TITLE

The Edinburgh Postnatal Depression Scale: translation and validation for a Greek sample

AUTHOR(S)
Vivilaki, Victoria G.; Dafermos, Vassilis; Kogevinas, Manolis; Bitsios, Panos; Lionis, Christos
PUB. DATE
January 2009
SOURCE
BMC Public Health;2009, Vol. 9, p329
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Edinburgh Postnatal Depression Scale (EPDS) is an important screening instrument that is used routinely with mothers during the postpartum period for early identification of postnatal depression. The purpose of this study was to validate the Greek version of EPDS along with sensitivity, specificity and predictive values. Methods: 120 mothers within 12 weeks postpartum were recruited from the perinatal care registers of the Maternity Departments of 4 Hospitals of Heraklion municipality, Greece. EPDS and Beck Depression Inventory-II (BDI-II) surveys were administered in random order to the mothers. Each mother was diagnosed with depression according to the validated Greek version of BDI-II. The psychometric measurements that were performed included: two independent samples t-tests, One-way analysis of variance (ANOVA), reliability coefficients, Explanatory factor analysis using a Varimax rotation and Principal Components Method. Confirmatory analysis -known as structural equation modelling- of principal components was conducted by LISREL (Linear Structural Relations). A receiver operating characteristic (ROC) analysis was carried out to evaluate the global functioning of the scale. Results: 8 (6.7%) of the mothers were diagnosed with major postnatal depression, 14 (11.7%) with moderate and 38 (31.7%) with mild depression on the basis of BDI-II scores. The internal consistency of the EPDS Greek version -using Chronbach's alpha coefficient- was found 0.804 and that of Guttman splithalf coefficient 0.742. Our findings confirm the multidimensionality of EPDS, demonstrating a two-factor structure which contained subscales reflecting depressive symptoms and anxiety. The Confirmatory Factor analysis demonstrated that the two factor model offered a very good fit to our data. The area under ROC curve AUC was found 0.7470 and the logistic estimate for the threshold score of 8/9 fitted the model sensitivity at 76.7% and model specificity at 68.3%. Conclusion: Our data confirm the validity of the Greek version of the EPDS in identifying postnatal depression. The Greek EPDS scale could be used as a useful instrument in both clinical practice and research.
ACCESSION #
45197460

 

Related Articles

  • Detecting postnatal depression in Chinese women. Lee, D. T. S.; Yip, S. K.; Chiu, H. F. K.; Leung, T. Y. S.; Chan, K. P. M.; Chau, I. O. L.; Leung, H. C. M.; Chung, T. K. H. // British Journal of Psychiatry;May98, Vol. 172, p433 

    Background We evaluated the utility of the Chinese version of the Edinburgh Postnatal Depression Scale (EPDS) and measured the prevalence of major depression six weeks after confinement among Chinese women in Hong Kong. Method A prospective cohort of 145 women completed the EPDS, the 12-item...

  • Face-to-face interviews find more postnatal depression. Tanday, Sanjay // GP: General Practitioner;4/11/2008, p14 

    The article reports on the advantage of face-to-face interviews over the Edinburgh Postnatal Depression Scale (EPDS) in diagnosing postnatal depression in Great Britain. A research found that the EPDS method missed 65% of cases of postnatal depression. Researchers added that a brief...

  • Symptoms of maternal depression immediately after delivery predict unsuccessful breast feeding. Gagliardi, Luigi; Petrozzi, Angela; Rusconi, Franca // Archives of Disease in Childhood;Apr2012, Vol. 97 Issue 4, p355 

    Objective Postnatal depression may interfere with breast feeding. This study tested the ability of the Edinburgh Postnatal Depression Scale (EPDS) to predict later breast feeding problems, hypothesising that risk of unsuccessful breast feeding increased with increasing EPDS scores, even at low...

  • The Use of Rating Scales to Identify Post-natal Depression. Harris, Brian; Huckle, Philip; Thomas, Roger; Johns, Sandra; Fung, Hedi // British Journal of Psychiatry;Jun89, Vol. 154, p813 

    One hundred and forty-seven mothers were screened for major depression at six to eight weeks post-partum. Using predetermined cut-off points, the Edinburgh Postnatal Depression Scale and the Beck scale were compared in their abilities to identify the 15% of subjects who had major depression...

  • Postnatal depression. Chew-Graham, Carolyn // GP: General Practitioner;10/17/2008, p30 

    The article offers information on the implication of postnatal depression among women in Great Britain. It affects 8-15 percent of women, which can result in long-term adverse consequences for maternal mood and infant development. It is disadvantageous because it can affect relationships and...

  • The Effect of a Pamphlet on Women's Experiences of Postpartum Depression. Sealy, Patricia A.; Simpson, Joanne P.; Evans, Marilyn K. // Canadian Journal of Community Mental Health;Mar2009, Vol. 28 Issue 1, p113 

    A randomized controlled trial was used to test the effect of an educational pamphlet mailed at 4-weeks postpartum to women who were at low risk of postpartum depression (n = 256). Based on telephone interviews at 3-months postpartum, women in the intervention group scored significantly lower on...

  • Postnatal depression and elation among mothers and their partners: prevalence and predictors. Lane, A.; Keville, R.; Morris, M.; Kinsella, A.; Turner, M.; Barry, S. // British Journal of Psychiatry;Dec97, Vol. 171, p550 

    Background Correlates and predictor of mood disturbance at 3 days and 6 week postpartum were assessed in Irish mother and their partners Method The Edinburgh Postnatal Depression Scale (EPDS)and the Highs Scale were used to assess 370 mothers and their partners. Socio-demographic, clinical and...

  • A partner-rating scale of postpartum depression: The Edinburgh Postnatal Depression Scale — Partner (EPDS-P). Moran, T. E.; O'Hara, M. W. // Archives of Women's Mental Health;Jul2006, Vol. 9 Issue 4, p173 

    Partners could be useful as informants of postpartum women’s depressive symptoms; however, currently no partner-ratings exist. The Edinburgh Postnatal Depression Scale – Partner (EPDS-P) is a 10-item measure adapted from the Edinburgh Postnatal Depression Scale (EPDS). The EPDS-P...

  • Screening for postpartum depression with the Edinburgh Postnatal Depression Scale (EPDS): An ethical analysis. Krantz, Ingela; Eriksson, Bo; Lundquist-Persson, Cristina; Ahlberg, Beth Maina; Nilstun, Tore // Scandinavian Journal of Public Health;Mar2008, Vol. 36 Issue 2, p12 

    Aims: To assess the Edinburgh Postnatal Depression Scale (EPDS), a self-administered questionnaire created to screen for symptoms of postpartum depression in the community, from an epidemiological and ethical perspective. Screening, as the practice of investigating apparently healthy individuals...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics