Symptomatology in 1,112 women screened positive and negative using the Edinburgh postnatal depression scale (EPDS): longitudinal observations from the first trimester to 6 weeks postpartum of a Chinese cohort
Purpose To compare the characteristics of depression-related symptoms identified by individual EPDS items in women who screened positive and negative, and to describe the occurrence of thoughts of self-harm in these women. Methods Based on a Chinese cohort of 1,112 women, scores on each EPDS item we...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-10-01
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| Series: | Journal of Psychosomatic Obstetrics and Gynecology |
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| Online Access: | http://dx.doi.org/10.1080/0167482X.2022.2052845 |
| _version_ | 1827818629297602560 |
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| author | Lu Liu Dong (Roman) Xu Yongsheng Tong Jingcheng Shi Zhen Zeng Wenjie Gong |
| author_facet | Lu Liu Dong (Roman) Xu Yongsheng Tong Jingcheng Shi Zhen Zeng Wenjie Gong |
| author_sort | Lu Liu |
| collection | DOAJ |
| description | Purpose To compare the characteristics of depression-related symptoms identified by individual EPDS items in women who screened positive and negative, and to describe the occurrence of thoughts of self-harm in these women. Methods Based on a Chinese cohort of 1,112 women, scores on each EPDS item were analyzed at 7 time points from the first trimester to 6 weeks postpartum. Scores greater than 0 indicated the presence of symptoms, and higher scores indicated more severe symptoms. We defined the most frequent, serious and important symptoms for screening-positive and screening-negative groups as the item with the highest proportion of respondents scoring 1 or higher, highest proportion scoring 3, and highest average score, respectively. Results In screened positive women the most frequent symptom was feeling sad or miserable, and the most serious and important symptoms were both sleeping problems. Among those screened negative, self-blame was the most frequent, serious and important item. For women who screened positive in the first trimester, only self-blame and feeling overwhelmed showed stability over time. Symptoms in women screened negative were relatively stable. Four in ten women who had self-harm thoughts were screened negative. Conclusion Women who screened positive in EPDS differed from those screened negative in the characteristics in depressive symptoms. Intervention strategies focusing on the most frequent, serious and important symptoms (such as sadness and insomnia) may be worthwhile. Health practitioners should be trained to respond to a positive response to thoughts of self-harm, regardless of whether the women are screened positive or negative. |
| first_indexed | 2024-03-12T00:56:39Z |
| format | Article |
| id | doaj.art-e45bf07a9f2348158caee0faf12a814f |
| institution | Directory Open Access Journal |
| issn | 0167-482X 1743-8942 |
| language | English |
| last_indexed | 2024-03-12T00:56:39Z |
| publishDate | 2022-10-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Psychosomatic Obstetrics and Gynecology |
| spelling | doaj.art-e45bf07a9f2348158caee0faf12a814f2023-09-14T12:44:02ZengTaylor & Francis GroupJournal of Psychosomatic Obstetrics and Gynecology0167-482X1743-89422022-10-0143445346310.1080/0167482X.2022.20528452052845Symptomatology in 1,112 women screened positive and negative using the Edinburgh postnatal depression scale (EPDS): longitudinal observations from the first trimester to 6 weeks postpartum of a Chinese cohortLu Liu0Dong (Roman) Xu1Yongsheng Tong2Jingcheng Shi3Zhen Zeng4Wenjie Gong5HER Team and Department of Maternal and Child Health, Xiangya School of Public Health, Central South UniversitySchool of Health Management, Southern Medical UniversityBeijing Huilongguan HospitalDepartment of Epidemiology and Health Statistics, XiangYa School of Public Health, Central South UniversityHER Team and Department of Maternal and Child Health, Xiangya School of Public Health, Central South UniversityHER Team and Department of Maternal and Child Health, Xiangya School of Public Health, Central South UniversityPurpose To compare the characteristics of depression-related symptoms identified by individual EPDS items in women who screened positive and negative, and to describe the occurrence of thoughts of self-harm in these women. Methods Based on a Chinese cohort of 1,112 women, scores on each EPDS item were analyzed at 7 time points from the first trimester to 6 weeks postpartum. Scores greater than 0 indicated the presence of symptoms, and higher scores indicated more severe symptoms. We defined the most frequent, serious and important symptoms for screening-positive and screening-negative groups as the item with the highest proportion of respondents scoring 1 or higher, highest proportion scoring 3, and highest average score, respectively. Results In screened positive women the most frequent symptom was feeling sad or miserable, and the most serious and important symptoms were both sleeping problems. Among those screened negative, self-blame was the most frequent, serious and important item. For women who screened positive in the first trimester, only self-blame and feeling overwhelmed showed stability over time. Symptoms in women screened negative were relatively stable. Four in ten women who had self-harm thoughts were screened negative. Conclusion Women who screened positive in EPDS differed from those screened negative in the characteristics in depressive symptoms. Intervention strategies focusing on the most frequent, serious and important symptoms (such as sadness and insomnia) may be worthwhile. Health practitioners should be trained to respond to a positive response to thoughts of self-harm, regardless of whether the women are screened positive or negative.http://dx.doi.org/10.1080/0167482X.2022.2052845epdsdepression screeningmaternal mental healthsymptomatologyperinatal depression |
| spellingShingle | Lu Liu Dong (Roman) Xu Yongsheng Tong Jingcheng Shi Zhen Zeng Wenjie Gong Symptomatology in 1,112 women screened positive and negative using the Edinburgh postnatal depression scale (EPDS): longitudinal observations from the first trimester to 6 weeks postpartum of a Chinese cohort Journal of Psychosomatic Obstetrics and Gynecology epds depression screening maternal mental health symptomatology perinatal depression |
| title | Symptomatology in 1,112 women screened positive and negative using the Edinburgh postnatal depression scale (EPDS): longitudinal observations from the first trimester to 6 weeks postpartum of a Chinese cohort |
| title_full | Symptomatology in 1,112 women screened positive and negative using the Edinburgh postnatal depression scale (EPDS): longitudinal observations from the first trimester to 6 weeks postpartum of a Chinese cohort |
| title_fullStr | Symptomatology in 1,112 women screened positive and negative using the Edinburgh postnatal depression scale (EPDS): longitudinal observations from the first trimester to 6 weeks postpartum of a Chinese cohort |
| title_full_unstemmed | Symptomatology in 1,112 women screened positive and negative using the Edinburgh postnatal depression scale (EPDS): longitudinal observations from the first trimester to 6 weeks postpartum of a Chinese cohort |
| title_short | Symptomatology in 1,112 women screened positive and negative using the Edinburgh postnatal depression scale (EPDS): longitudinal observations from the first trimester to 6 weeks postpartum of a Chinese cohort |
| title_sort | symptomatology in 1 112 women screened positive and negative using the edinburgh postnatal depression scale epds longitudinal observations from the first trimester to 6 weeks postpartum of a chinese cohort |
| topic | epds depression screening maternal mental health symptomatology perinatal depression |
| url | http://dx.doi.org/10.1080/0167482X.2022.2052845 |
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