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Postnatal psychiatric morbidity: a validation study of the GHQ-12 and the EPDS as screening tools.
Gen Hosp Psychiatry. 2007 Jan-Feb; 29(1):1-7.GH

Abstract

OBJECTIVE

To assess the validity of the 12-Item General Health Questionnaire (GHQ-12) and the Edinburgh Postnatal Depression Scale (EPDS) in screening for the most common postnatal psychiatric morbidities (mood, anxiety and adjustment disorders).

METHOD

A two-phase cross-sectional study was designed. First, a sample of 1453 women visiting at 6 weeks postpartum completed the GHQ-12 and the EPDS questionnaires. Second, based upon EPDS outcomes, participants were stratified and randomly selected within each stratum for clinical evaluation [Structured Clinical Interview for DSM-IV (SCID)]. Receiver operating characteristic (ROC) analysis was used.

RESULTS

The concurrent validity was satisfactory (0.80). At optimum cut-off scores, both GHQ-12 and EPDS yielded very good sensitivity (80; 85.5) and specificity (80.4; 85.3), respectively. ROC curves showed that the performance of the EPDS (AUC=0.933) is slightly superior to that of GHQ-12 (AUC=0.904).

CONCLUSION

Both GHQ-12 and EPDS are valid instruments to detect postnatal depression as well as postnatal anxiety and adjustment disorders.

Authors+Show Affiliations

Unit of Perinatal Psychiatry and Gender Research, Hospital Clínic Universitari de Barcelona, 08028 Barcelona, Spain. lesteve@clinic.ub.esNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Validation Study

Language

eng

PubMed ID

17189737

Citation

Navarro, Purificación, et al. "Postnatal Psychiatric Morbidity: a Validation Study of the GHQ-12 and the EPDS as Screening Tools." General Hospital Psychiatry, vol. 29, no. 1, 2007, pp. 1-7.
Navarro P, Ascaso C, Garcia-Esteve L, et al. Postnatal psychiatric morbidity: a validation study of the GHQ-12 and the EPDS as screening tools. Gen Hosp Psychiatry. 2007;29(1):1-7.
Navarro, P., Ascaso, C., Garcia-Esteve, L., Aguado, J., Torres, A., & Martín-Santos, R. (2007). Postnatal psychiatric morbidity: a validation study of the GHQ-12 and the EPDS as screening tools. General Hospital Psychiatry, 29(1), 1-7.
Navarro P, et al. Postnatal Psychiatric Morbidity: a Validation Study of the GHQ-12 and the EPDS as Screening Tools. Gen Hosp Psychiatry. 2007 Jan-Feb;29(1):1-7. PubMed PMID: 17189737.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postnatal psychiatric morbidity: a validation study of the GHQ-12 and the EPDS as screening tools. AU - Navarro,Purificación, AU - Ascaso,Carlos, AU - Garcia-Esteve,Lluïsa, AU - Aguado,Jaume, AU - Torres,Anna, AU - Martín-Santos,Rocío, PY - 2006/07/09/received PY - 2006/10/04/revised PY - 2006/10/04/accepted PY - 2006/12/27/pubmed PY - 2007/3/3/medline PY - 2006/12/27/entrez SP - 1 EP - 7 JF - General hospital psychiatry JO - Gen Hosp Psychiatry VL - 29 IS - 1 N2 - OBJECTIVE: To assess the validity of the 12-Item General Health Questionnaire (GHQ-12) and the Edinburgh Postnatal Depression Scale (EPDS) in screening for the most common postnatal psychiatric morbidities (mood, anxiety and adjustment disorders). METHOD: A two-phase cross-sectional study was designed. First, a sample of 1453 women visiting at 6 weeks postpartum completed the GHQ-12 and the EPDS questionnaires. Second, based upon EPDS outcomes, participants were stratified and randomly selected within each stratum for clinical evaluation [Structured Clinical Interview for DSM-IV (SCID)]. Receiver operating characteristic (ROC) analysis was used. RESULTS: The concurrent validity was satisfactory (0.80). At optimum cut-off scores, both GHQ-12 and EPDS yielded very good sensitivity (80; 85.5) and specificity (80.4; 85.3), respectively. ROC curves showed that the performance of the EPDS (AUC=0.933) is slightly superior to that of GHQ-12 (AUC=0.904). CONCLUSION: Both GHQ-12 and EPDS are valid instruments to detect postnatal depression as well as postnatal anxiety and adjustment disorders. SN - 0163-8343 UR - https://www.unboundmedicine.com/medline/citation/17189737/Postnatal_psychiatric_morbidity:_a_validation_study_of_the_GHQ_12_and_the_EPDS_as_screening_tools_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0163-8343(06)00176-9 DB - PRIME DP - Unbound Medicine ER -