Validation of the Edinburgh Postpartum Depression Scale in a Population of Adult Pregnant Women in Mexico

Alvarado‐Esquivel, Cosme; Sifuentes-Álvarez, Antonio; Salas-Martínez, Carlos

doi:10.14740/jocmr1883w

Cited by 32 publications

(32 citation statements)

References 18 publications

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“…Overall the quality was satisfactory with six articles [1, 23, 25, 34–36] rated as excellent, three [37–39] good and two [3, 4] adequate. All the articles clearly described the selection criteria for the sample and reported the index test as independent of the gold standard.…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of screening instruments for depression for use in antenatal services in low resource settings

Chorwe‐Sungani

Chipps

2017

BMC Psychiatry

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BackgroundIn low resource settings, short, valid and reliable instruments with good high sensitivity and specificity are essential for the screening of depression in antenatal care. A review of published evidence on screening instruments for depression for use in antenatal services in low resource settings was conducted. The aim of this review was to appraise the best available evidence on screening instruments suitable for detecting depression in antenatal care in low resource settings.MethodsSearching, selection, quality assessment, and data abstraction was done by two reviewers. ScienceDirect, CINAHL, MEDLINE, PubMed, SABINET and PsychARTICLES databases were searched using relevant search terms. Retrieved studies were evaluated for relevancy (whether psychometric data were reported) and quality. Data were synthesised and sensitivity and specificity of instruments were pooled using forest plots.ResultsEleven articles were included in the review. The methodological quality ranged from adequate to excellent. The review found 7 tools with varying levels of accuracy, sensitivity and specificity, including the Edinburgh Postnatal Depression Scale, Beck Depression Index, Centre for Epidemiologic Studies Depression Scale 20, Hamilton Rating Scale for Depression, Hopkins Symptoms Checklist-25, Kessler Psychological Distress Scale and Self-Reporting Questionnaire. The Edinburgh Postnatal Depression Scale was most common and had the highest level of accuracy (AUC = .965) and sensitivity.ConclusionThis review suggests that the Edinburgh Postnatal Depression Scale can be a suitable instrument of preference for screening antenatal depression in low resource settings because of the reported level of accuracy, sensitivity and specificity.Prospero registration CRD42015020316.

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Section: Resultsmentioning

confidence: 99%

“…In this review, it was clear that in Mexico, sensitivity of EPDS among teenager pregnant women was 0.05 lower than its sensitivity among adult pregnant women [36, 37]. This may suggest that the population sampled may influence validity of a screening instrument.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of screening instruments for depression for use in antenatal services in low resource settings

Chorwe‐Sungani

Chipps

2017

BMC Psychiatry

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“…The literature recommends using lower cut-offs particularly for community screening to ensure that all cases of depressive symptoms are identified. A lower cut-off has also been reported to be best for screening for depressive symptoms among pregnant adult women [25–27]. Scale authors also recommend that women who score above 9 be referred for immediate follow-up [23].…”

Section: Methodsmentioning

confidence: 99%

Maternal Intimate Partner Violence: Relationships with Language and Neurological Development of Infants and Toddlers

Udo¹,

Sharps

Bronner

et al. 2016

Matern Child Health J

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Objectives This longitudinal study examined the influence of Intimate Partner Violence (IPV) experience of pregnant women participating in the Domestic Violence Enhanced Home Visitation Program (DOVE) on the language and neurological and development of infants and toddlers. Methods A total of 210 infants and toddlers born to women reporting low, moderate, and high levels of IPV were included in the analysis. Logistic regression analysis was used to determine the bivariate association between maternal IPV and risk of language and neurological delay of infants and toddlers and between covariates and language and neurological delay. Generalized Estimating Equation models with logit link was used to predict the risk for neurological and language delay of infants and toddlers as a result of maternal IPV. Results Infants and toddlers born to women exposed to moderate levels of IPV had increased odds of language delay compared to infants and toddlers of women who experienced low levels of violence (OR=5.31, 95% CI=2.94, 9.50, p<0.001). Infants and toddlers born to women who experienced moderate and high levels of IPV were at higher risk of neurological delay respectively, compared to infants and toddlers of women who experienced low levels of IPV (OR=5.42, 95% CI=2.99, 9.82, p<0.001 & OR=2.57, 95% CI=1.11, 5.61, p=0.026). Conclusions Maternal IPV is associated with increased risk of language and neurological delay of infants and toddlers. These findings have implications for health care for women and infants exposed to IPV. Clinicians including pediatricians working with pregnant women should screen for IPV throughout pregnancy to identify women and children at risk. Interventions to reduce maternal IPV and early intervention services for infants and toddlers exposed to IPV are necessary for optimal maternal and child health.

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“…Scores range from 0 to 30, with a higher score representing greater depressive symptom severity. The EPDS has been extensively used and validated across multiple community, cultural, and ethnically diverse populations, 39,[45][46][47][48][49] has validated English and Spanish versions, 48,49 and has been used to identify the prevalence of depression in pregnant 49,50 and postpartum Latinas living in the United States. 51 Cutoff scores range from 9 to 13.…”

Section: Methodsmentioning

confidence: 99%

Is Screening for Depression in the Perinatal Period Enough? The Co-Occurrence of Depression, Substance Abuse, and Intimate Partner Violence in Culturally Diverse Pregnant Women

Connelly

Hazen

Baker-Ericzén

et al. 2013

Journal of Women's Health

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Background: The perinatal period provides unique opportunities to identify and intervene with the co-occurrence of perinatal depression, intimate partner violence (IPV), and substance use problems. Psychosocial screening recommended for women seen in maternal child health settings tends to target single rather than multiple risk factors; there is limited research examining the co-occurrence of these issues especially in racially and ethnically diverse women across the perinatal period. These analyses explore the relationships of sociodemographic, psychosocial, and behavioral characteristics in a large, diverse sample of women. Method: Women receiving perinatal services at routinely scheduled visits, including the 6-week postpartum visit, were recruited from 10 community obstetric/gynecologic clinics. Data were collected on perinatal depression, IPV, maternal substance use, and sociodemographic characteristics by bilingual, bicultural research assistants. Results: A total of 1868 women were screened, 1526 (82%) Latina, 1099 (58.8%) interviewed in Spanish; 20.4% (n = 382) screened positive for depressive symptoms based on an Edinburgh Postnatal Depression Scale score of 10 or above, 20.9% reported harmful drinking, 4.3% reported drug use, 23% reported substance use problems, and 3.5% reported current or recent IPV. Women who were Black, Asian, Pacific Islander, or other race/ethnicity had greater odds for depressive symptoms relative to women who were Hispanic or Latino (odds ratio [OR] = 1.81, p = 0.005). Women reporting substance use problems (OR = 2.37, p < 0.0001) and IPV (OR = 3.98, p < 0.0001) had higher odds for depressive symptoms. Conclusion: In a predominately Latina sample, 1 in 5 mothers (20.4%) screened positive for depressive symptoms and over one third (36.7%) reported one or more psychosocial issues during the perinatal period. Screening for multiple risk factors rather than just one can help clinicians tailor interventions for the successful management of psychosocial issues.

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Validation of the Edinburgh Postpartum Depression Scale in a Population of Adult Pregnant Women in Mexico

Cited by 32 publications

References 18 publications

A systematic review of screening instruments for depression for use in antenatal services in low resource settings

A systematic review of screening instruments for depression for use in antenatal services in low resource settings

Maternal Intimate Partner Violence: Relationships with Language and Neurological Development of Infants and Toddlers

Is Screening for Depression in the Perinatal Period Enough? The Co-Occurrence of Depression, Substance Abuse, and Intimate Partner Violence in Culturally Diverse Pregnant Women

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