310001622088
DOI https://doi.org/10.1080/02646830310001622088
Keywords Obstetrics and Gynaecology; Pediatrics, Perinatology, and Child Health; General Psychology; Reproductive Medicine