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The Swedish validation of Edinburgh Postnatal Depression Scale (EPDS) during pregnancy

Rubertsson, Christine LU ; Börjesson, Karin; Berglund, Anna; Josefsson, Ann and Sydsjö, Gunilla (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.

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author
publishing date
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
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
2017-10-30 12:33:23
@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 &lt; 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},
  keyword      = {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},
  volume       = {65},
  year         = {2011},
}