Detecting Women at Risk for Postnatal Depression Using the Edinburgh Postnatal Depression Scale at 2 to 3 Days Postpartum

Teissèdre, F.; Chabrol, Henri

doi:10.1177/070674370404900108

Cited by 137 publications

(79 citation statements)

References 10 publications

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“…Consistent with previous research (3)(4)(5)(6)37), nearly 80% of women with elevated EPDS scores at 8 weeks postpartum also had elevated scores in the immediate postpartum period. The variables that differentiated the women with new-onset symptoms of depression from those with persistent symptoms were very similar to the variables identified in the previous analysis of true-and false-positive scores.…”

Section: Discussionsupporting

confidence: 88%

Depressive Symptomatology in the Immediate Postnatal Period: Identifying Maternal Characteristics Related to True- and False-Positive Screening Scores

Dennis

Ross

2006

Can J Psychiatry

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Objective: To determine whether true-and false-positive postnatal depression screening scores can be distinguished during the early postpartum period by examining characteristic differences between 2 groups: 1) women with depressive symptomatology at 1 week postpartum who continue to exhibit symptoms at 8 weeks postpartum, compared with those who do not; and 2) women with depressive symptomatology at 8 weeks postpartum who previously exhibited symptoms at 1 week postpartum, compared with those who did not. Method:As part of a longitudinal postpartum depression study, a population-based sample of 594 women completed mailed questionnaires at 1, 4, and 8 weeks postpartum.Results: Among women with depressive symptomatology at 1 week postpartum, diverse variables distinguished between those whose symptoms persisted or remitted at 8 weeks. These variables included recent immigrant status, psychiatric history, premenstrual symptoms, vulnerable personality, low self-esteem, child abuse history, and insufficient support. Variables that distinguished between women with depressive symptomatology at 8 weeks postpartum who previously exhibited symptoms at 1 week postpartum and those who did not included vulnerable personality, life stressors, perceived stress, insufficient support, and partner conflict. Conclusions:To address both the benefits and potential harms of early screening, positive screening scores on the Edinburgh Postnatal Depression Scale should also include an assessment of each individual woman's risk for postpartum depression and (or) chronic major depression. (Can J Psychiatry 2006;51:265-273) Information on funding and support and author affiliations appears at the end of the article. Clinical Implications· Health professionals should be aware of the high rate of false-positive scores likely to result when screening tools are administered during the immediate postpartum period. · Screening in the immediate postpartum period can identify most women with depressive symptoms at 8 weeks postpartum, possibly facilitating earlier receipt of care. · To address both the benefits and potential harms of early screening, positive screening scores obtained with the EPDS in the immediate postpartum period should also include an assessment of each individual woman's risk for postpartum depression and (or) chronic major depression. Limitations· Although the EPDS has established psychometric properties in screening for depression, no diagnostic measure of depression was administered in this study. · Although the study sample was diverse in relation to socioeconomic and educational levels, the number of ethnic minority and single mothers was reduced.

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Section: Discussionsupporting

confidence: 88%

Depressive Symptomatology in the Immediate Postnatal Period: Identifying Maternal Characteristics Related to True- and False-Positive Screening Scores

Dennis

Ross

2006

Can J Psychiatry

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“…As in other studies, our study has also found that immediate postpartum depressive symptoms on the continuous scale of EPDS overall correlates with the follow up scores [12][13]. The results are however, differed from a study that found a substantial drop in rates of depressive symptoms at eight weeks follow-up14.…”

Section: Discussionsupporting

confidence: 51%

“…The results are however, differed from a study that found a substantial drop in rates of depressive symptoms at eight weeks follow-up14. Similarly, a Canadian study suggests that only about 30 percent of those who have significant depressive symptoms at baseline continue to have high scores at four to six weeks of follow-up [13]. Though the women who followed up were similar to those who did not in many of the characteristics, selective follow-up of those remaining depressed cannot be ruled out.…”

Section: Discussionmentioning

confidence: 99%

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Factors predicting Postnatal Depression immediately after delivery and at 6 weeks : a study from a teaching hospital in southern India

Rajendiren¹,

Kattimani²,

Aswathi³

et al. 2014

IJMH

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“…As a matter of fact, MacMahon et al (2005) found that 60% of women identified as being depressed at 4 months are still clinically depressed 1 year after delivery. In the development of postpartum depression, the predictive power of maternal mood during the immediate postpartum period has consistently been reported (Hannan et al, 1992;Dennis, 2004;Teissedre & Chabrol, 2004). Hannan et al (1992) noted a significant correlation between the mother's affective state on the fifth day postpartum and at 6 weeks both measured using the Edinburgh Postnatal Depressive Scale (EPDS).…”

Section: Introductionmentioning

confidence: 95%

The behavior over time of postnatal depression symptomatology and its early detection via the Edinburgh Postnatal Depression Scale: An Italian longitudinal study

Cattaneo¹,

Roveraro²,

Chiorino³

et al. 2015

IJANS

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Background: Becoming a mother for the first time is a significant developmental transition and postpartum mood disorders represents the most frequent form of maternal morbidity following delivery.Objective: To investigate the ability of Edinburgh Postnatal Depression Scale (EPDS) to detect, in the first days postpartum, mothers at risk of developing depressive symptomatology over time.Results: The percentage of mothers with an EPDS score â‰¥10 decreases over time: 23.77% at 2/5 days postpartum, 15.57% at 2 months and 9.02% at 6 months after delivery. Among mothers with a depressive symptomatology after 2/5 days postpartum, 41.38% maintained an EPDS score â‰¥10 at 2 months too, while 20.69% of them manifested depressive symptoms at 6 months as well. Both correlation and linear regression showed a significant association between EPDS scores in all three administrations of the study but EPDS score at 2/5 days postpartum is more associated and predictive to maternal mood at two months than at six months postpartum.Method: A longitudinal study was conducting on 122 primiparous mothers who filled out EPDS and a General Information Questionnaire at 2/5 days postpartum, at 2/3 and 6/7 months after delivery. Women with high EPDS scores (â‰¥10) were compared to those who had scored <10 in all the three steps and longitudinal analysis were conducted.Conclusion: Implementing EPDS in the first week postpartum allows identifying women at high risk to maintain depressive symptoms over time. These findings could be useful for health care interventions after delivery and for researchers involved in the study of transcultural aspects of postnatal depression.

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Detecting Women at Risk for Postnatal Depression Using the Edinburgh Postnatal Depression Scale at 2 to 3 Days Postpartum

Abstract: The EPDS completed at 2 to 3 days postpartum is a useful means of detecting women at risk of postnatal depression.

Cited by 137 publications

References 10 publications

Depressive Symptomatology in the Immediate Postnatal Period: Identifying Maternal Characteristics Related to True- and False-Positive Screening Scores

Depressive Symptomatology in the Immediate Postnatal Period: Identifying Maternal Characteristics Related to True- and False-Positive Screening Scores

Factors predicting Postnatal Depression immediately after delivery and at 6 weeks : a study from a teaching hospital in southern India

The behavior over time of postnatal depression symptomatology and its early detection via the Edinburgh Postnatal Depression Scale: An Italian longitudinal study

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