Development and validation of a three-item version of the Edinburgh Postnatal Depression Scale.
J Clin Psychol
; 76(12): 2198-2211, 2020 12.
Article
in En
| MEDLINE
| ID: mdl-32810313
ABSTRACT
OBJECTIVE:
To develop and validate a brief screening instrument for postpartum depression in resource-constrained primary care settings.METHOD:
Secondary data analysis of a cohort of 305 mothers (Mdnage = 26) attending well-child check-ups in six primary care centers in Santiago, Chile, answered the Edinburgh Postnatal Depression Scale (EPDS), the 36-Item Short Form Health Survey, and the Mini International Neuropsychiatric Interview depression module. A predictive model for postpartum depression was built using logistic and least absolute shrinkage and selection operator regressions, with bootstrap validation.RESULTS:
A three-item version of the EPDS exhibited excellent discriminative capacity (c statistic = 0.95) and showed no significant differences versus the full version of the EPDS (χ2 (1) = 1.75, p = .187). The best trade-off between sensitivity (92.86%) and specificity (86.70%) was achieved at a cut-off score of 8/9.CONCLUSIONS:
The three-item version of the EPDS can save clinicians valuable time, which might potentially improve communication of results to patients.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Psychiatric Status Rating Scales
/
Mass Screening
/
Depression, Postpartum
/
Mothers
Type of study:
Prognostic_studies
/
Qualitative_research
/
Screening_studies
Limits:
Adult
/
Female
/
Humans
Country/Region as subject:
America do sul
/
Chile
Language:
En
Year:
2020
Type:
Article