Use of the Edinburgh Postnatal Depression Scale in Some Swedish Child Health Care Centres

Lundh, Wendela; Gyllang, Cecilia

doi:10.1111/j.1471-6712.1993.tb00190.x

Cited by 57 publications

(37 citation statements)

References 10 publications

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“…Psychological problems during childbirth are frequent, e.g. depression, which has been seen in 8-10% of women after childbirth (Lundh & Gyllang, 1993;Murray & Cox, 1990). One tentative interpretation of these findings could be that extremely high attachment scores do not necessarily indicate a healthy development of the mother-future child relationship.…”

Section: Maternal Foetal Attachment 67mentioning

confidence: 90%

Maternal foetal attachment and personality during first pregnancy

Sjögren

Edman

Widström

et al. 2004

Journal of Reproductive and Infant Psychology

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This study aims to apply and modify an inventory measuring maternal foetal attachment (MFAS) for use in a Swedish population, and to relate these data to personality traits measured by the Karolinska Scales of Personality (KSP). Previously, we found changes in women's personality traits at childbirth. The attachment and personality profiles were studied in women expecting their first child at the 13th (n~50, response rate 87%) and 36th week of gestation (n~50, response rate 76%). The scores on the total MFAS were high, significantly higher for women tested in the later phase of pregnancy (pv0.01). A factor analysis revealed a four-factor structure ('visualizing motherhood', 'wonder and worry', 'nourishing self and foetus', and 'relation to foetus and own body'), not replicating the five a priori factors of Cranley. Linear regression analyses showed positive correlation between the total attachment score and the tendency to feel 'guilt' and the desire for 'social desirability' as reflected by the KSP. Attachment subscales showed a positive correlation with 'somatic anxiety', 'guilt', 'psychasthenia', 'social desirability', 'inhibited aggression' and phase of pregnancy. Negative correlation with 'psychic anxiety' and 'emotional detachment' was found. These findings are, to our knowledge, a fairly new contribution to the literature on maternal foetal attachment.

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Section: Maternal Foetal Attachment 67mentioning

confidence: 90%

Maternal foetal attachment and personality during first pregnancy

Sjögren

Edman

Widström

et al. 2004

Journal of Reproductive and Infant Psychology

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“…It has been translated and validated in Sweden (7,8), Chile (9), Portugal (10), Austria (11), France (12), the Netherlands (13), Italy (14,15), China (16) South Africa (17), and the United Arab Emirates (18). The sensitivity and the speci city of the EPDS, estimated in these studies, are comparable.…”

Section: T He Edinburgh Postnatal Depression Scale (Epds)mentioning

confidence: 99%

The Edinburgh Postnatal Depression Scale: Validation in a Norwegian community sample

Eberhard‐Gran¹,

Eskild²,

Tambs

et al. 2001

Nordic Journal of Psychiatry

140

117

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This study was undertaken to validate a Norwegian translation of the Edinburgh Postnatal Depression Scale (EPDS). The EPDS was validated against the DSM-IV criteria for major depression, derived from the PRIME-MD, in an interview study of 56 women selected from a community-based questionnaire study of 310 women 6 weeks postpartum. A score of > or =10 on the EPDS scale identified all women with major depression, giving a sensitivity of 100% (95% confidence interval; 72%-100%) and a specificity of 87% (95% confidence interval; 77%-95%). The EPDS scores were strongly correlated with the Montgomery-Asberg Depression Rating Scale in the subsample of women interviewed (n=56) and with the Hopkins Symptom Check List (SCL-25) scores in the questionnaire study (n=310). Our results with regard to the sensitivity and specificity estimates are comparable with prior validation studies; however, the confidence intervals around the estimates are wide. Nevertheless, this study confirms that the EPDS is a valid clinical screening instrument for detecting postpartum depression.

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“…The EPDS is a commonly used postpartum depression screening instrument and has been validated in many postpartum populations and different languages. (Areis et al, 1996; Boyce et al, 1993; Carpiniello et al, 1997; Cox et al, 1987; Eberhard-Gran et al, 2001; Eberhard-Gran et al, 2001; Ghubash et al, 1997; Harris et al, 1989; Jadresic et al, 1995; Lawrie et al, 1998; Lundh, et al, 1993; Murray et al, 1990; Wickberg et al, 1996; Zelkowitz et al, 1995) The recommended cut-off score of ≥10 has sensitivities of 0.59–0.81 and specificities ranged from 0.77–0.88 for major and minor depression. (Gaynes, et al, 2005) The Patient Health Questionnaire-9 (PHQ-9) was also administered and a comparison was made between the EPDS and PHQ-9 scores over time in a secondary analysis.…”

Section: Methodsmentioning

confidence: 99%

An intervention to reduce postpartum depressive symptoms: a randomized controlled trial

Howell

Bodnar‐Deren

Balbierz

et al. 2013

Arch Womens Ment Health

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Depressive symptoms and depression are a common complication of childbirth and a growing body of literature suggests that there are modifiable factors associated with their occurrence. We developed a behavioral educational intervention targeting these factors and successfully reduced postpartum depressive symptoms in a randomized trial among low-income black and Latina women. We now report results of 540 predominantly white, high income mothers in a second randomized trial. Mothers in the intervention arm received a 2-step intervention that prepared and educated mothers about modifiable factors associated with postpartum depressive symptoms (e.g., physical symptoms, low self-efficacy), bolstered social support, and enhanced management skills. The control arm received enhanced usual care. Participants were surveyed prior to randomization, 3-weeks, 3-months, and 6-months postpartum. Depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale (EPDS of 10 or greater). Prevalence of depressive symptoms postpartum were unexpectedly low precluding detection of difference in rates of depressive symptoms among intervention vs. enhanced usual care post hospitalization: 3-weeks (6.0 % vs. 5.6%, p=.83), 3-months (5.1% vs. 6.5%, p=.53) and 6-months (3.6% vs. 4.6%, p=.53).

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Use of the Edinburgh Postnatal Depression Scale in Some Swedish Child Health Care Centres

Cited by 57 publications

References 10 publications

Maternal foetal attachment and personality during first pregnancy

Maternal foetal attachment and personality during first pregnancy

The Edinburgh Postnatal Depression Scale: Validation in a Norwegian community sample

An intervention to reduce postpartum depressive symptoms: a randomized controlled trial

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