Optimal cut‐off score of the Edinburgh Postnatal Depression Scale for major depressive episode during pregnancy in Japan

Usuda, Kentaro; Nishi, Daisuke; Okazaki, Emi; Makino, Miyuki; Sano, Yo

doi:10.1111/pcn.12562

Cited by 45 publications

(47 citation statements)

References 29 publications

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“…Prevalence of depression in the perinatal period has been reported as 7% to 25% . In these previous studies, DSM‐4 and research diagnostic criteria were used as the diagnostic criteria for depression, and the time point of diagnosis ranged from the pregnancy period to several months after delivery; therefore, the prevalence of PPD under certain conditions is not clear.…”

Section: Discussionmentioning

confidence: 99%

“…Based on a report that major depressive disorder was found in 20 out of 210 Japanese pregnant women by Usuda et al ., the ratio of PPD to non‐PPD was assumed to be 1 to 9. Under the conditions of area under the curve (AUC) 0.8, power 0.90, case control ratio 1:9, and α 0.05, sample size required for the ROC analysis was estimated to be 80 in total (eight cases of PPD and 72 cases of non‐PPD).…”

Section: Methodsmentioning

confidence: 99%

“…In recent years, EPDS has also been applied to screening during pregnancy, and Usuda et al . reported that the cut‐off value from 12 to 24 weeks of gestation was ≥13 . The Center for Epidemiologic Studies‐Depression scale (CES‐D) is another self‐assessment screening tool for depression developed by the National Institute of Mental Health and is used for screening for depression in the general population .…”

Section: Introductionmentioning

confidence: 99%

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Re‐evaluation of the Edinburgh Postnatal Depression Scale as screening for post‐partum depression in Iwate Prefecture, Japan

Sasaki

Baba

Oyama

et al. 2019

J of Obstet and Gynaecol

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Aim: Although the Edinburgh Postnatal Depression Scale (EPDS) is widely used for screening for postpartum depression (PPD), screening time point and cut-off value in the current medical environment are not sufficiently examined. In this study, we examined appropriate timing and cut-off value of EPDS for the diagnostic criteria of Diagnostic and Statistical Manual of Mental Disorders Fifth Edition. Methods: This study was a prospective cohort study of women who delivered at the Iwate Medical University Hospital from August 2016 to February 2019. The EPDS self-assessment was conducted at 4 days and at 1 month after delivery (4D-EPDS and 1M-EPDS), and the Center for Epidemiologic Studies-Depression scale (CES-D) self-assessment was conducted at 1 month after delivery (1M-CES-D) in eligible patients and the scores were tabulated. Participants were interviewed by a psychiatric specialist to identify PPD within 2 months after delivery. For each screening, a receiver operating characteristic analysis was performed to calculate the cut-off value for PPD. Sensitivity, specificity, positive predictive value, negative predictive value and correct diagnostic rate were evaluated. Results: Of the 80 post-partum women, PPD was found in nine cases (11.3%). The cut-off values for PPD were ≥10 for 4D-EPDS, ≥13 for 1M-EPDS and ≥21 for 1M-CES-D. No significant difference was found in the sensitivity, positive predictive value or negative predictive value among the three screening methods. However, a significant difference was found in the specificity, and the correct diagnosis rate and these values were relatively higher in 1M-EPDS. Conclusion: Based on the result of this Japanese cohort, 1M-EPDS with a cut-off value of ≥13 might be appropriate for PPD screening although that of ≥9 is currently employed.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Re‐evaluation of the Edinburgh Postnatal Depression Scale as screening for post‐partum depression in Iwate Prefecture, Japan

Sasaki

Baba

Oyama

et al. 2019

J of Obstet and Gynaecol

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“…Okano et al reported that the appropriate cutoff point for detecting PPD was 9 or higher, with 75% sensitivity and 93% specificity (Yamaoka et al 2016;Muchanga et al 2017), whereas 12 or higher is generally used as the cutoff point worldwide (Cox et al 1987). A recent study on Japanese women has shown the optimal cutoff of EPDS score for major depressive episode during pregnancy as 12 (Usuda et al 2017). We, therefore, used both cutoff points > 9, and > 12, in this study.…”

Section: Variablesmentioning

confidence: 99%

Impact of intention and feeling toward being pregnant on postpartum depression: the Japan Environment and Children’s Study (JECS)

Baba

Kimura

Ikehara

et al. 2018

Arch Womens Ment Health

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Pregnancy intention is reported to be associated with the risk of postpartum depression (PPD), but the impact of feelings toward being pregnant on PPD is unknown. We aimed to examine whether feelings toward being pregnant are associated with PPD at 1 month after childbirth. In our nationwide study between 2011 and 2014 in Japan, we used multivariate logistic regression analyses to examine the associations between pregnancy intention and feelings toward being pregnant with PPD [Edinburgh Postnatal Depression Scale (EPDS score > 9 or > 12)] among Japanese women. Among 92,431 women, 14.0 and 5.4% had PPD with EPDS scores > 9 and > 12, respectively. Compared with women who felt very happy to be pregnant, those whose pregnancy was unintended but happy, unintended and confused, those who felt troubled, and those who felt no emotion toward being pregnant had increased risks of PPD [multivariable odds ratios (95% confidence intervals (CIs))

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“…This questionnaire has been validated against the Research Diagnostic Criteria for depression with a sensitivity of 86% and a specificity of 78% (Cox & Holden, 2003). Total scores were dichotomised using a cut-point of 10; a score of ≥ 10 indicated postpartum depressive symptoms (Usuda, Nishi, Okazaki, Makino, & Sano, 2017).…”

Section: Ijphcsmentioning

confidence: 99%

Correlation of Pre-Pregnancy Bmi, Sleep and Depression With Postpartum Weight Retention Among Chilbearing Age Women

Fatehah

H.Y

Zalilah

et al. 2019

IJPHCS

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Background: Postpartum weight retention (PWR) triggers future obesity among women of childbearing age. Data regarding the influence of postpartum sleep, depression and weight retention is limited. This study aims to determine the correlation of pre-pregnancy BMI, sleep and depression with PWR at 6 months after childbirth of childbearing age women from selected health clinics in Negeri Sembilan. Materials and Methods: Data were collected from 226 women aged 31 ± 4.6 years old who attended Seremban, Ampangan and Senawang Health Clinics from January to August 2015. Respondents were enrolled in the respective health clinics and the maternal interviews conducted at 6 months after childbirth during a home visit. A set of pre-tested questionnaire was used to collect data for socio-demographic, anthropometric data including pre-pregnancy body mass index (BMI), sleep duration and postpartum depression. Result: The mean PWR was 2.6 ± 5.3 kg with 27.4% retained more than 5kg. The respondents slept on average 6.1 ± 1.4 hours with 31.9% slept less than 5 hours. The postpartum depression score was 4.1 ± 3.5 which generally categorised as no postpartum depression. However, about 8.8% had postpartum depressive symptoms. About 36.3% of the respondents were either overweight or obese before the pregnancy with a mean pre-pregnancy BMI of 23.9 ± 5.2 kg/m 2. Pre-pregnancy BMI was associated with PWR (r=-0.297, p= 0.001). However, other factors were not associated with PWR. Conclusion: About one-third of the respondents retained excess weight, and a lower prepregnancy BMI was associated with greater weight retention. Appropriate measures that target these groups of women with lower BMI before and throughout pregnancy could alter their weight trajectory, hence reducing the risk of obesity among childbearing age women.

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Optimal cut‐off score of the Edinburgh Postnatal Depression Scale for major depressive episode during pregnancy in Japan

Abstract: To our knowledge, this is the first study to clarify the optimal EPDS cut-off score in the second trimester for Japan. This finding will be helpful for appropriate screening for antenatal depression in Japan.

Cited by 45 publications

References 29 publications

Re‐evaluation of the Edinburgh Postnatal Depression Scale as screening for post‐partum depression in Iwate Prefecture, Japan

Re‐evaluation of the Edinburgh Postnatal Depression Scale as screening for post‐partum depression in Iwate Prefecture, Japan

Impact of intention and feeling toward being pregnant on postpartum depression: the Japan Environment and Children’s Study (JECS)

Correlation of Pre-Pregnancy Bmi, Sleep and Depression With Postpartum Weight Retention Among Chilbearing Age Women

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