The Simplified Edinburgh Postnatal Depression Scale (EPDS) for Antenatal Depression: Is It a Valid Measure for Pre-Screening?

<p>The identification of antenatal depression is critical but poorly conducted. The aim of this study was to construct a simplified depression survey scale and to verify its efficacy as a pre-screening for antenatal depression. A total of 494 pregnant women in the third trimester of gestation...

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Main Author: Sea Kyung Choi, Jung Jin Kim, Yong Gyu Park, Hyun Sun Ko, In Yang Park, Jong Chul Shin
Format: Article
Language:English
Published: Ivyspring International Publisher 2012-01-01
Series:International Journal of Medical Sciences
Online Access:http://www.medsci.org/v09p0040.htm
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author Sea Kyung Choi, Jung Jin Kim, Yong Gyu Park, Hyun Sun Ko, In Yang Park, Jong Chul Shin
author_facet Sea Kyung Choi, Jung Jin Kim, Yong Gyu Park, Hyun Sun Ko, In Yang Park, Jong Chul Shin
author_sort Sea Kyung Choi, Jung Jin Kim, Yong Gyu Park, Hyun Sun Ko, In Yang Park, Jong Chul Shin
collection DOAJ
description <p>The identification of antenatal depression is critical but poorly conducted. The aim of this study was to construct a simplified depression survey scale and to verify its efficacy as a pre-screening for antenatal depression. A total of 494 pregnant women in the third trimester of gestation who had received antenatal care at Seoul St. Mary's Hospital from July 2009 to June 2010 were included. The Edinburgh Postnatal Depression Scale (EPDS) questionnaire was completed by them. The subjects were randomly divided into two groups: 250 of training set and 244 of validation set. We designed a simplified questionnaire comprising two items of EPDS using the training set. We then validated its efficacy with the training set and reaffirmed the results with the validation set. The sum of item 5 (scare or panic) and item 8 (sadness or misery) explained 75.5% of the total score of the EPDS (AUC = 0.947). Using a score of 3 as a cut-off value of the simplified scale, sensitivity was 92.4% and specificity was 86.3%. The positive and negative predictive values were 56.2% and 98.4%, retrospectively. This study suggests that the simplified EPDS can be an efficient instrument to rule out depression during pregnancy.</p>
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spelling doaj.art-676bfd9dbb4343dfbbac6e8b9617525a2022-12-21T19:40:56ZengIvyspring International PublisherInternational Journal of Medical Sciences1449-19072012-01-01914046The Simplified Edinburgh Postnatal Depression Scale (EPDS) for Antenatal Depression: Is It a Valid Measure for Pre-Screening?Sea Kyung Choi, Jung Jin Kim, Yong Gyu Park, Hyun Sun Ko, In Yang Park, Jong Chul Shin<p>The identification of antenatal depression is critical but poorly conducted. The aim of this study was to construct a simplified depression survey scale and to verify its efficacy as a pre-screening for antenatal depression. A total of 494 pregnant women in the third trimester of gestation who had received antenatal care at Seoul St. Mary's Hospital from July 2009 to June 2010 were included. The Edinburgh Postnatal Depression Scale (EPDS) questionnaire was completed by them. The subjects were randomly divided into two groups: 250 of training set and 244 of validation set. We designed a simplified questionnaire comprising two items of EPDS using the training set. We then validated its efficacy with the training set and reaffirmed the results with the validation set. The sum of item 5 (scare or panic) and item 8 (sadness or misery) explained 75.5% of the total score of the EPDS (AUC = 0.947). Using a score of 3 as a cut-off value of the simplified scale, sensitivity was 92.4% and specificity was 86.3%. The positive and negative predictive values were 56.2% and 98.4%, retrospectively. This study suggests that the simplified EPDS can be an efficient instrument to rule out depression during pregnancy.</p>http://www.medsci.org/v09p0040.htm
spellingShingle Sea Kyung Choi, Jung Jin Kim, Yong Gyu Park, Hyun Sun Ko, In Yang Park, Jong Chul Shin
The Simplified Edinburgh Postnatal Depression Scale (EPDS) for Antenatal Depression: Is It a Valid Measure for Pre-Screening?
International Journal of Medical Sciences
title The Simplified Edinburgh Postnatal Depression Scale (EPDS) for Antenatal Depression: Is It a Valid Measure for Pre-Screening?
title_full The Simplified Edinburgh Postnatal Depression Scale (EPDS) for Antenatal Depression: Is It a Valid Measure for Pre-Screening?
title_fullStr The Simplified Edinburgh Postnatal Depression Scale (EPDS) for Antenatal Depression: Is It a Valid Measure for Pre-Screening?
title_full_unstemmed The Simplified Edinburgh Postnatal Depression Scale (EPDS) for Antenatal Depression: Is It a Valid Measure for Pre-Screening?
title_short The Simplified Edinburgh Postnatal Depression Scale (EPDS) for Antenatal Depression: Is It a Valid Measure for Pre-Screening?
title_sort simplified edinburgh postnatal depression scale epds for antenatal depression is it a valid measure for pre screening
url http://www.medsci.org/v09p0040.htm
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