The Swedish validation of Edinburgh Postnatal Depression Scale (EPDS) during pregnancy
(2011) In Nordic Journal of Psychiatry 65(6). p.414-418- Abstract
Background: Around 1015% of women suffer from depressive illness during pregnancy or the first year postpartum. Depression during pregnancy constitutes a risk for prenatal stress and preterm birth. No validated screening instrument for detecting depression during pregnancy was available in Swedish. Aims: We aimed to validate the Edinburgh Postnatal Depression Scale (EPDS) against DSM-IV criteria for depression during pregnancy, establish a reliable cut-off and estimate the correlation between the EPDS and HAD-S (Hospital Anxiety and Depression Scale). Methods: In a population-based community sample of 1175 pregnant women, 918 women (78%) answered questionnaires with the EPDS and HAD-S. In all, 121 were interviewed using the PRIME-MD... (More)
Background: Around 1015% of women suffer from depressive illness during pregnancy or the first year postpartum. Depression during pregnancy constitutes a risk for prenatal stress and preterm birth. No validated screening instrument for detecting depression during pregnancy was available in Swedish. Aims: We aimed to validate the Edinburgh Postnatal Depression Scale (EPDS) against DSM-IV criteria for depression during pregnancy, establish a reliable cut-off and estimate the correlation between the EPDS and HAD-S (Hospital Anxiety and Depression Scale). Methods: In a population-based community sample of 1175 pregnant women, 918 women (78%) answered questionnaires with the EPDS and HAD-S. In all, 121 were interviewed using the PRIME-MD (Primary Care Evaluation of Mental disorders) for diagnosing depression. Women were interviewed in mean gestational week 13 (range 821). For the EPDS, a receiver operating characteristic (ROC) curve was calculated for prediction of depression. Pearson's correlation coefficient was used to investigate the association between EPDS and HAD-S scores. Results: The optimal cut-off score on the EPDS scale for detecting depression was ≥13 (standard error coefficient of 1.09 and c-statistics of 0.84) giving a sensitivity of 77% and specificity of 94%. The EPDS scores correlated strongly with the HAD-S, Pearson's correlation was 0.83 (P < 0.0001). Conclusions: This study confirms that the EPDS is a valid screening instrument for detection of depressive symptoms during pregnancy. The EPDS shows persuasive measuring outcomes with an optimal cut-off at ≥13. Clinical implications: Healthcare for pregnant women should consider screening procedures and follow-up routines for depressive symptoms.
(Less)
- author
- Rubertsson, Christine LU ; Börjesson, Karin ; Berglund, Anna ; Josefsson, Ann and Sydsjö, Gunilla
- publishing date
- 2011-12
- type
- Contribution to journal
- publication status
- published
- keywords
- Antepartum, Depression, EPDS, Pregnancy, Screening
- in
- Nordic Journal of Psychiatry
- volume
- 65
- issue
- 6
- pages
- 5 pages
- publisher
- Informa Healthcare
- external identifiers
-
- scopus:80055070589
- pmid:21728782
- ISSN
- 0803-9488
- DOI
- 10.3109/08039488.2011.590606
- language
- English
- LU publication?
- no
- id
- dd47f9f7-655b-4805-ae0f-d3ee8f2ac1c5
- date added to LUP
- 2017-10-27 14:06:30
- date last changed
- 2024-05-12 23:42:02
@article{dd47f9f7-655b-4805-ae0f-d3ee8f2ac1c5,
abstract = {{<p>Background: Around 1015% of women suffer from depressive illness during pregnancy or the first year postpartum. Depression during pregnancy constitutes a risk for prenatal stress and preterm birth. No validated screening instrument for detecting depression during pregnancy was available in Swedish. Aims: We aimed to validate the Edinburgh Postnatal Depression Scale (EPDS) against DSM-IV criteria for depression during pregnancy, establish a reliable cut-off and estimate the correlation between the EPDS and HAD-S (Hospital Anxiety and Depression Scale). Methods: In a population-based community sample of 1175 pregnant women, 918 women (78%) answered questionnaires with the EPDS and HAD-S. In all, 121 were interviewed using the PRIME-MD (Primary Care Evaluation of Mental disorders) for diagnosing depression. Women were interviewed in mean gestational week 13 (range 821). For the EPDS, a receiver operating characteristic (ROC) curve was calculated for prediction of depression. Pearson's correlation coefficient was used to investigate the association between EPDS and HAD-S scores. Results: The optimal cut-off score on the EPDS scale for detecting depression was ≥13 (standard error coefficient of 1.09 and c-statistics of 0.84) giving a sensitivity of 77% and specificity of 94%. The EPDS scores correlated strongly with the HAD-S, Pearson's correlation was 0.83 (P < 0.0001). Conclusions: This study confirms that the EPDS is a valid screening instrument for detection of depressive symptoms during pregnancy. The EPDS shows persuasive measuring outcomes with an optimal cut-off at ≥13. Clinical implications: Healthcare for pregnant women should consider screening procedures and follow-up routines for depressive symptoms.</p>}},
author = {{Rubertsson, Christine and Börjesson, Karin and Berglund, Anna and Josefsson, Ann and Sydsjö, Gunilla}},
issn = {{0803-9488}},
keywords = {{Antepartum; Depression; EPDS; Pregnancy; Screening}},
language = {{eng}},
number = {{6}},
pages = {{414--418}},
publisher = {{Informa Healthcare}},
series = {{Nordic Journal of Psychiatry}},
title = {{The Swedish validation of Edinburgh Postnatal Depression Scale (EPDS) during pregnancy}},
url = {{http://dx.doi.org/10.3109/08039488.2011.590606}},
doi = {{10.3109/08039488.2011.590606}},
volume = {{65}},
year = {{2011}},
}