Parametre | Base-case probabilities | Raw data probabilities based on | 95% CI | Source | Distribution | Notes |
---|---|---|---|---|---|---|
SCREENING PATHWAY | ||||||
Whooley | ||||||
Whooley positive | 0.0909 | 906 | 0.085–0.097 | Howard et al., 2018a [15] | Beta | – |
Whooley negative | 0.9091 | 9057 | 0.903–0.915 | Howard et al., 2018a [15] | Beta | – |
Whooley positive - true positive | 0.4530 | 410.4 | 0.420–0.485 | Howard et al., 2018a [15] | Beta | – |
Whooley positive - false positive | 0.5470 | 495.6 | 0.515–0.580 | Howard et al., 2018a [15] | Beta | – |
Whooley negative - true negative | 0.9341 | 8460 | 0.929–0.939 | Howard et al., 2018a [15] | Beta | – |
Whooley negative - false negative | 0.0659 | 596.8 | 0.061–0.071 | Howard et al., 2018a [15] | Beta | – |
EPDS | ||||||
EPDS positive | 0.1144 | 1138 | 0.108–0.121 | Howard et al., 2018a [15] | Beta | – |
EPDS negative | 0.8856 | 8809 | 0.879–0.892 | Howard et al., 2018a [15] | Beta | – |
EPDS positive - true positive | 0.5188 | 590.6 | 0.490–0.548 | Howard et al., 2018a [15] | Beta | – |
EPDS positive - false positive | 0.4813 | 547.9 | 0.452–0.510 | Howard et al., 2018a [15] | Beta | – |
EPDS negative - true negative | 0.9534 | 8398 | 0.949–0.958 | Howard et al., 2018a [15] | Beta | – |
EPDS negative - false negative | 0.0466 | 410.3 | 0.042–0.051 | Howard et al., 2018a [15] | Beta | – |
Whooley-EPDS | ||||||
Whooley positive | 0.0895 | 890.2 | 0.084–0.095 | Howard et al., 2018a [15] | Beta | – |
Whooley negative | 0.9105 | 9057 | 0.905–0.916 | Howard et al., 2018a [15] | Beta | – |
Whooley positive, EPDS positive | 0.4114 | 366.2 | 0.379–0.444 | Howard et al., 2018a [15] | Beta | – |
Whooley positive, EPDS negative | 0.5886 | 524 | 0.556–0.621 | Howard et al., 2018a [15] | Beta | – |
Whooley positive, EPDS positive - true positive | 0.7500 | 8460 | 0.741–0.759 | Howard et al., 2018a [15] | Beta | – |
Whooley positive, EPDS positive - false positive | 0.2500 | 596.8 | 0.241–0.259 | Howard et al., 2018a [15] | Beta | – |
Whooley positive, EPDS negative - true negative | 0.7531 | 274.6 | 0.708–0.797 | Howard et al., 2018a [15] | Beta | – |
Whooley positive, EPDS negative - false negative | 0.2469 | 91.55 | 0.203–0.291 | Howard et al., 2018a [15] | Beta | – |
Whooley negative - true negative | 0.9341 | 394.6 | 0.910–0.953 | Howard et al., 2018a [15] | Beta | – |
Whooley negative - false negative | 0.0659 | 129.4 | 0.047–0.090 | Howard et al., 2018a [15] | Beta | – |
No-Screen | ||||||
No-screen positive | 0.0438 | 6 | 0.016–0.084 | Hearn et al., 1998 [28] | Beta | – |
No-screen negative | 0.9562 | 131 | 0.916–0.984 | Hearn et al., 1998 [28] | Beta | – |
No-screen positive - true positive | 0.6667 | 4 | 0.284–0.947 | Hearn et al., 1998 [28] | Beta | – |
No-screen positive - false positive | 0.3333 | 2 | 0.053–0.716 | Hearn et al., 1998 [28] | Beta | – |
No-screen negative - true negative | 0.8855 | 116 | 0.826–0.934 | Hearn et al., 1998 [28] | Beta | – |
No-screen negative - false negative | 0.1145 | 15 | 0.066–0.174 | Hearn et al., 1998 [28] | Beta | – |
TREATMENT PATHWAY | ||||||
Treatment | ||||||
Facilitated self help for mild/moderate depression | 0.7921 | 79.21 | 0.705–0.864 | Howard et al., 2018 [15] | Beta | Assuming 50% of women with moderate depression receive this treatment |
High intensity psychological therapy for moderate/severe depression | 0.2079 | 20.79 | 0.136–0.295 | Howard et al., 2018 [15] | Beta | Assuming 50% of women with moderate depression receive this treatment |
Spontaneous recovery | ||||||
Spontaneous recovery | 0.3300 | 33 | 0.242–0.425 | Dennis et al., 2009 [29] | Beta | Midpoint of spontaneous recovery rate (25–40% = 33%). |
No spontaneous recovery | 0.6700 | 67 | 0.575–0.758 | Dennis et al., 2009 [29] | Beta | One minus midpoint of spontaneous recovery rate. |
Later identification | ||||||
Identified as depressed following first antenatal appointment | 0.1025 | 10.25 | 0.050–0.166 | Kessler et al., 2002 [30] | Beta | Based on 41% of misdiagnoses identified over the following 3 years. |
Not identified as depressed following first antenatal appointment | 0.8975 | 89.75 | 0.834–0.950 | Kessler et al., 2002 [30] | Beta | One minus rate of identification. |
Response to treatment | ||||||
Respond to facilitated self help | 0.5109 | 51.09 | 0.413–0.607 | NICE 2014 [17] | Beta | One minus probability of not responding. |
No response to facilitated self help | 0.4891 | 48.91 | 0.393–0.587 | NICE 2014 [17] | Beta | Relative risk of no improvement (0.73) reported in NICE (2014) [17] multiplied by absolute risk of no improvement (0.67) reported by Dennis et al. (2009) [29] reported above. |
Respond to high intensity psychological therapy | 0.6784 | 67.84 | 0.586–0.767 | NICE 2014 [17] | Beta | One minus probability of not responding. |
No response to high intensity psychological therapy | 0.3216 | 32.16 | 0.233–0.414 | NICE 2014 [17] | Beta | Relative risk of no improvement (0.48) reported in NICE (2014) [17] multiplied by absolute risk of no improvement (0.67) reported by Dennis et al. (2009) [29] reported above. |