scholarly journals Identification of depression in women during pregnancy and the early postnatal period using the Whooley questions and the Edinburgh Postnatal Depression Scale: protocol for the Born and Bred in Yorkshire: PeriNatal Depression Diagnostic Accuracy (BaBY PaNDA) study

BMJ Open ◽  
2016 ◽  
Vol 6 (6) ◽  
pp. e011223 ◽  
Author(s):  
Elizabeth Littlewood ◽  
Shehzad Ali ◽  
Pat Ansell ◽  
Lisa Dyson ◽  
Samantha Gascoyne ◽  
...  
2017 ◽  
Vol 25 (1) ◽  
pp. 1E-16E
Author(s):  
Kira Friesen ◽  
Wendy E. Peterson ◽  
Janet Squires ◽  
Cathryn Fortier

Background and Purpose: The Edinburgh Postnatal Depression Scale (EPDS) was created specifically to screen for perinatal depression. The purpose of this study was to assess the psychometric properties of the EPDS for use in a population of pregnant and postpartum 14- to 24-year-olds in Canada. Methods: The Standards for Educational and Psychological Testing was used as the psychometric framework to assess the validity, reliability, and acceptability of responses obtained using the EPDS with pregnant and postpartum adolescents and young adults. Results: There were 102 young women who were surveyed. Principal component analysis supported the EPDS as a 2-dimensional instrument. Test scores also showed the EPDS to be reliable and acceptable. Conclusions: The EPDS was found to be a psychometrically sound tool for use in this population of young childbearing women.


2008 ◽  
Vol 33 (3) ◽  
pp. 81-87 ◽  
Author(s):  
Kaniz Gausia ◽  
Jena D Hamadani ◽  
Md Manirul Islam ◽  
Mohammed Ali ◽  
Sultana Algin ◽  
...  

Standardized questionnaires for screening common health problems in the community often need to be translated for use in non-English speaking countries. There is a lack of literature documenting the process of translation of such questionnaire/scale that would enable their application in cross-cultural settings and standardization of the procedure. This paper reports the process of translation into Bangla of the widely used Edinburgh Postnatal Depression Scale (EPDS) for use in Bangladesh. Three methods: forward translation, committee translation, and back translation were used to ensure the equivalence of the translated version. Both the English and Bangla versions were piloted among 10 social science graduates who were proficient in both the languages. The concurrence of each respondent between the two versions showed a correlation coefficient of 0.98 (p<0.01). The Bland-Altman test also showed a high degree of agreement. The piloted version was also tested with 15 women in the postnatal period and found to be suitable for women with lower educational attainment. The documentation of the translation process and the lessons learnt would be helpful in similar settings where screening questionnaires need to be adapted for local use.DOI = 10.3329/bmrcb.v33i3.1138Bangladesh Med Res Counc Bull 2007; 33: 81-87


2014 ◽  
Vol 9 (1) ◽  
pp. 26-34 ◽  
Author(s):  
Karen-leigh Edward ◽  
David Castle ◽  
Cally Mills ◽  
Leigh Davis ◽  
June Casey

The aim of this project was to review current research regarding postnatal depression in fathers and to present potential screening and referral options. The search was limited to scholarly (peer reviewed) journals and all articles were retrieved with date limits. Initial search parameters were the following: antenatal depression OR pregnancy depression OR postnatal depression OR perinatal depression AND father* OR men OR paternal. The search yielded 311 abstracts returned. With reference to the inclusion criteria and primary and secondary outcomes intended for the focus of this review, N = 63 articles were retrieved and read in full by the researchers. These articles were included in the final integrative review. Depression in fathers following the birth of their child was associated with a personal history of depression and with the existence of depression in their partner during pregnancy and soon after delivery. Based on the review the authors suggest routine screening and assessment of both parents should occur across the pregnancy and postnatal period. The use of the Edinburgh Postnatal Depression Scale for screening of depression in men needs to be linked to referral guidelines for those individuals who require further investigation and care.


2010 ◽  
Vol 125 (1-3) ◽  
pp. 365-368 ◽  
Author(s):  
Olivia J.H. Edmondson ◽  
Lamprini Psychogiou ◽  
Haido Vlachos ◽  
Elena Netsi ◽  
Paul G. Ramchandani

2019 ◽  
Vol 214 (3) ◽  
pp. 127-129 ◽  
Author(s):  
John Cox

SummaryThe Edinburgh Postnatal Depression Scale (EPDS) was published over 30 years ago as a ten-item self-report questionnaire to facilitate the detection of perinatal depression – and for use in research. It is widely used at the present time in many regions of the world and has been translated into over 60 languages. It is occasionally misused. In this editorial, updated recommendations for optimal use in primary and secondary care as well as research are provided. Future studies to evaluate its use and validity in naturalistic community populations are now required, and to determine the psychometric properties and practical usefulness of the EPDS when completed online.Declaration of interestJ.C. has no financial interest in the use of, or reproduction of, the EPDS.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Johanne Smith-Nielsen ◽  
Ida Egmose ◽  
Katrine Isabella Wendelboe ◽  
Pernille Steinmejer ◽  
Theis Lange ◽  
...  

Abstract Background Anxiety in the ante- and postnatal period is prevalent, often co-occurs with depression, and can have adverse consequences for the infant. Therefore, perinatal mental health screening programs should not only focus on depression but also on detecting anxiety. However, in many already implemented perinatal screening programs, adding extra screening instruments is not feasible. We examine the utility of a subscale of the Edinburgh Postnatal Depression Scale (EPDS) consisting of items 3, 4, and 5 (EPDS-3A) for detecting anxiety in new mothers. Methods We used confirmatory factor analysis (CFA) to confirm the presence of the EPDS-3A found in a previous study (n = 320) where exploratory factor analysis (EFA) was used. For the CFA we used a sample of new mothers (n = 442) with children aged 2–11 months recruited from the same population from which mothers for the previous study was recruited. Three models were tested and compared. Receiver operating characteristics of the EPDS-3A were investigated in relation to anxiety caseness status on the combined sample (N = 762). Sample weighing was used to match the dataset to the target population. Cross tabulation was used to investigate the proportion of anxiety cases identified by the EPDS-3A above those identified with the total EPDS. Results The presence of the EPDS-3A was confirmed. An EFA-driven, two-dimensional 7-item model showed the best data fit with one factor representing the anxiety subscale consisting of items 3, 4, and 5. An EPDS-3A score of ≥ 5 was the most optimal for identifying cases of anxiety (sensitivity: 70.9; specificity: 92.2; AUC: 0.926). Further, we found that the EPDS-3A identifies an additional 2.5% of anxiety cases that would not have been identified with the total EPDS. Conclusions The EPDS-3A can be used as a time-efficient screening for possible anxiety in ante- and postnatal mothers. However, adding the EPDS-3A to routine screening with the total EPDS does not lead to a substantial increase in the number of women identified. In line with previous studies, this study confirms that the EPDS identifies anxiety in addition to depression. Therefore, assessment and treatment adjusted to the specific emotional difficulties is imperative.


2017 ◽  
Vol 158 (4) ◽  
pp. 139-146 ◽  
Author(s):  
Emőke Adrienn Hompoth ◽  
Annamária Töreki ◽  
Veronika Baloghné Fűrész ◽  
Gábor Németh

Abstract: Introduction: The screening of perinatal depression was introduced in Szeged in April 2011. Aim: Our aim was to assess the extent of perinatal mood changing and to explore the risk factors of it. Method: Perinatal nurses gave the Edinburgh Postnatal Depression Scale to the 3849 participants four times. Results: In the first trimester were the highest average scores (3.74) and pathological rate (10.8%) compared to the other measurement occasions. There was a positive correlation between the scores of the measurement occasions. The higher average scores related to the epidural anesthesia almost significantly, but significantly to the low birth weight, unplanned pregnancies, younger and older age, single marital status and multiparity of the participant. Conclusions: Even the first trimester is sensitive to pathological mood changes, which besides with other factors could be risk factors to postpartum depression. To avoid this it is important to continue the screening and provide adequate help. Orv. Hetil., 2017, 158(4), 139–146.


2018 ◽  
Vol 212 (1) ◽  
pp. 50-56 ◽  
Author(s):  
Louise Michele Howard ◽  
Elizabeth G. Ryan ◽  
Kylee Trevillion ◽  
Fraser Anderson ◽  
Debra Bick ◽  
...  

BackgroundThere is limited evidence on the prevalence and identification of antenatal mental disorders.AimsTo investigate the prevalence of mental disorders in early pregnancy and the diagnostic accuracy of depression-screening (Whooley) questions compared with the Edinburgh Postnatal Depression Scale (EPDS), against the Structured Clinical Interview DSM-IV-TR.MethodCross-sectional survey of women responding to Whooley questions asked at their first antenatal appointment. Women responding positively and a random sample of women responding negatively were invited to participate.ResultsPopulation prevalence was 27% (95% CI 22–32): 11% (95% CI 8–14) depression; 15% (95% CI 11–19) anxiety disorders; 2% (95% CI 1–4) obsessive–compulsive disorder; 0.8% (95% CI 0–1) post-traumatic stress disorder; 2% (95% CI 0.4–3) eating disorders; 0.3% (95% CI 0.1–1) bipolar disorder I, 0.3% (95% CI 0.1–1%) bipolar disorder II; 0.7% (95% CI 0–1) borderline personality disorder. For identification of depression, likelihood ratios were 8.2 (Whooley) and 9.8 (EPDS). Diagnostic accuracy was similar in identifying any disorder (likelihood ratios 5.8 and 6).ConclusionsEndorsement of Whooley questions in pregnancy indicates the need for a clinical assessment of diagnosis and could be implemented when maternity professionals have been appropriately trained on how to ask the questions sensitively, in settings where a clear referral and care pathway is available.Declaration of interestL.M.H. chaired the National Institute for Health and Care Excellence CG192 guidelines development group on antenatal and postnatal mental health in 2012–2014.


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