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National Collaborating Centre for Mental Health (UK). Antenatal and Postnatal Mental Health: Clinical Management and Service Guidance: Updated edition. Leicester (UK): British Psychological Society; 2014 Dec. (NICE Clinical Guidelines, No. 192.)

  • April 2018: Footnotes and cautions have been added and amended by NICE to link to the MHRA's latest advice and resources on sodium valproate. Sodium valproate must not be used in pregnancy, and only used in girls and women when there is no alternative and a pregnancy prevention plan is in place. This is because of the risk of malformations and developmental abnormalities in the baby.

April 2018: Footnotes and cautions have been added and amended by NICE to link to the MHRA's latest advice and resources on sodium valproate. Sodium valproate must not be used in pregnancy, and only used in girls and women when there is no alternative and a pregnancy prevention plan is in place. This is because of the risk of malformations and developmental abnormalities in the baby.

Cover of Antenatal and Postnatal Mental Health

Antenatal and Postnatal Mental Health: Clinical Management and Service Guidance: Updated edition.

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ABBREVIATIONS

ADHD

attention deficit hyperactivity disorder

AD-SUS

Adult Service Use Schedule

AGREE

Appraisal of Guidelines for Research and Evaluation

ALSPAC

Avon Longitudinal Study of Parents and Children

ASQ:SE

Ages and Stages Questionnaire: Social-Emotional

AUC

area under the curve

AUDIT

Alcohol Use Disorders Identification Test

BAI

Beck Anxiety Inventory

BDI

Beck Depression Inventory

BSI

Brief Symptom Inventory

CAMHS

child and adolescent mental health services

CBCL

Child Behaviour Checklist

CBT

cognitive behavioural therapy

CBZ

carbamazepine

CCEI

Crown-Crisp Experiential Index

CDSR

Cochrane Database of Systematic Reviews

CENTRAL

Cochrane Database of RCTs and other controlled trials

CES-D

Center for Epidemiologic Studies – Depression scale

CGI

Clinical Global Impressions

CI

confidence interval

CIDI

Composite International Diagnosis Interview

CINAHL

Cumulative Index to Nursing and Allied Health Literature

CIS-R

Clinical Interview Schedule – Revised

CORE-OM

Clinical Outcomes in Routine Evaluation-Outcome Measure

CPN

community psychiatric nurse

DARE

Cochrane Database of Abstracts of Reviews of Effects

DASS-21

Depression, Anxiety, and Stress Scale - 21 items

DHA

docosahexaenoic acid

DSM

Diagnostic and Statistical Manual of Mental Disorders

EAS

Emotional Availability Scales

ECT

electroconvulsive therapy

Embase

Excerpta Medica Database

EPA

eicosapentaenoic acid

EPDS

Edinburgh Postnatal Depression Scale

EQ-5D

European Quality of Life – 5 Dimensions

GAD

generalised anxiety disorder

GAD-2, -7

Generalized Anxiety Disorder scale 2 items, 7 items

GDG

Guideline Development Group

GHQ

General Health Questionnaire

GP

general practitioner

GRADE

Grading of Recommendations Assessment, Development and Evaluation

HADS

Hospital Anxiety and Depression Scale

HCHS

Hospital and Community Health Services

HIV

human immunodeficiency virus

HMIC

Health Management Information Consortium

HRQoL

health-related quality of life

HRSD

Hamilton Rating Scale for Depression

HSCL

Hopkins Symptom Checklist

HTA

Health Technology Assessment

IAPT

Improving Access to Psychological Therapies

ICD-10

International Classification of Diseases, 10th Revision

ICEP

Infant and Caregiver Engagement Phases

ICER

incremental cost-effectiveness ratio

IES (-R)

Impact of Events Scale (- Revised)

IQ

intelligence quotient

IPT

interpersonal therapy

ISEL

Interpersonal Support Evaluation List

ITT

intention to treat

KID-SCID

Structured Clinical Interview for Childhood Diagnoses

LIFE

Longitudinal Interval Follow-up Examination

LMG

lamotrigine

LOCF

last observation carried forward

MACH

Maternal and Child Health

MADRS

Montgomery-Ǻsberg Depression Rating Scale

MBU

mother and baby unit

MCMI-III

Millon Clinical Multiaxial Inventory-III

MDD

major depressive disorder

MEDLINE

Medical Literature Analysis and Retrieval System Online

MINI (-PTSD)

Mini International Neuropsychiatric Interview (-Post-Traumatic Stress Disorder)

MMS

Maternal Mood Screener

MRC

Medical Research Council

N

total number of participants

NCAST

Nursing Child Assessment Satellite Training Scale

NCCMH

National Collaborating Centre for Mental Health

NHS

National Health Service

NHS EED

NHS Economic Evaluation Database

NICE

National Institute for Health and Care Excellence

NICU

neonatal intensive care unit

NR

not reported

NTP

nortriptyline

OCD

obsessive-compulsive disorder

OIS

optimal information size

OR

odds ratio

PANDA

Post and Antenatal Depression Association

PCT

primary care trust

PHQ

Patient Health Questionnaire

PICO

Population, Intervention, Comparison and Outcome

PIR-GAS

Parent-Infant Relationship Global Assessment Scale

PPQ

Perinatal PTSD Questionnaire

PRIME-MD

Primary Care Evaluation of Mental Disorders

PSCS

Parenting Sense of Competence Scale

PSI

Parenting Stress Index

PSS

personal social services

PSS-NICU

Parental Stressor Scale-Neonatal Intensive Care

PsycINFO

Psychological Information Database

PTSD

post-traumatic stress disorder

QALY

quality adjusted life year

QIDS

Quick Inventory of Depressive Symptoms

RCT

randomised controlled trial

RDC

research diagnostic criteria

ROC

receiver operating characteristic

RQ

research question

RR

risk ratio

SADS

Schedule for Affective Disorders and Schizophrenia

SAS

Social Adjustment Scale

SCAN

Schedules for Clinical Assessment in Neuropsychiatry

SCID

Structured Clinical Interview for DSM Disorders

SCL-90

Symptom Checklist-90

SD

standard deviation

SERT

sertraline

SES

Rosenberg Self-Esteem Scale

SF (-12, -36)

Short Form Health Survey (-12 items, -36 items)

SMD

standardised mean difference

(S)NRI

(serotonin-) noradrenaline reuptake inhibitor

SPICE

Setting, Perspective, Intervention, Comparison and Evaluation

SPS

Social Provision Scale

SSRI

selective serotonin reuptake inhibitor

STAI (-S, -T)

State-Trait Anxiety Inventory (- State, Trait)

STSI

Short Temperament Scale for Infants

TAU

treatment as usual

TCA

tricyclic antidepressant

VAS

Visual Analogue Scale

VPA

valproate

WCS

worst case scenario

W-DEQ

Wijma Delivery Expectancy Questionnaire

WHO

World Health Organization

WTP

willingness to pay

YBOCS

Yale-Brown Obsessive Compulsive Scale

Bookshelf ID: NBK338573

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