The identification of severity ranges for the Edinburgh Postnatal Depression Scale

McCabe-Beane, Jennifer E.; Segre, Lisa S.; Perkhounkova, Yelena; Stuart, Scott; O’Hara, Michael W.

doi:10.1080/02646838.2016.1141346

Cited by 80 publications

(65 citation statements)

References 34 publications

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“…Mothers who score between 12 and 19 would be offered two support options: LV provided in the NICU by a nurse who completed LV training or referral to the social work team who would then conduct an assessment and, if needed, refer the mother to mental health professional services. An EPDS score of 20 or greater, which is indicative of depression symptoms in the severe range (McCabe-Beane, Segre, Perkhounkova, Stuart, & O'Hara, 2016), would warrant immediate referral to the social work team to further asses and, if needed, refer the woman to a mental health professional.…”

Section: Depression Screeningmentioning

confidence: 99%

A Nurse-Based Model of Psychosocial Support for Emotionally Distressed Mothers of Infants in the NICU

Davila¹,

Segre²

2018

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Section: Depression Screeningmentioning

confidence: 99%

A Nurse-Based Model of Psychosocial Support for Emotionally Distressed Mothers of Infants in the NICU

Davila¹,

Segre²

2018

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…According to Cox et al (1987) an EDPS score for minor depression equals 10-12; above 12 signifies major depression. Recent refinements of the EPDS have suggested a score of 19 to indicate severe depression symptoms (McCabe-Beane, Segre, Perkhounkova, Stuart, & O'Hara, 2016). The EPDS has shown adequate reliabilities among multicultural and multiethnic populations.…”

Section: Methodsmentioning

confidence: 99%

The Effects of Postpartum Depression on Maternal-Infant Bonding Among Mothers Experiencing A Preterm Birth with Neonatal Intensive Care Admission

Ghirmazion¹

2019

MSRJ

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“…Items marked with an asterisk (*) are reverse scored (i.e., 3, 2, 1, and 0), and total score is a summation of the 10 item responses. EPDS is structured into four severity ranges: 1) None or minimal depression (0-6), 2) Mild depression (7-13), 3) Moderate depression (14-19), 4) Severe depression (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30) and a need to refer or follow up suicidal risk.…”

Section: The Edinburgh Postpartum Depression Scale (Epds)mentioning

confidence: 99%

“…Severity ranges in this study matched those of the Beck Depression Inventory with majority of the women between a score range of 7 and 13 (minimally depressed) likely to be mild depression with other tools measuring depression severity. This classi cation allows proper referral and treatment decisions to be made (20).…”

Section: The Edinburgh Postpartum Depression Scale (Epds)mentioning

confidence: 99%

Mixed Method Synthesis of Cognitive interviews with Kenyan peripartum adolescents: Testing EPDS and PHQ questionnaires in Nairobi primary care settings

Kumar¹,

Huang²,

Othieno³

et al. 2020

Preprint

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Background: Cognitive interviewing is a well-recognized methodology to identify clinical and commonsensical relevance of mental health questionnaire items by our research participants. Depression is amongst the most common condition impacting pregnant and parenting adolescents in sub-Saharan Africa (SSA). In Kenya, studies have reported depression prevalence estimates of 12-50% in peripartum adolescents. While young people prefer using English, there has not been enough data to point to how well they respond to Kiswahili translations of the commonly used tools.Method: Thirty-two participants between ages 14-18 years were approached and through informed consent for them to participate. We used Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire-9 (PHQ-9) in English and Kiswahili versions to carry out the interviews and were coded along four domains of comprehension, retrieval, judgement and patient response. Scores were tabulated for all participants and simple reliability analyses were offered. The interviews were discussed within the team and tables were shared between three raters for further consensus. The interview transcripts were analyzed manually using thematic analysis.Discussion: We found that adolescents had challenges in fully understanding items in both set of tools however, EPDS was better received than PHQ-9. Psychometrically, EPDS English version and Kiswahili versions fared better than the PHQ-9 English and Kiswahili versions. PHQ-9 presented considerable issues with regards to semantic clarity however had simpler response options in comparison to EPDS which was more experientially appropriate, but response options were not simple. On our thematic analysis we felt that the adolescents were significantly challenged by the new, unanticipated pregnancy or motherhood experience. Poverty, poor partner support, discord with parents and distress in the family, and traumatic end of supportive and helpful relationships were the notable problems.Conclusion: While sensitive cross-cultural translations for the commonly used open access depression tools is critical, it is also pertinent to understand whether these are developmentally appropriate. Our participants had multiple psychosocial and material challenges that necessitate measures sensitive to their age, social context and health experiences. Additionally, we felt that both the tools may not be suitable for self-administration and may need involvement of a case worker or community health worker.

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The identification of severity ranges for the Edinburgh Postnatal Depression Scale

Cited by 80 publications

References 34 publications

A Nurse-Based Model of Psychosocial Support for Emotionally Distressed Mothers of Infants in the NICU

A Nurse-Based Model of Psychosocial Support for Emotionally Distressed Mothers of Infants in the NICU

The Effects of Postpartum Depression on Maternal-Infant Bonding Among Mothers Experiencing A Preterm Birth with Neonatal Intensive Care Admission

Mixed Method Synthesis of Cognitive interviews with Kenyan peripartum adolescents: Testing EPDS and PHQ questionnaires in Nairobi primary care settings

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