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Predictive validation study of the Edinburgh Postnatal Depression Scale in the first week after delivery and risk analysis for postnatal depression.
J Affect Disord. 2006 Jul; 93(1-3):169-76.JA

Abstract

BACKGROUND

Postnatal depression is a major public health problem. The aim of this study is to validate the use of the Edinburgh Postnatal Depression Scale (EPDS) in the early postpartum, and to identify the markers for risk of postnatal depression.

METHODS

815 women filled out an EPDS and general information questionnaire between the third and the fifth day postpartum. The women with an EPDS score of >8 and a randomized control group from those with scores of <8 were contacted 8 weeks postpartum. 363 women therefore had a structured diagnostic interview by telephone at 8 weeks postpartum (MINI-DSM-IV), without knowledge of their EPDS scores, to screen for a major or minor depressive episode.

RESULTS

The sensitivity of EPDS was measured as 0.82 [0.78-0.86], with a positivity threshold of 9.5/30. For an estimated prevalence for all depressive episodes of 16.1%, the positive predictive value of EPDS was measured as 42.8% [39.1-46.5%]. Multivariate risk analysis using logistical regression identified the following as risk markers for postnatal depression: previous history of depression (postnatal or other), unemployment, premature delivery or stopping breast-feeding in the first month for non-medical reasons.

CONCLUSION

The use of EPDS between the third and fifth day postpartum is valid. An EPDS score of >10 should be completed by a clinical assessment and suitable management. The risk markers identified here are clinical indices that can be used for first-line early screening by non-psychiatric health workers.

Authors+Show Affiliations

Hôpital Michel Fontan, Centre Hospitalier Universitaire de Lille 59 037, Lille, France. r.jardri@free.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

16644021

Citation

Jardri, Renaud, et al. "Predictive Validation Study of the Edinburgh Postnatal Depression Scale in the First Week After Delivery and Risk Analysis for Postnatal Depression." Journal of Affective Disorders, vol. 93, no. 1-3, 2006, pp. 169-76.
Jardri R, Pelta J, Maron M, et al. Predictive validation study of the Edinburgh Postnatal Depression Scale in the first week after delivery and risk analysis for postnatal depression. J Affect Disord. 2006;93(1-3):169-76.
Jardri, R., Pelta, J., Maron, M., Thomas, P., Delion, P., Codaccioni, X., & Goudemand, M. (2006). Predictive validation study of the Edinburgh Postnatal Depression Scale in the first week after delivery and risk analysis for postnatal depression. Journal of Affective Disorders, 93(1-3), 169-76.
Jardri R, et al. Predictive Validation Study of the Edinburgh Postnatal Depression Scale in the First Week After Delivery and Risk Analysis for Postnatal Depression. J Affect Disord. 2006;93(1-3):169-76. PubMed PMID: 16644021.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predictive validation study of the Edinburgh Postnatal Depression Scale in the first week after delivery and risk analysis for postnatal depression. AU - Jardri,Renaud, AU - Pelta,Jerome, AU - Maron,Michel, AU - Thomas,Pierre, AU - Delion,Pierre, AU - Codaccioni,Xavier, AU - Goudemand,Michel, Y1 - 2006/04/27/ PY - 2005/10/16/received PY - 2006/03/16/revised PY - 2006/03/17/accepted PY - 2006/4/29/pubmed PY - 2006/11/11/medline PY - 2006/4/29/entrez SP - 169 EP - 76 JF - Journal of affective disorders JO - J Affect Disord VL - 93 IS - 1-3 N2 - BACKGROUND: Postnatal depression is a major public health problem. The aim of this study is to validate the use of the Edinburgh Postnatal Depression Scale (EPDS) in the early postpartum, and to identify the markers for risk of postnatal depression. METHODS: 815 women filled out an EPDS and general information questionnaire between the third and the fifth day postpartum. The women with an EPDS score of >8 and a randomized control group from those with scores of <8 were contacted 8 weeks postpartum. 363 women therefore had a structured diagnostic interview by telephone at 8 weeks postpartum (MINI-DSM-IV), without knowledge of their EPDS scores, to screen for a major or minor depressive episode. RESULTS: The sensitivity of EPDS was measured as 0.82 [0.78-0.86], with a positivity threshold of 9.5/30. For an estimated prevalence for all depressive episodes of 16.1%, the positive predictive value of EPDS was measured as 42.8% [39.1-46.5%]. Multivariate risk analysis using logistical regression identified the following as risk markers for postnatal depression: previous history of depression (postnatal or other), unemployment, premature delivery or stopping breast-feeding in the first month for non-medical reasons. CONCLUSION: The use of EPDS between the third and fifth day postpartum is valid. An EPDS score of >10 should be completed by a clinical assessment and suitable management. The risk markers identified here are clinical indices that can be used for first-line early screening by non-psychiatric health workers. SN - 0165-0327 UR - https://www.unboundmedicine.com/medline/citation/16644021/Predictive_validation_study_of_the_Edinburgh_Postnatal_Depression_Scale_in_the_first_week_after_delivery_and_risk_analysis_for_postnatal_depression_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(06)00127-3 DB - PRIME DP - Unbound Medicine ER -