scholarly journals Can the Edinburgh Postnatal Depression Scale be used to screen for anxiety in the perinatal period? A factor analysis of high-risk and community samples

2020 ◽  
Author(s):  
Alexandra Lautarescu ◽  
Suresh Victor ◽  
Alex Lau-Zhu ◽  
Serena J. Counsell ◽  
Anthony David Edwards ◽  
...  
Keyword(s):  
Mental Health ◽  
Factor Analysis ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Mental Health Problems ◽  
Community Sample ◽  
Depression Scale ◽  
Maternal History ◽  
History Of ◽  
The Relationship

Background: Timely and accurate detection of perinatal mental health problems is essential for the wellbeing of both mother and child. Growing evidence has suggested that the Edinburgh Postnatal Depression Scale (EPDS) is not a unidimensional measure of perinatal depression, but can be used to screen for anxiety disorders.Methods: We aimed to assess the factor structure of the EPDS in 3 different groups of women: n=266 pregnant women at high-risk of depression (“Perinatal Stress Study”), n=471 pregnant women from a community sample, and n=637 early postnatal women from a community sample (“developing Human Connectome Project”). Exploratory factor analysis (40% of each sample) and confirmatory factor analysis (60% of each sample) were performed. The relationship between EPDS scores and history of mental health was investigated. Results: Results suggested that a 3-factor model (depression, anxiety, and anhedonia) is the most appropriate across groups. The anxiety subscale (EPDS 3A) emerged consistently and was related to maternal history of anxiety disorders. Total EPDS score was related to history of mental health problems. Limitations: Although data were collected on maternal history of mental health, there was no standardized diagnostic interview administered to assess the relationship between EPDS 3A and a current diagnosis of anxiety disorder. Conclusions: A better understanding of the multi-factorial structure of the EPDS can inform diagnosis and management of women in the prenatal and postnatal period. The EPDS 3A could be used to provide initial screening information for anxiety in situations where a validated anxiety questionnaire is not administered.

scholarly journals The factor structure of the Edinburgh Postnatal Depression Scale among perinatal high-risk and community samples in London

2021 ◽  
Author(s):  
Alexandra Lautarescu ◽  
Suresh Victor ◽  
Alex Lau-Zhu ◽  
Serena J. Counsell ◽  
A. David Edwards ◽  
...  
Keyword(s):  
Mental Health ◽  
Factor Analysis ◽  
High Risk ◽  
Factor Structure ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Mental Health Problems ◽  
Community Sample ◽  
Depression Scale ◽  
History Of

AbstractTimely and accurate detection of perinatal mental health problems is essential for the wellbeing of both mother and child. Growing evidence has suggested that the Edinburgh Postnatal Depression Scale (EPDS) is not a unidimensional measure of perinatal depression, but can be used to screen for anxiety disorders. We aimed to assess the factor structure of the EPDS in 3 different groups of women: n = 266 pregnant women at high-risk of depression (“Perinatal Stress Study”), n = 471 pregnant women from a community sample, and n = 637 early postnatal women from a community sample (“developing Human Connectome Project”). Exploratory factor analysis (40% of each sample) and confirmatory factor analysis (60% of each sample) were performed. The relationship between EPDS scores and history of mental health concerns was investigated. Results suggested that a 3-factor model (depression, anxiety, and anhedonia) is the most appropriate across groups. The anxiety subscale (EPDS-3A) emerged consistently and was related to maternal history of anxiety disorders in the prenatal sample (W = 6861, p < 0.001). EPDS total score was related to history of mental health problems in both the prenatal (W = 12,185, p < 0.001) and postnatal samples (W = 30,044, p < 0.001). In both high-risk and community samples in the perinatal period, the EPDS appears to consist of depression, anxiety, and anhedonia subscales. A better understanding of the multifactorial structure of the EPDS can inform diagnosis and management of women in the prenatal and postnatal period. Further research is required to validate the EPDS-3A as a screening tool for anxiety.

The Mental Health Characteristics of Pregnant Women With Depressive Symptoms Identified by the Edinburgh Postnatal Depression Scale

2014 ◽  
Vol 75 (04) ◽  
pp. 393-398 ◽  
Author(s):  
Linda B. Lydsdottir ◽  
Louise M. Howard ◽  
Halldora Olafsdottir ◽  
Marga Thome ◽  
Petur Tyrfingsson ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Pregnant Women ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale

scholarly journals Flourishing Despite Migraines: A Nationally Representative Portrait of Resilience and Mental Health among Canadians

2021 ◽  
Author(s):  
Esme Fuller-Thomson
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Secondary Analysis ◽  
Well Being ◽  
Care Providers ◽  
Physical And Mental Health ◽  
History Of ◽  
Nationally Representative ◽  
The Relationship

Objective 1) To examine the relationship between migraine status and complete mental health (CMH) among a nationally representative sample of Canadians; 2) To identify significant correlates of CMH among those with migraine. Methods Secondary analysis of the nationally representative Canadian Community Health Survey – Mental Health (CCHS-MH) (N=21,108). Bivariate analyses and a series of logistic regression models were performed to identify the association between migraine status and CMH. Significant correlates of CMH were identified in the sample of those with migraine (N=2,186). Results Individuals without a history of migraine had 72% higher odds of being in CMH (OR=1.72; 95% CI=1.57, 1.89) when compared with those with a history of migraine. After accounting for physical health and mental health problems, the relationship between migraine status and CMH was reduced to non-significance, with both groups having an approximately equal likelihood of achieving CMH (OR=1.03; 05% CI=(0.92, 1.15). Among those with migraine, factors that were strongly associated with CMH were a lack of a history of depression, having a confidant, and having an income of $80,000 or more. Conclusion Clinicians and health care providers should also address co-occurring physical and mental health issues to support the overall well-being of migraineurs.

scholarly journals Development and Evaluation of a Program to Improve Understanding of Physical and Mental Health of Older Primiparas and Strengthen Marital Relationships: A Semi-Experimental Study without Control Groups

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Nakajima K ◽  
◽  
Hirose A ◽  
Nameda T ◽  
◽  
...  
Keyword(s):  
Mental Health ◽  
Experimental Study ◽  
Edinburgh Postnatal Depression Scale ◽  
Mental Health Problems ◽  
Depression Scale ◽  
Outcome Evaluation ◽  
Mutual Understanding ◽  
Physical And Mental Health ◽  
Control Groups ◽  
Maternity Hospitals

Objectives: Older primiparas are more likely to be at risk for physical and mental health problems. The purpose of this study is to develop and evaluate a program to understand the physical and mental health of older primiparas and strengthen their marital relationship. Design: A semi-experimental study of one group without control groups. Method: Participants included 15 older primiparas Japanese couples who attended regular childbirth and childcare preparation classes held at two maternity hospitals in Japan. Participants responded to sociodemographic questions, Edinburgh Postnatal Depression Scale (EPDS), questions regarding understanding, satisfaction, and utilization of the program (process evaluation), and the Quality Marriage Index (QMI; outcome evaluation). Data was collected before the pregnancy program and one and three months after childbirth. Results: Participants understood and were satisfied with the information provided in the program. There was no significant decrease in postpartum marital satisfaction after participating in the program. However, the usefulness assessment of the pregnancy program dropped to about 80% at one and three months after childbirth. Conclusions: Findings indicate that this program improves mutual understanding and sharing of thoughts and feelings between couples. It was suggested that a postnatal program be held so that the couple could continue learning after childbirth.

scholarly journals The relationship between mental health and school absenteeism in a community sample of French secondary school students: four profiles derived from cluster analysis

2019 ◽  
Vol 12 (1) ◽  
pp. 77 ◽  
Author(s):  
Marie Gallé-Tessonneau ◽  
Daniel Bach Johnsen ◽  
Gil Keppens
Keyword(s):  
Mental Health ◽  
Secondary School ◽  
Secondary School Students ◽  
Mental Health Problems ◽  
Community Sample ◽  
Demographic Variables ◽  
School Refusal ◽  
School Students ◽  
School Absence ◽  
The Relationship

School absenteeism is a serious problem among youths, varying in etiology and presentation. Youths presenting high levels of absence have previously been linked to mental health problems, academic difficulties and dropout, highlighting the need for early identification and intervention. The aim of this study is twofold: first, to identify profiles among a community sample of secondary school students based on school absence, internalizing and externalizing behavior using the Child Behavior Checklist (CBCL-YSR). Second, to examine the relationship between profiles regarding mental health problems based on the dimensions of the CBCL-YSR, the function of their school absence using the School Refusal Assessment Scale (SRAS) and school refusal using the SChool REfusal EvaluatioN (SCREEN). The profiles are compared on demographic variables, family characteristics, school performance and bullying. A community sample of 469 youths (10-16 year, M=12.1 years, SD=1.2) from six French secondary publics schools participated in this study. Using cluster analysis, four distinct profiles were identified. The clusters differed significantly on school absence, internalizing problems, externalizing problems, dimensions of the CBCL-YSR, and their function of absence on the SRAS. Clusters differed significantly on several demographic variables, school level, grade, repetition and bullying. The distinctions between the four profiles and their relevance are discussed.

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