Comparative performance of Patient Health Questionnaire-9 and Edinburgh Postnatal Depression Scale for screening antepartum depression

Zhong, Qiu‐Yue; Gelaye, Bizu; Rondón, Marta B.; Sánchez, Sixto E.; García, Pedro J.; Sánchez, Elena; Barrios, Yasmin V.; Simon, Gregory E.; Henderson, David C.; Cripe, Swee May; Williams, Michelle A.

doi:10.1016/j.jad.2014.03.028

Cited by 102 publications

(72 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…While some have argued for the continued use of the EPDS as a uni-dimensional scale (Reichenheim et al 2011), a growing number of studies demonstrate that a three-factor solution may be most optimal, including three related factors of depression, anhedonia, and anxiety similar to our population (Coates et al 2016; Cunningham et al 2015; Zhong et al 2014). In addition to differences in sample characteristics that may influence the structure of the EPDS, it has been suggested that timing of administration may also play a role.…”

Section: Discussionmentioning

confidence: 99%

Subconstructs of the Edinburgh Postnatal Depression Scale in a multi-ethnic inner-city population in the U.S.

Chiu

Sheffield

Hsu

et al. 2017

Arch Womens Ment Health

View full text Add to dashboard Cite

The 10-item Edinburgh Postpartum Depression Scale (EPDS) is the most widely used self-report measure of postpartum depression. Although originally described as a one-dimensional measure, the recognition that depressive symptoms may be differentially experienced across cultural and racial/ethnic groups has led to studies examining structural equivalence of the EPDS in different populations. Variation of the factor structure remains understudied across racial/ethnic groups of U.S. women. We examined the factor structure of the EPDS assessed 6 months postpartum in 515 women (29% Black, 53% Hispanic, 18% White) enrolled in an urban Boston longitudinal birth cohort. Exploratory factor analysis (EFA) identified that a three-factor model, including depression, anxiety, and anhedonia subscales, was the most optimal fit in our sample as a whole and across race/ethnicity. Confirmatory factor analysis (CFA) was used to examine the fit of both the two- and three-factor models reported in prior research. CFA confirmed the best fit for a three-factor model, with minimal differences across race/ethnicity. “Things get on top of me” loaded on the anxiety factor among Hispanics, but loaded on the depression factor in Whites and African Americans. These findings suggest that EPDS factor structure may need to be adjusted for diverse samples and warrants further study.

show abstract

Section: Discussionmentioning

confidence: 99%

Subconstructs of the Edinburgh Postnatal Depression Scale in a multi-ethnic inner-city population in the U.S.

Chiu

Sheffield

Hsu

et al. 2017

Arch Womens Ment Health

View full text Add to dashboard Cite

show abstract

“…Given the scarcity of studies concerning the psychometric properties of the PSQI when used among pregnant women, and given that prior studies have shown that sleep, mood, and anxiety disorders are highly prevalent among low-income pregnant women in Lima, Peru, 20,21 we sought to evaluate the psychometric properties of the Spanish-language version of the PSQI among pregnant Peruvian women during early pregnancy. We also assessed the relation of maternal early pregnancy sleep quality with measures of stress-induced sleep disturbance, and depressive and anxiety symptoms.…”

Section: Brief Summarymentioning

confidence: 99%

“…24 The Spanish-language version of the PHQ-9 was shown to work well in pregnant women with good reliability and construct validity. 20,26 In the current study, the presence of depression was defined as the PHQ-9 score ≥ 10.…”

Section: 23mentioning

confidence: 99%

Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women

Zhong

Gelaye

Sánchez

et al. 2015

Journal of Clinical Sleep Medicine

Self Cite

View full text Add to dashboard Cite

Study Objectives: We sought to evaluate the construct validity and factor structure of the Spanish-language version of the Pittsburgh Sleep Quality Index (PSQI) among pregnant Peruvian women. Methods: A cohort of 642 women were interviewed at ≤ 16 weeks of gestation. During interview, we ascertained information about lifestyles, demographics, sleep characteristics, and mood symptoms. Stress induced sleep disturbance, depressive symptoms, and anxiety symptoms were evaluated using the Ford Insomnia Response to Stress Test (FIRST), Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder-7 (GAD-7) assessment scales, respectively. Consistency indices, exploratory and confi rmatory factor analyses, correlations, and logistic regressions were used. Results: Both exploratory and confi rmatory factor analyses indicated a three-factor solution: sleep quality, sleep effi ciency, and sleep medication. We observed signifi cantly positive correlations of the PSQI with the FIRST (0.42), the PHQ-9 (0.49), and the GAD-7 (0.46). Poor sleepers (PSQI global score > 5) had signifi cantly increased odds of experiencing stress-induced sleep disturbance (odds ratio, OR = 3.57; 95% CI: 2.40, 5.31), depression (OR = 5.48; 95% CI: 3.58, 8.37), and generalized anxiety disorder (OR = 4.57; 95% CI: 3.08, 6.76). Conclusions:The Spanish-language version of the PSQI instrument was found to have good construct validity among pregnant Peruvian women. Consistent with some other studies, the PSQI was found to have a three-factor structure. Further assessment and validation studies are needed to determine whether the three, factor-specifi c scoring of the PSQI is favored over the PSQI global score in diverse populations. A mong pregnant women, pregnancy-associated physiological and hormonal changes are known to contribute to increased prevalence and severity of sleep complaints and disorders.1,2 Sleep complaints and disorders experienced in early pregnancy have been linked to hyperemesis, cesarean delivery, preterm birth, gestational diabetes mellitus, fetal growth restriction, and preeclampsia.2-5 Of note, an emerging literature has suggested that sleep disorders and poor sleep quality predict an increased risk of mood disorders including depressive symptomatology in late pregnancy.6,7 However, despite these observations and their clinical implications, relatively little has been done to design and implement clinical protocols that may be used to reliably and validly assess sleep effi ciency and night and daytime disturbance among pregnant women.One widely used self-reported measure of sleep quality, the Pittsburgh Sleep Quality Index (PSQI), has been established as a valid scale with acceptable psychometric properties when used among men and non-pregnant women in diverse global settings. [8][9][10][11][12][13][14][15][16][17][18] Though increasingly being used among pregnant women, 1,7,19 the psychometric properties of the PSQI has not been adequately assessed in this population. We are aware of only two published studies have eva...

show abstract

“…Of note, given that prior studies have shown that sleep, mood, and anxiety disorders are highly prevalent among low-income pregnant women in Peru, 18,19 we sought to evaluate the psychometric properties, construct validity and factor structure of the Spanish-language version of FIRST questionnaire (FIRST-S) in early pregnancy (Figure 1). …”

Section: Psychometric Evaluation Of the Ford Insomnia Response To Strmentioning

confidence: 99%

“…Women were assigned to 1 of 5 depressive symptom categories based on total PHQ-9 score: (a) no depressive symptoms (0-4); (b) mild (5-9); (c) moderate (10)(11)(12)(13)(14); (d) moderately severe (15)(16)(17)(18)(19); and (e) severe (20)(21)(22)(23)(24)(25)(26)(27) depressive symptoms. For the purpose of this study, we defined presence of antepartum depression based upon total PHQ-9 score, (a) no depressive symptoms (0-9) and (b) antepartum depression (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27). 25 A meta-analysis of 14 studies supports the use of a PHQ-9 score of ≥ 10 to classify subjects with major depressive disorder.…”

Section: Ford Insomnia Response To Stress Test (First)mentioning

confidence: 99%

Psychometric Evaluation of the Ford Insomnia Response to Stress Test (FIRST) in Early Pregnancy

Gelaye

Barrios

et al. 2016

Journal of Clinical Sleep Medicine

Self Cite

View full text Add to dashboard Cite

Study Objectives: To evaluate the construct validity and factor structure of the Spanish-language version of the Ford Insomnia Response to Stress Test questionnaire (FIRST-S) when used in early pregnancy. Methods: A cohort of 647 women were interviewed at ≤ 16 weeks of gestation to collect information regarding lifestyle, demographic, and sleep characteristics. The factorial structure of the FIRST-S was tested through exploratory and confirmatory factor analyses (EFA and CFA). Internal consistency and construct validity were also assessed by evaluating the association between the FIRST-S with symptoms of depression, anxiety, and sleep quality. Item response theory (IRT) analyses were conducted to complement classical test theory (CTT) analytic approaches. Results: The mean score of the FIRST-S was 13.8 (range: 9-33). The results of the EFA showed that the FIRST-S contained a one-factor solution that accounted for 69.8% of the variance. The FIRST-S items showed good internal consistency (Cronbach α = 0.81). CFA results corroborated the one-factor structure finding from the EFA; and yielded measures indicating goodness of fit (comparative fit index of 0.902) and accuracy (root mean square error of approximation of 0.057). The FIRST-S had good construct validity as demonstrated by statistically significant associations of FIRST-S scores with sleep quality, antepartum depression and anxiety symptoms. Finally, results from IRT analyses suggested excellent item infit and outfit measures. Conclusions: The FIRST-S was found to have good construct validity and internal consistency for assessing vulnerability to insomnia during early pregnancy.

show abstract

Comparative performance of Patient Health Questionnaire-9 and Edinburgh Postnatal Depression Scale for screening antepartum depression

Cited by 102 publications

References 57 publications

Subconstructs of the Edinburgh Postnatal Depression Scale in a multi-ethnic inner-city population in the U.S.

Subconstructs of the Edinburgh Postnatal Depression Scale in a multi-ethnic inner-city population in the U.S.

Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women

Psychometric Evaluation of the Ford Insomnia Response to Stress Test (FIRST) in Early Pregnancy

Contact Info

Product

Resources

About