Validation studies of the Edinburgh Postnatal Depression Scale for the antenatal period

Kozinszky, Zoltán; Dudás, Róbert B.

doi:10.1016/j.jad.2015.01.044

Cited by 255 publications

(189 citation statements)

References 73 publications

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“…As such, we can only evaluate elevated depressive symptoms and cannot determine whether these associations hold true for clinically diagnosed depression. Additionally, there may be different cut points to best distinguish high versus low depressive symptoms depending on timing of administration, as well as sociodemographic and contextual characteristics (40–43). However, among validation studies of the English version of the EPDS using the standard cut point of 13 or higher for postpartum depression, sensitivity ranged from 76 to 100% and specificity ranged from 70 to 99% (41).…”

Section: Discussionmentioning

confidence: 99%

Perinatal weight and risk of prenatal and postpartum depressive symptoms

Ertel

Huang

Rifas‐Shiman

et al. 2017

Annals of Epidemiology

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Purpose Pre-pregnancy obesity and weight changes accompanying pregnancy (gestational weight gain and postpartum weight retention) may be associated with risk of maternal depressive symptoms during pregnancy and in the postpartum. The few studies that have examined these relationships report conflicting findings. Methods We studied pregnant (n=2112) and postpartum (n=1686) women enrolled in Project Viva. We used self-reported pre-pregnancy and postpartum weight and measured prenatal weight to calculate pre-pregnancy body mass index (BMI), gestational weight gain (GWG), and postpartum weight retention (PPWR) at 6 months after birth. We assessed elevated depressive symptoms (EDS) with the Edinburgh Postnatal Depression Scale (≥ 13 on 0–30 scale) at mid-pregnancy and 6 months postpartum. We used logistic regression to estimate the odds of prenatal and postpartum EDS in relation to pre-pregnancy BMI, GWG, and PPWR. Results 214 (10%) participants experienced prenatal EDS, and 151 (9%) postpartum EDS. Neither pre-pregnancy BMI nor GWG were associated with prenatal EDS. Pre-pregnancy obesity (BMI≥30 kg/m2) was associated with higher odds of postpartum EDS (OR=1.69, 95% CI: 1.01, 2.83) compared to normal pre-pregnancy weight in a model adjusted for age, race/ethnicity, nativity, education, marital status, household income, parity, pregnancy intention, and smoking. Conclusions Pre-pregnancy obesity is associated with elevated depressive symptoms in the postpartum period. Given the current obesity epidemic in the US and the consequences of perinatal depression, additional depression screening in this population may be warranted.

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Section: Discussionmentioning

confidence: 99%

Perinatal weight and risk of prenatal and postpartum depressive symptoms

Ertel

Huang

Rifas‐Shiman

et al. 2017

Annals of Epidemiology

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“…The EPDS is the most widely used self-report questionnaire to screen PPD (27), and various cutoff scores have been used in different studies (21, 28, 29). The current study used the cutoff score of 9 or more, based on one study which investigated the reliability and validity of the EPDS among women in the postnatal and control groups in Japan, and showed that sensitivity is 75% and specificity is 93% when using the cutoff score of 9 or more (30).…”

Section: Methodsmentioning

confidence: 99%

Intimate Partner Violence during Pregnancy and Postpartum Depression in Japan: A Cross-sectional Study

Miura

Fujiwara

2017

Front. Public Health

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BackgroundThe impact of intimate partner violence (IPV) on postpartum depression (PPD) has been reported in various countries by many studies. However, the association between IPV and PPD in Japan has been scarce. In addition to the limited number of research on the relationship between IPV and PPD, the number of women seeking help from IPV support centers has been steadily increasing in Japan. Hence, it is of interest to explore the relationship between IPV during pregnancy and PPD in Japan.MethodsFour-page questionnaires assessing sociodemographic characteristics, women’s personal situation during pregnancy, and PPD were mailed to participants prior to the checkup and collected at the checkup sites or mailed back to the health center. Of 9,707 eligible mothers, 6,590 responded to a questionnaire at a 3- or 4-month infant health checkup (response rate: 68%). Verbal and physical IPV from partners was assessed with two questions in the questionnaire. Logistic regression analysis was conducted. PPD was evaluated using the Edinburgh Postnatal Depression Scale (EPDS) with a cutoff score of 8/9.ResultsPartners’ verbal and physical abuse during pregnancy was significantly associated with PPD after adjusting for possible confounders. Specifically, odds ratios (ORs) of PPD for women who had been verbally abused by their partners during pregnancy at a frequency of “often” were 4.85 (95% CI, 2.23–10.55). ORs of PPD among women who had been physically abused by their partners during pregnancy at a frequency of “sometimes or often” were 7.05 (95% CI, 2.76–17.98). A positive dose-response relationship between both types of IPV and PPD was statistically significant (both p < 0.001). In addition, about 80% of physically abused women reported being verbally abused as well, indicating that these forms of IPV were highly comorbid.ConclusionBoth verbal and physical IPV during pregnancy is associated with PPD in Japan. This is the first study investigating the impact of IPV on PPD using a large number of subjects in the country. Further study using the same participants of the current study would allow us to explore the causality between IPV during pregnancy and PPD.

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“…s. Garcia-Esteve, Ascaso, Ojuel, & Navarro, 2003). The EPDS is a 10-item instrument widely used to assess depression post-delivery and has also been shown to be valid during the prenatal period (Kozinszky & Dudas, 2015). Responses are based on a 4-point scale (0, 1, 2, and 3) and responses are summed to produce a total score, with a maximum score of 30.…”

Section: Methodsmentioning

confidence: 99%

Perinatal Depression, Adverse Life Events, and Hypothalamic–Adrenal–Pituitary Axis Response to Cold Pressor Stress in Latinas: An Exploratory Study

Lara-Cinisomo

Grewen

Girdler

et al. 2017

Women's Health Issues

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Background Latinas are disproportionately affected by perinatal depression (PND) as well as by adverse life events (ALEs), an independent predictor of PND. Dysregulation of the hypothalamic-adrenal-pituitary (HPA) axis has been seen both in women with PND and with a history of ALEs in non-Latinas. Though some evidence suggests that HPA axis dysregulation may mediate the link between ALEs and PND, this has received little attention and there are no studies that have examined these pathways in Latinas. The primary aim of the present study was to explore, in a Latina sample, associations between ALEs, PND, and HPA axis stress reactivity to a physical stressor-the cold pressor test (CPT). The secondary aim was to explore whether HPA axis reactivity and PND were associated with pain sensitivity to the CPT. Methods Thirty-four Latinas were enrolled in their third trimester of pregnancy and interviewed at 4 and 8 weeks postpartum. Depression status was determined using the Edinburgh Postnatal Depression Scale (≥ 10). At 8 weeks postpartum, 27 women underwent laboratory-induced pain testing using the cold pressor test (CPT). Plasma adrenocorticotropic hormone (ACTH) and cortisol (CORT) were sampled pre- and post-CPT to generate a stress reactivity score (post-pre). Pain sensitivity and ALEs were also assessed. Results At enrollment, 26% of women were depressed and 18% were depressed at 8 weeks postpartum. Forty-eight percent reported at least one childhood ALE. There was a significant and positive association between any childhood ALE and prenatal depression scores (p = 0.025). Infant-related ALEs were significantly associated with greater ACTH reactivity to the CPT (p = 0.030). Women with a history of any childhood ALE exhibited a blunted CORT response to the CPT (p = 0.045). Women with a history of PND at 4 weeks had greater ACTH stress reactivity to the CPT (p = 0.027). No significant effects of PND were seen for pain sensitivity measures in response to the CPT, though there was a positive and significant correlation between pain tolerance and CORT response to the CPT in the whole sample. Conclusions Given the associations between ALEs and PND and their individual effect on HPA axis stress reactivity, future studies on perinatal depression should include a larger sample of Latinas to test mediating effects of HPA axis reactivity on associations between ALEs and PND.

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Validation studies of the Edinburgh Postnatal Depression Scale for the antenatal period

Abstract: Background: Relatively few studies have focused on the validation of psychometric scales

Cited by 255 publications

References 73 publications

Perinatal weight and risk of prenatal and postpartum depressive symptoms

Perinatal weight and risk of prenatal and postpartum depressive symptoms

Intimate Partner Violence during Pregnancy and Postpartum Depression in Japan: A Cross-sectional Study

Perinatal Depression, Adverse Life Events, and Hypothalamic–Adrenal–Pituitary Axis Response to Cold Pressor Stress in Latinas: An Exploratory Study

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