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Transient vs enduring distress in late pregnancy using the EPDS: a brief longitudinal exploratory study.
J Reprod Infant Psychol. 2019 11; 37(5):513-526.JR

Abstract

Background and

Objective:

The Edinburgh Postnatal Depression Scale (EPDS) is widely used to detect perinatal distress in women by one single administration. Recently, research has shown that during early pregnancy around half of the women scoring as 'possibly depressed' on the EPDS only have transient distress, when re-tested after few weeks. This finding may not occur if women are screened later in pregnancy, as their worries then may be more enduring; therefore an exploratory study was conducted to further investigate this issue.

Methods:

Pregnant women (N = 84) attending a public hospital in Italy completed the EPDS in their third trimester (x = 33 weeks) and again 8-42 days later (while still pregnant). They had not received professional mental health intervention in this time interval.

Results:

Approximately half of the women who initially scored high on the EPDS in late pregnancy no longer scored high just a few weeks later.

Conclusions:

Approximately half of women who initially score high on the EPDS when screened in pregnancy only have transient distress in both the second and third trimester. To label these women as being 'possibly depressed', and mixing them with women who show enduring distress, represents a possible weakness in research studies, and may also overburden clinical services. We would therefore recommend, as research and clinical practice, a second administration of the EPDS if a woman initially scores in the distressed range at any stage in pregnancy.

Authors+Show Affiliations

Department of Psychology, University of Bologna , Bologna , Italy.Infant, Child and Adolescent Mental Health Service, South Western Sydney Local Health District , Sydney , Australia. School of Psychology, University of Sydney , Sydney , Australia. School of Psychiatry, University of New South Wales , Sydney , Australia.Department of Psychology, University of Bologna , Bologna , Italy.Psychotherapist in private practice.Psychologist in private practice.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31096767

Citation

Agostini, Francesca, et al. "Transient Vs Enduring Distress in Late Pregnancy Using the EPDS: a Brief Longitudinal Exploratory Study." Journal of Reproductive and Infant Psychology, vol. 37, no. 5, 2019, pp. 513-526.
Agostini F, Matthey S, Minelli M, et al. Transient vs enduring distress in late pregnancy using the EPDS: a brief longitudinal exploratory study. J Reprod Infant Psychol. 2019;37(5):513-526.
Agostini, F., Matthey, S., Minelli, M., Dellabartola, S., & Bonapace, S. (2019). Transient vs enduring distress in late pregnancy using the EPDS: a brief longitudinal exploratory study. Journal of Reproductive and Infant Psychology, 37(5), 513-526. https://doi.org/10.1080/02646838.2019.1610730
Agostini F, et al. Transient Vs Enduring Distress in Late Pregnancy Using the EPDS: a Brief Longitudinal Exploratory Study. J Reprod Infant Psychol. 2019;37(5):513-526. PubMed PMID: 31096767.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transient vs enduring distress in late pregnancy using the EPDS: a brief longitudinal exploratory study. AU - Agostini,Francesca, AU - Matthey,Stephen, AU - Minelli,Marianna, AU - Dellabartola,Sara, AU - Bonapace,Silvia, Y1 - 2019/05/16/ PY - 2019/5/18/pubmed PY - 2020/6/5/medline PY - 2019/5/18/entrez KW - Edinburgh Postnatal Depression Scale KW - enduring distress KW - perinatal depression KW - pregnancy KW - transient distress SP - 513 EP - 526 JF - Journal of reproductive and infant psychology JO - J Reprod Infant Psychol VL - 37 IS - 5 N2 - Background and Objective: The Edinburgh Postnatal Depression Scale (EPDS) is widely used to detect perinatal distress in women by one single administration. Recently, research has shown that during early pregnancy around half of the women scoring as 'possibly depressed' on the EPDS only have transient distress, when re-tested after few weeks. This finding may not occur if women are screened later in pregnancy, as their worries then may be more enduring; therefore an exploratory study was conducted to further investigate this issue. Methods: Pregnant women (N = 84) attending a public hospital in Italy completed the EPDS in their third trimester (x = 33 weeks) and again 8-42 days later (while still pregnant). They had not received professional mental health intervention in this time interval. Results: Approximately half of the women who initially scored high on the EPDS in late pregnancy no longer scored high just a few weeks later. Conclusions: Approximately half of women who initially score high on the EPDS when screened in pregnancy only have transient distress in both the second and third trimester. To label these women as being 'possibly depressed', and mixing them with women who show enduring distress, represents a possible weakness in research studies, and may also overburden clinical services. We would therefore recommend, as research and clinical practice, a second administration of the EPDS if a woman initially scores in the distressed range at any stage in pregnancy. SN - 1469-672X UR - https://www.unboundmedicine.com/medline/citation/31096767/Transient_vs_enduring_distress_in_late_pregnancy_using_the_EPDS:_a_brief_longitudinal_exploratory_study_ L2 - http://www.diseaseinfosearch.org/result/5922 DB - PRIME DP - Unbound Medicine ER -