Introduction: The use of assessment tools to measure postnatal mental illness is essential in healthcare settings. However, variations in the types of tools and their reliability in a particular population lead to under-recognition of mental health status in postnatal mothers. The aim of this review is to evaluate the most recent 10 year of research on the validity and reliability of postnatal mental illness assessment tools. Methods: A literature search of studies from online databases PubMed, Scopus, and Science Direct was conducted. Results: A total of 59 studies were selected for this review. Several studies utilised multiple assessment tools, and a total of 96 assessment tools were identified and classified into six domains: postnatal blues, postnatal stress, postnatal anxiety, postnatal depression, postnatal psychosis, and postnatal psychological disorder. In this review, EPDS was the most common tool used to identify postnatal depression and anxiety while DASS 21 was the most common tool used to identify postnatal psychological disorder. There is a wide range in preponderance of evidence for the reliability of each assessment tool and there were inconsistencies in assessing the validity of the assessment tools. Conclusion: This review provides information regarding some of the main assessment tools currently available to measure postnatal mental illnesses. There were no standardised tools that were used in a particular setting. The results may differ in different population because there are differences in not only languages and dialects, but also cultural and racial backgrounds, which greatly influences their perception and interpretation of postnatal mental illness.

During the COVID-19 pandemic, medical and nursing students are faced with various challenges such as the need to attend online classes and juggling clinical postings under the new norm. This study aimed to assess the association between depression, anxiety, and behavioural changes among medical and nursing students during the COVID-19 pandemic. An online self-administered questionnaire was distributed between March 2021 and July 2021 to 292 undergraduates medical and nursing students in a higher education institute on the East Coast of Malaysia. The questionnaires consisted of four parts: sociodemographic data, the Generalised Anxiety Disorder-7, the Patient Health Questionnaire-9, and questions related to behaviours during the COVID-19 pandemic. This study found that 23.6% and 33.6% of the students experienced anxiety and depression respectively, possibly caused by the COVID-19 pandemic. Anxiety was associated with a high level of behavioural changes during the pandemic with a total of 87% of the students showing behavioural changes. Therapeutic interventions such as online counselling and consultation should be implemented by the university to reduce the prevalence of depression and anxiety resulting from the COVID-19 pandemic among medical and nursing students.

The prevalence of mental health problems among antenatal women has escalated during the COVID-19 pandemic compared to the pre-pandemic period. Physical activity palys role to reduce depression and anxiety, which required to be studied further. This study aimed to assess the association between physical activity with depression and anxiety among antenatal women during the COVID-19 pandemic. This cross-sectional study applied convenience sampling to recruit 544 antenatal women from March to June 2021. Questionnaires including the Edinburgh postnatal depression scale (EPDS), state-trait anxiety inventory (STAI), and pregnancy physical activity questionnaire (PPAQ) were distributed via social media to determine the prevalence of depression, anxiety, and physical activity level. Data were analysed using descriptive statistics, chi-square, mann-whitney, and kruskal wallis tests. Out of 544 antenatal women, 24.1% of them had depressive symptoms and 82.4% had anxiety. Only 12.1% of the women were sufficiently active during the pandemic. There was no association between physical activity, depression, and anxiety. The high prevalence of depression and anxiety during the COVID-19 pandemic among Malaysian antenatal women underscores the urgent need for addressing this public health burden. Interventions to alleviate the symptoms should include strategies beyond physical activity, for example, a mobile application or telephone-delivered social support that is made easily accessible throughout the pandemic.

Introduction: Healthcare practitioners involved in the maternity care provision should be equipped with adequate knowledge and skills in the screening of postnatal mental illness. The promotion of a screening tool for this purpose can enhance these skills among the healthcare providers. In Malaysia, there is a lack of fundamental knowledge among healthcare practitioners regarding postnatal mental illness and their perceptions are not fully understood, thus hindering the development of relevant screening tools. This study aimed to explore the views of Malaysian healthcare practitioners on the indicators and potential mechanisms for the screening of postnatal mental illness. Method: This qualitative study was conducted using semi-structured interviews involving 28 healthcare practitioners at maternal and child health clinics, psychiatric departments, and obstetrics and gynaecology departments across 18 maternal and child health clinics and six government hospitals in the states of Pahang, Terengganu, Perak, Negeri Sembilan, and Kuala Lumpur. The data were analysed using framework analysis. Results: The healthcare practitioners’ views on postnatal mental illness were reflected in three themes, namely perceived causes of postnatal mental illness, indicators of postnatal mental illness, as well as screening and intervention mechanisms for postnatal mental illness. According to the respondents, the existing screening tools available within the clinical practice were less sensitive in assessing postnatal mental illness. Conclusion: The introduction of a relevant screening tool in addressing the common symptoms of postnatal mental illness can improve its the detection among Malaysian women.