Translation and factor analysis of structural models of Edinburgh Postnatal Depression Scale in Serbian pregnant and postpartum women – Web-based study

Odalović, Marina; Tadić, Ivana; Lakic, Dragana; Nordeng, Hedvig; Lupattelli, Angela; Tasić, Ljiljana

doi:10.1016/j.wombi.2015.01.014

Cited by 21 publications

(17 citation statements)

References 24 publications

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“…Given the multicultural and linguistically diverse context of the area, the EPDS was administered to non-English speaking mothers through qualified interpreters. The EPDS has been translated and validated in a number of non-English speaking contexts [44], including studies of Iranian [45, 46], Bangladeshi [47, 48], Chinese [49], Serbian [50], and Greek women [51]. This population is part of the multi-cultural community in the study cohort.…”

Section: Methodsmentioning

confidence: 99%

The Impact of Antenatal Depression on Perinatal Outcomes in Australian Women

et al. 2017

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BackgroundIn Australia, there is limited evidence on the impact of antenatal depression on perinatal outcomes. This study investigates the association between maternal depressive symptoms during pregnancy and key perinatal outcomes, including birth weight, gestational age at birth, breastfeeding indicators and postnatal depressive symptoms.MethodA retrospective cohort of mothers (N = 17,564) of all infants born in public health facilities within South Western Sydney Local Health District and Sydney Local Health District in 2014, in the state of New South Wales (NSW), Australia, was enumerated from routinely collected antenatal data to investigate the risk of adverse perinatal outcomes associated with maternal depressive symptoms during pregnancy. Antenatal depressive symptoms were measured using the Edinburgh Postnatal Depression Scale (EPDS). Logistic regression models that adjusted for confounders were conducted to determine associations between antenatal depressive symptoms and low birth weight, early gestational age at birth (<37 weeks), breast feeding indicators and postnatal depressive symptoms.ResultsThe prevalence of maternal depressive symptoms during pregnancy was 7.0% in the cohort, and was significantly associated with postnatal depressive symptoms [Adjusted Odd Ratios (AOR) = 6.4, 95% CI: 4.8–8.7, P<0.001]. Antenatal depressive symptoms was associated with a higher odds of low birth weight [AOR = 1.7, 95% CI: 1.2–2.3, P = 0.003] and a gestational age at birth of <37 weeks [AOR = 1.3, 95% CI: 1.1–1.7, P = 0.018] compared to women who reported lower EPDS scores in antenatal period. Antenatal depressive symptoms were not strongly associated with non-exclusive breast feeding in the early postnatal period.ConclusionMaternal depressive symptoms in the antenatal period are strongly associated with postnatal depressive symptoms and adverse perinatal outcomes in Australian infants. Early identification of antenatal and postnatal depressive symptoms, and referral for appropriate management could benefit not only the mother’s mental health, but also the infant’s health and development.

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Section: Methodsmentioning

confidence: 99%

The Impact of Antenatal Depression on Perinatal Outcomes in Australian Women

et al. 2017

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“…The 10-item Edinburgh Postpartum Depression Scale (EPDS) (Cox et al 1987) is the most widely used self-report measure for the assessment of PPD across diverse racial/ethnic and cultural groups including African Americans and Hispanics (Gibson et al 2009; Hartley et al 2014; Howell et al 2012; Lau et al 2010; Lee King 2012; Montazeri et al 2007; Odalovic et al 2015; Okano et al 1996; Pop et al 1992; Small et al 2007; Toreki et al 2014; Vivilaki et al 2009). Although Cox et al (1987) originally designed the EPDS as a one-dimensional measurement tool, the recognition that depressive symptoms can be differentially experienced across cultural and racial/ethnic groups has led to studies examining structural equivalence of the measure in different populations using factor analysis (Cunningham et al 2015; Reichenheim et al 2011).…”

Section: Introductionmentioning

confidence: 99%

Subconstructs of the Edinburgh Postnatal Depression Scale in a multi-ethnic inner-city population in the U.S.

Chiu

Sheffield

Hsu

et al. 2017

Arch Womens Ment Health

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The 10-item Edinburgh Postpartum Depression Scale (EPDS) is the most widely used self-report measure of postpartum depression. Although originally described as a one-dimensional measure, the recognition that depressive symptoms may be differentially experienced across cultural and racial/ethnic groups has led to studies examining structural equivalence of the EPDS in different populations. Variation of the factor structure remains understudied across racial/ethnic groups of U.S. women. We examined the factor structure of the EPDS assessed 6 months postpartum in 515 women (29% Black, 53% Hispanic, 18% White) enrolled in an urban Boston longitudinal birth cohort. Exploratory factor analysis (EFA) identified that a three-factor model, including depression, anxiety, and anhedonia subscales, was the most optimal fit in our sample as a whole and across race/ethnicity. Confirmatory factor analysis (CFA) was used to examine the fit of both the two- and three-factor models reported in prior research. CFA confirmed the best fit for a three-factor model, with minimal differences across race/ethnicity. “Things get on top of me” loaded on the anxiety factor among Hispanics, but loaded on the depression factor in Whites and African Americans. These findings suggest that EPDS factor structure may need to be adjusted for diverse samples and warrants further study.

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“…With the development of EPDS, it has been validated and used in many countries [ 4 , 34 , 35 , 37 , 38 ]. The sensitivity observed in the validation studies presented variations ranging from 65 to 100 %, while the specificity with 49–100 % in range with different cut-off points [ 4 , 34 , 35 , 37 , 39 , 40 ].…”

Section: Introductionmentioning

confidence: 99%

Validating the Edinburgh Postnatal Depression Scale as a screening tool for postpartum depression in Kathmandu, Nepal

Bhusal

Bhandari

Chapagai

et al. 2016

Int J Ment Health Syst

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BackgroundEdinburgh Postnatal Depression Scale (EPDS) is considered well accepted screening tool for postpartum depression (PPD). The objective of the study was to validate the EPDS as a screening tool for postpartum depression in Kathmandu, Nepal.MethodsA hospital based cross sectional study using EPDS was conducted among 346 mothers between 4 and 14 weeks of postpartum period. All the participants were examined by psychiatrist for possible clinical PPD diagnosis using International Classification of Disease tenth revision (ICD-10). Sensitivity, specificity, positive predictive value and negative predictive value were calculated for validation of EPDS. The best cut off point for Nepalese version of EPDS was identified and area of the receiver operating characteristics curve was calculated.ResultsThe overall prevalence of PPD was 17.1 %.The sensitivity, specificity, positive predictive value and negative predictive value of the Nepalese version EPDS was found to be 92, 95.6, 77 and 99.3 % respectively. The best cut-off point of EPDS for screening of PPD was found to be 12/13 and the area of the curve was 0.98 (95 % CI 0.970–0.994, p = 0.001).ConclusionsThe prevalence of PPD is not that far from the previous studies of Nepal. Nepali version of EPDS was acceptable and the study demonstrates good validity, thus EPDS can be used as valid screening tool for PPD for early detection, prompt treatment and to prevent possible consequences.

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Translation and factor analysis of structural models of Edinburgh Postnatal Depression Scale in Serbian pregnant and postpartum women – Web-based study

Cited by 21 publications

References 24 publications

The Impact of Antenatal Depression on Perinatal Outcomes in Australian Women

The Impact of Antenatal Depression on Perinatal Outcomes in Australian Women

Subconstructs of the Edinburgh Postnatal Depression Scale in a multi-ethnic inner-city population in the U.S.

Validating the Edinburgh Postnatal Depression Scale as a screening tool for postpartum depression in Kathmandu, Nepal

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