The Edinburgh Postnatal Depression Scale detects but does not distinguish anxiety disorders from depression in mothers of infants

被引:68
作者
Rowe, Heather J. [1 ]
Fisher, Jane R. W. [1 ]
Loh, Wai May [1 ]
机构
[1] Univ Melbourne, Key Ctr Womens Hlth Soc, Sch Populat Hlth, Melbourne, Vic 3010, Australia
关键词
anxiety; depression; Edinburgh Postnatal Depression Scale; diagnostic interview;
D O I
10.1007/s00737-008-0003-z
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Specific screening tests to detect postpartum anxiety are as yet unavailable. The aim of this study was to test the ability of the Edinburgh Postnatal Depression Scale (EPDS) to detect anxiety disorders in women admitted to residential early parenting centres. Consecutive cohorts of English speaking women admitted with their infants to two centres in Melbourne, Australia completed the Composite International Diagnostic Interview and the Edinburgh Postnatal Depression Scale (EPDS). Anxiety and depression diagnoses were compared with EPDS scores. Of the 145 women (78% recruitment rate), 138 (95%) provided complete data of whom 35 (25%) had at least one anxiety disorder. EPDS scores over 12 correctly identified 28 women (44%) as having major depression, either alone or co-morbid with an anxiety disorder but 10 (16%) had only an anxiety disorder and were not depressed. All of the 26 (41%) women with EPDS scores over 12 with neither diagnosis met diagnostic criteria for minor depression or an adjustment disorder. EPDS scores were unable to distinguish between these diagnostic groups. The presumption that EPDS scores over 12 indicate only probable depression is an oversimplification. Current national initiatives recommend that EPDS scores over 12 warrant treatment for depression, which may lead to inappropriate labeling and therapy.
引用
收藏
页码:103 / 108
页数:6
相关论文
共 50 条
  • [31] Does the Edinburgh Postnatal Depression Scale measure the same constructs across time?
    Nadia K. Cunningham
    Philippa M. Brown
    Andrew C. Page
    Archives of Women's Mental Health, 2015, 18 : 793 - 804
  • [32] Screening for postnatal depression - Validation of the Norwegian version of the Edinburgh Postnatal Depression Scale, and assessment of risk factors for postnatal depression
    Berle, JO
    Aarre, TF
    Mykletun, A
    Dahl, AA
    Holsten, F
    JOURNAL OF AFFECTIVE DISORDERS, 2003, 76 (1-3) : 151 - 156
  • [33] Reproducibility of the Edinburgh Postnatal Depression Scale during the Postpartum Period
    Ezirim, Nkechi
    Younes, Lena K.
    Barrett, Joel H.
    Kauffman, Robert P.
    Macleay, Katie J.
    Newton, Scott T.
    Tullar, Paul
    AMERICAN JOURNAL OF PERINATOLOGY, 2023, 40 (02) : 194 - 200
  • [34] Factor Structure of the Spanish Version of the Edinburgh Postnatal Depression Scale
    Gutierrez-Zotes, Alfonso
    Gallardo-Pujol, David
    Labad, Javier
    Martin-Santos, Rocio
    Garcia-Esteve, Luisa
    Gelabert, Estel
    Jover, Manuel
    Guillamat, Roser
    Mayoral, Fermin
    Gornemann, Isolde
    Canellas, Francesca
    Gratacos, Monica
    Guitart, Miriam
    Roca, Miguel
    Costas, Javier
    Luis Ivorra, Jose
    Navines, Ricard
    de Diego, Yolanda
    Vilella, Elisabet
    Sanjuan, Julio
    ACTAS ESPANOLAS DE PSIQUIATRIA, 2018, 46 (05): : 174 - 182
  • [35] Psychometric Properties for the Edinburgh Postnatal Depression Scale in an Argentinian Sample
    Alberto Lopez-Janer, Carlos
    Quiros, Pilar
    Cabestrero, Raul
    REVISTA IBEROAMERICANA DE DIAGNOSTICO Y EVALUACION-E AVALIACAO PSICOLOGICA, 2021, 4 (61): : 33 - 47
  • [36] Factor structure and internal consistency of Oriya version of Edinburgh Postnatal Depression Scale
    Priyambada, Krishna
    Bakhla, Ajay Kumar
    Pattojoshi, Amrit
    INDIAN JOURNAL OF PSYCHIATRY, 2020, 62 (03) : 312 - 315
  • [37] Validation of the anxiety subscale of the Spanish version of the Edinburgh Postnatal Depression Scale (EPDS-A)
    Goma, Marta
    Gordo, Leire
    Cozodoy, Eric
    Iriarte, Leire
    Prims, Emma
    Ferrer, Josep
    Sanchez, Carmen
    Llairo, Antonia
    Arias-Pujol, Eulalia
    FRONTIERS IN PSYCHIATRY, 2023, 14
  • [38] E-Screening for Prenatal Depression in Kampala, Uganda Using the Edinburgh Postnatal Depression Scale: Survey Results
    Namatovu, Hasifah Kasujja
    Magumba, Mark Abraham
    Akena, Dickens
    ONLINE JOURNAL OF PUBLIC HEALTH INFORMATICS, 2025, 17
  • [39] Can we identify mothers at risk for postpartum depression in the immediate postpartum period using the Edinburgh Postnatal Depression Scale?
    Dennis, CL
    JOURNAL OF AFFECTIVE DISORDERS, 2004, 78 (02) : 163 - 169
  • [40] The use of Edinburgh Postnatal Depression Scale to identify postnatal depression symptoms at well child visit
    Vincenzo Currò
    Emilia De Rosa
    Silvia Maulucci
    Maria Lucia Maulucci
    Maria Teresa Silvestri
    Annaluce Zambrano
    Vincenza Regine
    Italian Journal of Pediatrics, 35