A cross-sectional study of early identification of postpartum depression: Implications for primary care providers from The Ontario Mother &amp; Infant Survey

Watt, Susan; Sword, Wendy; Krueger, Paul; Sheehan, Debbie

doi:10.1186/1471-2296-3-5

Cited by 34 publications

(25 citation statements)

References 42 publications

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“…According to previous studies, prevalence of postpartum depression from one month to one year after delivery in the United States and Canada ranges from 8% to 26%, 8,10,11,12,13,14 and depressive symptoms can affect up to 80% of women in the postnatal period 15 .…”

Section: Introductionmentioning

confidence: 99%

Validation of the Edinburgh Postnatal Depression Scale (EPDS) in a sample of mothers from the 2004 Pelotas Birth Cohort Study

et al. 2007

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The aim of this study was to evaluate the Edinburgh Postnatal Depression Scale (EPDS) for screening and diagnosis of postpartum depression. Three months after delivery, EPDS was administered to 378 mothers from the 2004 Pelotas Birth Cohort Study, Rio Grande do Sul State, Brazil. Up to 15 days later, mothers were re-interviewed by mental health care professionals using a semi-structured interview based on ICD-10 (gold standard). We calculated the sensitivity and specificity of each cutoff point, and values were plotted as a receiver operator characteristic curve. The best cutoff point for screening postpartum depression was > 10, with 82.6% (75.3-89.9%) sensitivity and 65.4% (59.8-71.1%) specificity. For screening moderate and severe cases, the best cutoff point was > 11, with 83.8% (73.4-91.3%) sensitivity and 74.7% (69.4-79.5%) specificity. For diagnosis, EPDS was valid only for prevalence of postpartum depression in the 20-25% range, with 60% PPV for the > 13 cutoff point (59.5% sensitivity; 88.4% specificity). The specificities and PPVs for all cutoff points were below those reported by other authors. Small numbers and the calculation of PPV in samples with overrepresentation of cases in the majority of studies appear to account for these differences.

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Section: Introductionmentioning

confidence: 99%

Validation of the Edinburgh Postnatal Depression Scale (EPDS) in a sample of mothers from the 2004 Pelotas Birth Cohort Study

et al. 2007

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“…Dentre as escalas de auto-avaliação existentes, a Escala de Depressão Pós-Parto de Edimburgo (EPDS) é a mais utilizada para rastreamento de sintomas depressivos que se manifestam após o parto 21 , tendo sido traduzida para 24 idiomas, com estudos de validação na maioria dos países 22 . É instrumento de fácil aplicação e interpretação, com grande aceitabilidade e simplicidade na sua incorporação à rotina clínica 23,24 , podendo ser aplicada por profissionais das áreas básicas de saúde 5,[25][26][27][28][29] . A EPDS consiste em instrumento de auto-registro composto de 10 enunciados, cujas opções são pontuadas (0 a 3) de acordo com a presença ou a intensidade do sintoma.…”

Section: Introductionunclassified

Aspectos epidemiológicos da depressão pós-parto em amostra brasileira

Ruschi¹,

Sun

Mattar

et al. 2007

Rev. psiquiatr. Rio Gd. Sul

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ResumoIntrodução: Sintomas psiquiátricos são freqüentes após o parto, momento marcado por alterações hormonais e mudanças no caráter social, na organização familiar e na identidade feminina. A Escala de Depressão Pós-Parto de Edimburgo (EPDS) é instrumento de auto-avaliação para rastrear depressão após a gestação, nem sempre adequadamente reconhecida pelos profissionais de saúde. O objetivo deste estudo foi avaliar prevalência de depressão pós-parto em mulheres atendidas em unidades básicas de saúde. Métodos: Estudo transversal com aplicação da EPDS em 292 mulheres que se encontravam entre 31 e 180 dias após o parto. Adotamos o ponto de corte < 12 na EPDS como depressão. Resultados: Do total, 115 (39,4%) apresentaram escores < 12, na EPDS, foram consideradas deprimidas; 177 (60,6%), com escores < 12, foram consideradas não-deprimidas. Mulheres com menor escolaridade, maior número de gestações, maior paridade, maior número de filhos vivos e menor tempo de relacionamento apresentaram mais depressão. Conclusão: A elevada freqüência de depressão pós-parto está relacionada com fatores sociais, demonstrando a importância dos profissionais de atenção básica na detecção precoce da depressão, tendo como auxílio instrumentos como a EPDS, pela sua eficácia e praticidade. Descritores: Depressão pós-parto, epidemiologia, escala de Edimburgo. AbstractIntroduction: Psychiatric symptoms are frequent in the postpartum period, a moment marked by hormonal alterations and changes in social character, family organization and women's identity. The Edinburgh Postnatal Depression Scale (EPDS) is a selfreporting instrument to track depression after pregnancy, unfortunately not always properly supported by health care professionals. This study aimed at verifying the prevalence of postpartum depression in women receiving care at basic health units. Methods: Cross-sectional study including 292 women in the postpartum period (from day 31 to 180) who answered the EPDS questionnaire. Cut-off point < 12 for EPDS depression was used. Results: A total of 115 women (39.4%) had scores < 12 in EPDS, classified as depressive; 177 (60.6%) had scores < 12 and were not considered depressive. Women with lower education, higher number of pregnancies, higher parity, higher number of live children and shortest relationship time had more depression. Conclusion: High frequency of postpartum depression is associated with social factors, which shows the importance of health care professionals in early detection of depression, with the aid of instruments such as EPDS, due to its efficacy and practicability.

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“…Recent studies have considered issues such as mothers postpartum depression (Watt, Sword, Krueger, & Sheehan, 2002) and attachment style (Aiello & Lancaster, 2007). Symons (2001), for example, found that 'motherinfant dyads in emotional distress shortly after the birth of an infant had poorer relationship outcomes at 24 months of age than those not in distress ' (p. 116) and suggested that the inability of parents to regulate emotions might lead to issues with their young children.…”

Section: Introductionmentioning

confidence: 99%

The everyday concerns of mothers of young children and the motivation to seek ongoing parenting support from experts

Murphy

Zweifach

Hoffman

2012

Early Child Development and Care

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Despite a significant body of work that documents the importance of mother -child relationships, the studies on programmes that support these relationships are few, particularly with respect to subclinical populations. In this report, we coded the responses of 114 mothers of infants and toddlers to open-ended questions in order to identify the nature and frequency of the concerns that prompted them to participate in mother -child groups. The responses were coded by two independent raters who achieved a strong inter-rater reliability on the 21-item coding system that was developed. Mothers who reported concerns about their confidence/ambivalence about being a mother and those who indicated a desire for support and guidance from others were significantly more likely to continue to seek ongoing assistance with parenting and enrol for more semesters than mothers who did not express such concerns at intake.

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A cross-sectional study of early identification of postpartum depression: Implications for primary care providers from The Ontario Mother & Infant Survey

Cited by 34 publications

References 42 publications

Validation of the Edinburgh Postnatal Depression Scale (EPDS) in a sample of mothers from the 2004 Pelotas Birth Cohort Study

Validation of the Edinburgh Postnatal Depression Scale (EPDS) in a sample of mothers from the 2004 Pelotas Birth Cohort Study

Aspectos epidemiológicos da depressão pós-parto em amostra brasileira

The everyday concerns of mothers of young children and the motivation to seek ongoing parenting support from experts

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