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Detecting postnatal depression in Chinese men: a comparison of three instruments.
Psychiatry Res. 2010 Dec 30; 180(2-3):80-5.PR

Abstract

Postnatal depression affects both men and women. The detection of postnatal depression is important, yet there are few validated screening tools on Chinese men. The goals of the present study were to compare the psychometric properties of the Edinburgh Postnatal Depression Scale (EPDS), the Beck Depression Inventory (BDI), and the Patient Health Questionnaire - Depression Module (PHQ-9) in screening for postnatal depression among Chinese fathers in Hong Kong. The prevalence of depression at 8 weeks postpartum was also estimated. A prospective cohort of 551 men completed the EPDS, BDI, and PHQ-9 at 8 weeks postpartum. Clinical diagnosis of depression was established with the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV), non-patient version (SCID-NP). The criterion validity of the instruments was evaluated against this clinical diagnosis. The EPDS was significantly more accurate than the BDI and PHQ-9 in detecting postnatal depression among Chinese men. With a cut-off score of 10 or more, the EPDS has a sensitivity of 91%, specificity of 97%, positive predictive value of 57%, and negative predictive value of 99%. Approximately 3.1% men met the DSM-IV criteria for depression at 8 weeks postpartum. The prevalence rate of postnatal depression in Chinese men is comparable to their Western counterparts. The Chinese EPDS is a valid instrument for detecting postnatal depression in men. It could be applied as a supplementary assessment tool in Chinese fathers who may be reluctant to disclose their depressive symptoms in face-to-face interviews.

Authors+Show Affiliations

Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong. pylai@cuhk.edu.hkNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

20493548

Citation

Lai, Beatrice P Y., et al. "Detecting Postnatal Depression in Chinese Men: a Comparison of Three Instruments." Psychiatry Research, vol. 180, no. 2-3, 2010, pp. 80-5.
Lai BP, Tang AK, Lee DT, et al. Detecting postnatal depression in Chinese men: a comparison of three instruments. Psychiatry Res. 2010;180(2-3):80-5.
Lai, B. P., Tang, A. K., Lee, D. T., Yip, A. S., & Chung, T. K. (2010). Detecting postnatal depression in Chinese men: a comparison of three instruments. Psychiatry Research, 180(2-3), 80-5. https://doi.org/10.1016/j.psychres.2009.07.015
Lai BP, et al. Detecting Postnatal Depression in Chinese Men: a Comparison of Three Instruments. Psychiatry Res. 2010 Dec 30;180(2-3):80-5. PubMed PMID: 20493548.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Detecting postnatal depression in Chinese men: a comparison of three instruments. AU - Lai,Beatrice P Y, AU - Tang,Alan K L, AU - Lee,Dominic T S, AU - Yip,Alexander S K, AU - Chung,Tony K H, Y1 - 2010/05/21/ PY - 2009/03/03/received PY - 2009/06/30/revised PY - 2009/07/15/accepted PY - 2010/5/25/entrez PY - 2010/5/25/pubmed PY - 2011/2/9/medline SP - 80 EP - 5 JF - Psychiatry research JO - Psychiatry Res VL - 180 IS - 2-3 N2 - Postnatal depression affects both men and women. The detection of postnatal depression is important, yet there are few validated screening tools on Chinese men. The goals of the present study were to compare the psychometric properties of the Edinburgh Postnatal Depression Scale (EPDS), the Beck Depression Inventory (BDI), and the Patient Health Questionnaire - Depression Module (PHQ-9) in screening for postnatal depression among Chinese fathers in Hong Kong. The prevalence of depression at 8 weeks postpartum was also estimated. A prospective cohort of 551 men completed the EPDS, BDI, and PHQ-9 at 8 weeks postpartum. Clinical diagnosis of depression was established with the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV), non-patient version (SCID-NP). The criterion validity of the instruments was evaluated against this clinical diagnosis. The EPDS was significantly more accurate than the BDI and PHQ-9 in detecting postnatal depression among Chinese men. With a cut-off score of 10 or more, the EPDS has a sensitivity of 91%, specificity of 97%, positive predictive value of 57%, and negative predictive value of 99%. Approximately 3.1% men met the DSM-IV criteria for depression at 8 weeks postpartum. The prevalence rate of postnatal depression in Chinese men is comparable to their Western counterparts. The Chinese EPDS is a valid instrument for detecting postnatal depression in men. It could be applied as a supplementary assessment tool in Chinese fathers who may be reluctant to disclose their depressive symptoms in face-to-face interviews. SN - 0165-1781 UR - https://www.unboundmedicine.com/medline/citation/20493548/Detecting_postnatal_depression_in_Chinese_men:_a_comparison_of_three_instruments_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-1781(09)00280-7 DB - PRIME DP - Unbound Medicine ER -