Screening for postnatal depression in routine primary care: properties of the Edinburgh Postnatal Depression Scale in an Australian sample.
Aust N Z J Psychiatry
; 39(9): 833-9, 2005 Sep.
Article
en En
| MEDLINE
| ID: mdl-16168042
ABSTRACT
OBJECTIVES:
First, to explore the utility of the Edinburgh Postnatal Depression Scale (EPDS) in routine primary care through a large community screening program. Next, to compare administration of a second EPDS versus the Beck Depression Inventory (BDI) in identifying postnatal depression in the prescreened population.METHOD:
Screening with the EPDS through Maternal and Child Health Centres at 4 months post-partum. Women scoring > or = 12 were assessed against DSM-IV criteria and completed a BDI and a second EPDS. These data were subjected to receiver operating characteristic (ROC) analyses.RESULTS:
Of 4148 screened, 533 (12.8%) scored > or = 12. Of these, 344 were assessed against DSM-IV criteria 193 (56%) - major depressive disorder; 67 (20%) - other diagnoses that incorporated depression. Positive predictive value at screening was therefore 76%. Another 45 (13%) had non-depressive disorders and 39 (11%) were psychiatric non-cases. The BDI was the better diagnostic instrument in the prescreened population, having a significantly higher efficiency as quantified by ROC curve analysis, though the absolute difference in efficiency was small (approximately 6%).CONCLUSIONS:
Screening with the EPDS integrated well into routine primary care. Two-step screening offers one way of achieving acceptable balances of operational simplicity and diagnostic accuracy.
Buscar en Google
Bases de datos:
MEDLINE
Asunto principal:
Inventario de Personalidad
/
Tamizaje Masivo
/
Comparación Transcultural
/
Depresión Posparto
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Límite:
Adult
/
Female
/
Humans
/
Infant
/
Male
/
Newborn
País/Región como asunto:
Oceania
Idioma:
En
Revista:
Aust N Z J Psychiatry
Año:
2005
Tipo del documento:
Article
País de afiliación:
Australia