Different cutoff points for different trimesters? The use of Edinburgh Postnatal Depression Scale and Beck Depression Inventory to screen for depression in pregnant Taiwanese women

Su, Kuan‐Pin; Chiu, Tsan-Hung; Huang, Chieh-Liang; Ho, Ming‐Chih; Lee, Chieh-Chung; Wu, Po-Lun; Lin, Cher-Yeang; Liau, Chun-Hui; Liao, Chien-Chang; Chiu, Wei-Che; Pariante, Carmine M.

doi:10.1016/j.genhosppsych.2007.05.005

Cited by 120 publications

(93 citation statements)

References 42 publications

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“…Also, the large sample sizes enabled us, with sufficient epidemiological strength, to define different subgroups of women who were depressed only once or more often during gestation. Another of its strengths was that we repeatedly used the EDS to assess the concurrent validity of our newly developed scales, and used trimester-specific cut-off points for the EDS, as proposed in prior research [16,26]. Our study also has its limitations.…”

Section: Discussionmentioning

confidence: 99%

The Pregnancy Obsession-Compulsion-Personality Disorder Symptom Checklist

K¹,

Hartman²

2016

J Psychol Psychother

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IntroductionIn perinatal research, concepts of depression and anxiety are frequently studied in relation to maternal and infant health outcome [1,2]. However, the possible impact of personality traits on health outcome is currently being overlooked. It is obvious that personality characteristics that may hamper a woman's adaptation process to biological and social ante-and postpartum changes, carry the risk of distress. The most common (3-8%) personality disorder in the general population [3][4][5][6][7] is Obsessive-Compulsive Personality Disorder (OCPD), which became a diagnosable disorder after the publication of the first Diagnostic and Statistical Manual for Mental Disorders [8]. OCPD is characterized by the following eight personality traits: perfectionism, over-conscientiousness, preoccupation with details, miserliness, rigidity and stubbornness, excessive devotion to work and productivity, inability to discard worthless objects, and inability to delegate tasks [9].It is obvious that, in the light of the physiological and psychosocial changes inherent in pregnancy and postpartum, women with OCPD (symptoms) may be at risk for increased levels of distress. To the best of our knowledge, to date, no perinatal research has focused on the occurrence and implications of OCPD (symptoms) in pregnant and postpartum women. This can partly be explained by the absence of appropriate tools for assessing OCPD symptoms during pregnancy.Therefore, the aim of the current study was to develop and investigate the psychometric properties of user-friendly questionnaires in order to assess the symptoms of Perfectionism/OCPD during pregnancy. We hypothesized that the scores on these questionnaires correlate with depression (concurrent validity), and also that the scores on these scales will be able to differentiate between pregnant women with single and those with recurrent episodes of depression during gestation and/or earlier in life (discriminant validity). Materials and Method ParticipantsAs part of the large Happy study [10], women who visited their independent community midwife at the first trimester during the first 12 months of the inclusion period (April 2013(April -2014 were invited to participate in the current study. At 12, 22 and 32 weeks of pregnancy, these women were asked to complete several questionnaires Abstract Background: Up until now, very little research has been undertaken on the possible role of personality traits, such as perfectionism and obsessive compulsive personality disorder (OCPD), on pregnancy distress. This is possibly due to the fact that no appropriate instruments are available for use during pregnancy. The current study was undertaken to develop self-rating instruments for assessing symptoms of OCPD (including perfectionism) during gestation, and to evaluate the relationship between high scores on these scales and (recurrent) depression.

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Section: Discussionmentioning

confidence: 99%

The Pregnancy Obsession-Compulsion-Personality Disorder Symptom Checklist

K¹,

Hartman²

2016

J Psychol Psychother

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“…The cut-off scores in our study seemed very low compared to other studies validating the EPDS in the antepartum period (Murray and Cox, 1990;Adewuya et al, 2006;Felice et al, 2006;Su et al, 2007;Bunevicius et al, 2009). The only validation study that reported a comparable threshold (8/9) was performed in India in a postpartum sample (Benjamin et al, 2005).…”

Section: Discussioncontrasting

confidence: 72%

“…Although the Edinburgh Postnatal Depression Scale (EPDS) has been validated in over 30 countries, it has only been validated in some countries for screening for depression during pregnancy (Murray and Cox, 1990;Adewuya et al, 2006;Felice et al, 2006;Su et al, 2007;Bunevicius et al, 2009;Gibson et al, 2009). It is of particular note that the antepartum cut-off values have been found to be different from the postpartum ones.…”

Section: Discussionmentioning

confidence: 99%

“…Formerly, the EPDS was mostly validated in the postpartum period and it is often used as a screening tool for pregnant women with postnatally determined cut-offs (Bennett et al, 2004). It has been recently recognised that cut-offs could be different during and after pregnancy, as shown by a number of antepartum validation studies (Murray and Cox, 1990;Adewuya et al, 2006;Felice et al, 2006;Su et al, 2007;Bunevicius et al, 2009;Gibson et al, 2009). Although depression seems fairly prevalent in the antepartum period, a distinction between major and minor depression has often been neglected in the literature (Eberhard-Gran et al, 2001;Gibson et al, 2009) and data on minor depressive disorder were reported very rarely (Anastasia, 1990;Gibson et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

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Psychosocial risk factors and screening options for perinatal psychopathologies

Töreki

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a b s t r a c tObjective: the Edinburgh Postnatal Depression Scale (EPDS) is an important screening instrument routinely used during the peripartum period for the identification of depression. The purpose of the study was to assess the validity of the 10-item EPDS in screening for antepartum depression (APD) in Hungary. Design: validation study carried out between July and December 2010. Setting: Department of Obstetrics and Gynecology, University of Szeged, Hungary. Participants: 219 women attending a routine check-up at 12 weeks antepartum. Interventions: participants completed the newly translated Hungarian version of the EPDS and underwent a clinical assessment with the Structured Clinical Interview for DSM-IV disorders (SCID-I). Measurement and findings: seven (3.2%) of the mothers were diagnosed with major antepartum depression and 22 (10.0%) with minor depression on the basis of the SCID. Internal consistency of the EPDS was satisfactory (Cronbach a coefficients Z 0.728). The best cut-off on the Hungarian version of the EPDS for major depression was 8/9, with a sensitivity of 71.4%, and a specificity of 91.5%. The area under the ROC curve was found significant for combined depression as well and at a cut-off of 6/7 indicated a sensitivity of 81.8% and a specificity of 83.2%. Key conclusions: the EPDS showed acceptable validity despite a considerable scatter in the total scores in our sample. Implication for practice: the EPDS is a reliable instrument for the screening of depressive disorders, especially major depressive disorder in early pregnancy among Hungarian women.

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“…From the EPDS score measured through different three stages two groups were created those ≤12 and those ≥13 in each stage. As majority of the researches have stated cut off score of ≤12 and ≥13 to be highly sensitive and specific, for this study purpose too patients with ≤12 score were considered as non-depressed and patients with ≥13 were considered to be depressed [14,[17][18][19].…”

Section: Measurementmentioning

confidence: 99%

A hospital based prospective survey of perinatal depression in Chinese women of Jiamusi city

PALIKHE¹,

Bo²,

K³

et al. 2017

Res J of Womens Health

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Objectives: To evaluate whether an antenatal and immediate postpartum Edinburgh Postnatal Depression Scale score are predictive of future postpartum depression and observe the correlation in-between the scores and associated risk factors. Methods: Study Design A survey recruiting 345 women from March 2015 to February 2016 using Edinburgh Postnatal Depression Scale for same group of individuals: once before the delivery, during third trimester and twice postpartum in women seeking antenatal service in three major hospital of Jiamusi, Heilongjiang Province, China. We used cut-off score <12 as normal and >13 as risk of depression. The relation between EPDS scores across three stages were assessed using Spearman's correlation, chi-square test was used to examine association of socio-demographic variable and series of logistic regression to examine statistical significance between EPDS scores and associated risk factors. Results: A total of 167 women were studied with average age of 28.31±5.036 years. Chi-square test showed that younger (p=0.029), unemployed (p=0.022), primiparous (p=0.039), less educated (p=0.040) women are more prone to perinatal depression. Further Spearman's Non-parametric correlation test showed that postpartum depression has positive correlation with both antepartum (χ 2 =3.977, df=1, p=0.018) and immediate postpartum (χ 2 =3.977, df=1, p=0.046). Binary logistic regression analysis showed that parity (Wald=4.754, p=0.029), and occupation (Wald=3.839, p=0.050) were independent risk factors for antepartum depression. Mode of birth (Wald=4.513, p=0.034), antepartum EPDS score (Wald=3.877, p=0.049) and immediate postpartum EPDS score (Wald=4.038, p=0.044) were independent risk factors for postpartum depression. Conclusions: 1) Higher EPDS score prenatally tends to persist postnatal indicating chances of developing postpartum depression in susceptible individuals. 2) Early screening prenatally can guide clinician for active psychological support to susceptible cases thereby minimizing probability of postpartum depressions.

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Different cutoff points for different trimesters? The use of Edinburgh Postnatal Depression Scale and Beck Depression Inventory to screen for depression in pregnant Taiwanese women

Cited by 120 publications

References 42 publications

The Pregnancy Obsession-Compulsion-Personality Disorder Symptom Checklist

The Pregnancy Obsession-Compulsion-Personality Disorder Symptom Checklist

Psychosocial risk factors and screening options for perinatal psychopathologies

A hospital based prospective survey of perinatal depression in Chinese women of Jiamusi city

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