Effect of mode of administration on Edinburgh Postnatal Depression Scale in the South Indian population: A comparative study on self-administered and interviewer-administered scores (Preprint)

2021 ◽  
Author(s):  
Pradeep Badiya ◽  
Sasidhar Siddabattuni ◽  
Debarshi Dey ◽  
Akkamahadevi C Hiremath ◽  
Raj Lakshmi Nalam ◽  
...  
Keyword(s):  
Postnatal Depression ◽  
South India ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Screening Tools ◽  
South Indian Population ◽  
Self Administration ◽  
Rural South ◽  
Mode Of Administration ◽  
South Indian

BACKGROUND Edinburgh Postnatal Depression Scale (EPDS) is a validated screening tool widely used to assess perinatal depression (PND). However, due to stigma associated with PND, respondents could answer sensitive questions differently depending on the mode of administration, especially in culturally and linguistically diverse country like India. The present study explored longitudinal differences in EPDS scores between self-administered and interviewer-administered modes OBJECTIVE The main objective of this study was to evaluate the differences in EPDS administration between the self-administered and interviewer-administered modes, a longitudinal observational study to understand and improve the test score interpretation. The present study explores differences in EPDS scores in assessing PND longitudinally, comparing self and interview-based modes of EPDS administration in perinatal women of rural South India METHODS 177 women from rural South India were administered EPDS, self-administration followed by interviewer-administered for four visits, twice each during prenatal and postnatal visits. EPDS scores were compared between the two modes descriptively, graphically and by repeated mixed measure models. Classification of antenatal depression (AD), postnatal depression (PD) and PND based on the two modes were compared by McNemar Chi-square test. Clinical and psychosocial characteristics were examined to identify factors associated with differences in the scoring modes. Concordance rates and Goodman Kruskal’s Gamma coefficients were measured for individual EPDS items. RESULTS Longitudinal EPDS scores and rates of AD, PD and PND were significantly higher in self-administered mode. Recent adverse life events were the only factor observed to be significantly associated with the differences between the two modes. Rank correlation and concordance rates suggested stronger association for EPDS items relating to anhedonia subscale and moderate/weaker association for EPDS items relating to anxiety/depression subscales. CONCLUSIONS Our study findings suggest that the effect of mode of administration should be taken into account while using PND screening tools such as EPDS, especially in countries such as India with higher levels of illiteracy. CLINICALTRIAL The study was registered with the Clinical Trials Registry of India, registration no. CTRI/2017/11/010497 and was conducted from October 2017 to May 2019.

scholarly journals Validation of the Edinburgh Postnatal Depression Scale (EPDS) on the Thai–Myanmar border

2017 ◽  
Vol 47 (4) ◽  
pp. 339-347 ◽  
Author(s):  
Harriet Ing ◽  
Gracia Fellmeth ◽  
Jitrachote White ◽  
Alan Stein ◽  
Julie A Simpson ◽  
...  
Keyword(s):  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Group Discussion ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Diagnostic Interview ◽  
Screening Tools ◽  
Sectional Study ◽  
Cross Sectional ◽  
Local Staff

Postnatal depression is common and may have severe consequences for women and their children. Locally validated screening tools are required to identify at-risk women in marginalised populations. The Edinburgh Postnatal Depression Scale (EPDS) is one of the most frequently used tools globally. This cross-sectional study assessed the validity and acceptability of the EPDS in Karen and Burmese among postpartum migrant and refugee women on the Thai–Myanmar border. The EPDS was administered to participants and results compared with a diagnostic interview. Local staff provided feedback on the acceptability of the EPDS through a focus group discussion. Results from 670 women showed high accuracy and reasonable internal consistency of the EPDS. However, acceptability to local staff was low, limiting the utility of the EPDS in this setting despite its good psychometrics. Further work is required to identify a tool that is acceptable and sensitive to cultural manifestations of depression in this vulnerable population.

Edinburgh Postnatal Depression Scale (EPDS) for screening for depression in the first year post delivery in a low-resourced rural setting in Kenya

2022 ◽  
pp. 136346152110437
Author(s):  
Victoria N. Mutiso ◽  
Christine W. Musyimi ◽  
Albert Tele ◽  
Rita Alietsi ◽  
Pauline Andeso ◽  
...  
Keyword(s):  
Mental Health ◽  
Predictive Value ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Common Mental Disorders ◽  
Depression Scale ◽  
Self Report ◽  
Screening Tools ◽  
Rural Setting ◽  
Research Assistants

Postnatal depression is one of the most common mental disorders among postnatal mothers and may have severe consequences for mothers and their children. Locally validated screening tools that can be self- or lay interviewer-administered are required to identify at-risk women, especially in settings with no mental health specialists. This study aimed to assess the validity and reliability of a culturally adapted version of the Edinburgh Postnatal Depression Scale (EPDS) in a local dialect (Kamba) in a Kenyan setting. Trained research assistants administered the local-language version of self-report scales (EPDS) to a sample of 544 Kamba-speaking women. The same scale was re-administered to the same research participants two weeks later by the same research assistants. The test scores were compared with an external ‘gold standard’ according to the DSM-IV criteria Mini-International Neuropsychiatric Interview for adults (MINI-Plus). The EPDS had an area under the curve (AUC) of 0.867 with 95% C.I of 0.836 to 0.894, with a cut-off point of ≥11, sensitivity of 81.0% (95% C.I 70.6–89.0) and specificity of 82.6% (95% CI 78.8–85.9). The positive predictive value (PPV) and negative predictive value (NPV) were 44.1% and 96.2%, respectively. The internal reliability was 0.852 and the test-retest reliability was 0.496. The EPDS showed good utility in detecting depressive disorder in Kamba-speaking postnatal women. It does not have to be administered by mental health workers (who are few in low- and middle-income countries); rather, this can be done by a trained lay interviewer.

1035325 Analisis Faktor Penyebab Terjadinya Post Partum Blues dengan Skrining Edinburgh Postnatal Depression Scale (EPDS)

2019 ◽  
Vol 9 (2) ◽  
pp. 126-136
Author(s):  
Adriani
Keyword(s):  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Post Partum ◽  
Depression Scale ◽  
Cross Sectional ◽  
Postpartum Blues

Abstrak Perubahan peran seorang wanita menjadi seorang ibu tidaklah selalu berupa hal yang menyenangkan saja bagi pasangan suami istri, kadang kala terjadi terjadi konflik baik didalam diri wanita tersebut maupun konflik dengan suami. Jika perhatian terhadap keadaan psikologis ibu post partum kurang maka dapat menyebabkan ibu akan cenderung untuk mencoba mengatasi permasalahannya atau ketidaknyamanannya tersebut sendiri, keadaan ini jika dibiarkan saja dapat menyebabkan ibu post partum mengalami postpartum blues. Di Indonesia, diperkirakan terdapat 50-70% ibu pasca melahirkan mengalami postpartum blues pada hari 4-10. Penelitian ini menggunakan survey analitik dengan desain penelitian cross sectional, dengan jumlah sampel sebanyak 160 orang. Data diambil menggunakan kuesioner yang ditampilkan dalam analisa univariat dan bivariat menggunakan sistem komputerisasi SPSS. Hasil penelitian yaitu ada hubungan antara pendidikan ibu (p 0,013), pekerjaan ibu (p 0,013), dukungan suami (p 0,021), pendapatan keluarga dengan kejadian post partum blues (p 0,000) dan tidak ada hubungan antara paritas ibu (p 0,199), umur ibu (p 0,391), dan riwayat PMS (p 0,087) dengan kejadian post partum blues. Diharapkan bagi peneliti untuk dapat melanjutkan penelitian dengan variabel yang lebih bergam dan diharapkan bagi para tenaga kesehatan agar dapat meningkatkan pelayanan terutama dalam pemberian dukungan pada ibu masa post partum, sehingga mengurangi resiko ibu mengalami postpartum blues. Kata kunci : Postpartum blues, pendidikan, pekerjaan, dukungan suami, riwayat PMS

scholarly journals A clinical study of postpartum depression and its association with postnatal factors

2018 ◽  
Vol 7 (6) ◽  
pp. 2120
Author(s):  
Poonam Mathur ◽  
Rahul Mathur ◽  
Archana Singh
Keyword(s):  
Postpartum Depression ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Physical Change ◽  
Perinatal Factors ◽  
Adverse Perinatal Outcome ◽  
Multiple Factors ◽  
Poor Concentration ◽  
Postnatal Factors

Background: The postpartum period is a time of tremendous emotional and physical change for most women as they adapt to new roles and alteration in their physiology. Postpartum depression has seen its rise lately. Multiple factors might be responsible for causation. Symptoms include depression, tearfulness, emotional liability, guilt, anorexia, sleep disorders, feeling inadequate, detachment from the baby, poor concentration, forgetfulness, fatigue, and irritability.Methods: We have conducted a study in 225 postpartum females and assessed them for depression and associated postnatal depression. The 10-question Edinburgh Postnatal Depression Scale (EPDS) was used for assessing depression.Results: Depression was evaluated as 6%. It was also found that 2% mothers with IUD babies developed postnatal depression. 1.33% cases with babies having congenital anomaly developed postnatal depression. 1.33% cases with babies having nursery admission developed postnatal depression.  This has been correlated with many other studies.Conclusions: It is found that perinatal factors do affect postnatal depression as it is found in mothers who have an adverse perinatal outcome. Further research is implicated in this field.

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