Is the EPDS a magic wand?: 2. 'Myths' and the evidence base

Elliott, Sandra; Leverton, T. J.

doi:10.1080/713683046

Cited by 11 publications

(4 citation statements)

References 2 publications

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“…Other screening tools have also been developed, such as the Beck Depression Inventory, but the EPDS is freely available and can be completed in a short amount of time. The EPDS has been validated as a screening tool for research, but it is not clear if it has the same applicability to practice settings (Elliott & Leverton, 2000;Shakespeare, 2002). Recent research and surveys indicate that mothers may not always give honest answers because of the stigma of PD or that they dislike the format/rigidity of the questions asked (Russell, 2006;Tam, Newton, Dern, & Parry, 2002).…”

Section: Discussion and Clinical Implicationsmentioning

confidence: 99%

Early intervention and perinatal depression: is there a need for provider training?

Thomason

Stacks

McComish

2010

Early Child Development and Care

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An estimated 5-25% of women suffer from perinatal depression (PD). If left untreated, PD can have negative consequences for maternal and child mental health. During pregnancy and the postpartum period, women are in contact with a variety of professionals and paraprofessionals such as public health nurses, early childhood providers and home visitors, which provides an excellent opportunity for identification, referral or treatment of PD. Using the pre-test data from a training series about PD, this article describes participants' self-reported knowledge about risk factors for the onset, medication, effects, screening and treatment of PD. Relationships between level of self-reported knowledge, occupation and education, and the implications for practice are also described. Findings from this study suggest that there is a need for training in PD, especially for paraprofessional home visitors and early childhood providers.

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Section: Discussion and Clinical Implicationsmentioning

confidence: 99%

Early intervention and perinatal depression: is there a need for provider training?

Thomason

Stacks

McComish

2010

Early Child Development and Care

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“…Instead, the guideline recommends that the EPDS be used as an adjunct to clinical evaluation. Elliott and Leverton (2000) emphasize that when used alone, “the EPDS is just a piece of paper, a checklist” (p. 305). When combined with knowledge in prevention, identification, and treatment of postpartum depression, however, the EPDS can facilitate discussion about needs, family and role transitions, and supports (Cox & Holden, 2003; Lundh & Gyllang, 1993).…”

Section: Methodsmentioning

confidence: 99%

Evidence-Based Recommendations for Depressive Symptoms in Postpartum Women

McQueen

Montgomery

Lappan-Gracon

et al. 2008

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…Those with employment problems and on chronically low income are at a greater risk [17,18,19,20]. Unplanned or unwanted pregnancy can likewise be a risk factor, as recognized recently [12,14,17,20]. The poverty rate in Hungary has been on the increase, and reached 14.3% in 2006 [21].…”

Section: Introductionmentioning

confidence: 99%

“…Besides ‘classical’ predictive factors of PPD (past history of depression, depressive or anxiety symptoms during pregnancy, stressful life events in the previous year, low levels of social support, single marital status and number of children) [10,11,12], of late, others have become the focus of investigation. Mothers satisfied with their family life appear to be more protected from PPD [11,13,14,15,16]. Those with employment problems and on chronically low income are at a greater risk [17,18,19,20].…”

Section: Introductionmentioning

confidence: 99%

Can a Brief Antepartum Preventive Group Intervention Help Reduce Postpartum Depressive Symptomatology?

Kozinszky

Dudás

Devosa

et al. 2012

Psychother Psychosom

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Background: Psychosocial and psychological interventions are generally effective in reducing depressive symptomatology in the postpartum period. Our aim was to evaluate the effectiveness of a brief preventive group intervention for postpartum depression (PPD) in a naturalistic setting, and study the effect of this on social and psychological risk factors. Methods: We conducted a randomized controlled trial (n = 1,719) in south-eastern Hungary in 62 antepartum centers. Pregnant women (n = 710) underwent a 4-session preventive group intervention whereas a control group (n = 1,009) attended 4 sessions providing the same information given in usual care. Results: Our intervention appeared to significantly reduce the risk of PPD, as defined by Leverton Questionnaire total scores (OR = 0.69). It resulted in an absolute risk reduction of about 18% in those with antepartum depression and 0.5% in those with no depression at recruitment. A multiple logistic regression analysis revealed a much reduced risk in those with a perceived lack of partner support (OR = 0.4) in the treatment group. Unplanned pregnancy, an irreversible risk factor affecting every fifth woman, also seemed to have a reduced effect on PPD after our group intervention (OR = 0.81). Conclusions: A brief preventive antepartum group intervention focusing on psychoeducation, stress management, improving coping mechanisms, and the development of social support can be effective in reducing postpartum depressive symptomatology.

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Is the EPDS a magic wand?: 2. 'Myths' and the evidence base

Cited by 11 publications

References 2 publications

Early intervention and perinatal depression: is there a need for provider training?

Early intervention and perinatal depression: is there a need for provider training?

Evidence-Based Recommendations for Depressive Symptoms in Postpartum Women

Can a Brief Antepartum Preventive Group Intervention Help Reduce Postpartum Depressive Symptomatology?

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