Overestimation of Postpartum Depression Prevalence Based on a 5-item Version of the EPDS: Systematic Review and Individual Participant Data Meta-analysis

被引：13

作者：

Thombs, Brett D. ^{[1
,2
,3
,4
,5
,6
,7
]}

Levis, Brooke ^{[1
,2
,8
]}

Lyubenova, Anita ^{[1
]}

Neupane, Dipika ^{[1
,2
]}

Negeri, Zelalem ^{[1
,2
]}

Wu, Yin ^{[1
,2
,4
]}

Sun, Ying ^{[1
]}

He, Chen ^{[1
,2
]}

Krishnan, Ankur ^{[1
]}

Vigod, Simone N. ^{[9
]}

Bhandari, Parash Mani ^{[1
,2
]}

Imran, Mahrukh ^{[1
]}

Rice, Danielle B. ^{[1
,3
]}

Azar, Marleine ^{[1
,2
]}

Chiovitti, Matthew J. ^{[1
]}

Saadat, Nazanin ^{[1
]}

Riehm, Kira E. ^{[1
,10
]}

Boruff, Jill T. ^{[11
]}

Cuijpers, Pim ^{[12
]}

Gilbody, Simon ^{[13
]}

Ioannidis, John P. A. ^{[14
]}

Kloda, Lorie A. ^{[15
]}

Patten, Scott B. ^{[16
,17
,18
,19
]}

Shrier, Ian ^{[1
,2
,20
]}

Ziegelstein, Roy C. ^{[21
]}

Comeau, Liane ^{[22
]}

Mitchell, Nicholas D. ^{[23
,24
]}

Tonelli, Marcello ^{[25
]}

Barnes, Jacqueline ^{[26
]}

Beck, Cheryl Tatano ^{[27
]}

Bindt, Carola ^{[28
]}

Figueiredo, Barbara ^{[29
]}

Helle, Nadine ^{[28
]}

Howard, Louise M. ^{[30
,31
]}

Kohlhoff, Jane ^{[32
,33
,34
]}

Kozinszky, Zoltan ^{[35
]}

Leonardou, Angeliki A. ^{[36
]}

Rados, Sandra Nakic ^{[37
]}

Quispel, Chantal ^{[38
]}

Rochat, Tamsen J. ^{[39
,40
]}

Stein, Alan ^{[41
,42
]}

Stewart, Robert C. ^{[43
,44
]}

Tadinac, Meri ^{[45
]}

Tandon, S. Darius ^{[46
]}

Tendais, Iva ^{[29
]}

Toreki, Annamaria ^{[47
]}

Tran, Thach D. ^{[48
]}

Trevillion, Kylee ^{[30
]}

Turner, Katherine ^{[49
]}

Vega-Dienstmaier, Johann M. ^{[50
]}

机构：

[1] Jewish Gen Hosp, Lady Davis Inst Med Res, Montreal, PQ, Canada

[2] McGill Univ, Dept Epidemiol Biostat & Occupat Hlth, Montreal, PQ, Canada

[3] McGill Univ, Dept Psychol, Montreal, PQ, Canada

[4] McGill Univ, Dept Psychiat, Montreal, PQ, Canada

[5] McGill Univ, Dept Med, Montreal, PQ, Canada

[6] McGill Univ, Dept Educ & Counselling Psychol, Montreal, PQ, Canada

[7] McGill Univ, Biomed Eth Unit, Montreal, PQ, Canada

[8] Keele Univ, Sch Primary Community & Social Care, Ctr Prognosis Res, Keele, Staffs, England

[9] Univ Toronto, Womens Coll Hosp & Res Inst, Toronto, ON, Canada

[10] Johns Hopkins Univ, Dept Mental Hlth, Bloomberg Sch Publ Hlth, Baltimore, MD USA

[11] McGill Univ, Schulich Lib Phys Sci Life Sci & Engn, Montreal, PQ, Canada

[12] Vrije Univ Amsterdam, EMGO Inst, Dept Clin Neuro & Dev Psychol, Amsterdam, Netherlands

[13] Univ York, Hull York Med Sch, Dept Hlth Sci, York, N Yorkshire, England

[14] Stanford Univ, Dept Stat, Dept Biomed Data Sci, Dept Med,Dept Epidemiol Populat Hlth, Stanford, CA 94305 USA

[15] Concordia Univ, Lib, Montreal, PQ, Canada

[16] Univ Calgary, Dept Community Hlth Sci, Calgary, AB, Canada

[17] Univ Calgary, Dept Psychiat, Calgary, AB, Canada

[18] Univ Calgary, Mathison Ctr Mental Hlth Res & Educ, Calgary, AB, Canada

[19] Univ Calgary, Cuthbertson & Fischer Chair Pediat Mental Hlth, Calgary, AB, Canada

[20] McGill Univ, Dept Family Med, Montreal, PQ, Canada

[21] Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA

[22] Univ Montreal, Int Union Hlth Promot & Hlth Educ, Ecole Sante publ, Montreal, PQ, Canada

[23] Univ Alberta, Dept Psychiat, Edmonton, AB, Canada

[24] Alberta Hlth Serv, Edmonton, AB, Canada

[25] Univ Calgary, Dept Med, Calgary, AB, Canada

[26] Birkbeck Univ London, Dept Psychol Sci, London, England

[27] Univ Connecticut, Sch Nursing, Mansfield, CT USA

[28] Univ Med Ctr Hamburg Eppendorf, Dept Child & Adolescent Psychiat, Hamburg, Germany

[29] Univ Minho, Sch Psychol, Braga, Portugal

[30] Kings Coll London, Inst Psychiat Psychol & Neurosci, London, England

[31] South London & Maudsley NHS Fdn Trust, London, England

[32] Univ New South Wales, Sch Psychiat, Kensington, NSW, Australia

[33] Ingham Inst, Liverpool, Australia

[34] Karitane, Carramar, Australia

[35] Blekinge Hosp, Dept Obstet & Gynaecol, Karlskrona, Sweden

[36] Athens Univ, Dept Psychiat 1, Womens Mental Hlth Clin, Med Sch, Athens, Greece

[37] Catholic Univ Croatia, Dept Psychol, Zagreb, Croatia

[38] Albert Schweitzer Ziekenhuis, Dept Obstet & Gynaecol, Dordrecht, Netherlands

[39] Univ Witwatersrand, MRC Dev Pathways Hlth Res Unit, Fac Hlth Sci, Johannesburg, South Africa

[40] Human Sci Res Council, Human & Social Dev Program, Pretoria, South Africa

[41] Univ Oxford, Dept Psychiat, Oxford, England

[42] Univ Witwatersrand, Sch Publ Hlth, MRC Wits Rural Publ Hlth & Hlth Transit Res Unit, Fac Hlth Sci, Johannesburg, South Africa

[43] Univ Edinburgh, Div Psychiat, Edinburgh, Midlothian, Scotland

[44] Malawi Epidemiol & Intervent Res Unit MEIRU, Lilongwe, Malawi

[45] Univ Zagreb, Dept Psychol, Fac Humanities & Social Sci, Zagreb, Croatia

[46] Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA

[47] Univ Szeged, Dept Emergency, Szeged, Hungary

[48] Monash Univ, Sch Publ Hlth & Prevent Med, Melbourne, Vic, Australia

[49] San Paolo Hosp, Epilepsy Cter Child Neuropsychiat Unit, ASST Santi Paolo Carlo, Milan, Italy

[50] Univ Peruana Cayetano Heredia, Fac Med Alberto Hurtado, Lima, Peru

来源：

CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE | 2020年 / 65卷 / 12期

关键词：

epidemiology; evidence-based medicine; obstetrics and gynecology; psychiatry; statistics and research methods; POSTNATAL DEPRESSION; MENTAL-DISORDERS; SCREENING TOOLS; PERINATAL DEPRESSION; ANTENATAL DEPRESSION; MAJOR DEPRESSION; RISK-FACTOR; SCALE; VALIDATION; EPIDEMIOLOGY;

D O I：

10.1177/0706743720934959

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objective: The Maternal Mental Health in Canada, 2018/2019, survey reported that 18% of 7,085 mothers who recently gave birth reported "feelings consistent with postpartum depression" based on scores >= 7 on a 5-item version of the Edinburgh Postpartum Depression Scale (EPDS-5). The EPDS-5 was designed as a screening questionnaire, not to classify disorders or estimate prevalence; the extent to which EPDS-5 results reflect depression prevalence is unknown. We investigated EPDS-5 >= 7 performance relative to major depression prevalence based on a validated diagnostic interview, the Structured Clinical Interview for DSM (SCID). Methods: We searched Medline, Medline In-Process & Other Non-Indexed Citations, PsycINFO, and the Web of Science Core Collection through June 2016 for studies with data sets with item response data to calculate EPDS-5 scores and that used the SCID to ascertain depression status. We conducted an individual participant data meta-analysis to estimate pooled percentage of EPDS-5 >= 7, pooled SCID major depression prevalence, and the pooled difference in prevalence. Results: A total of 3,958 participants from 19 primary studies were included. Pooled prevalence of SCID major depression was 9.2% (95% confidence interval [CI] 6.0% to 13.7%), pooled percentage of participants with EPDS-5 >= 7 was 16.2% (95% CI 10.7% to 23.8%), and pooled difference was 8.0% (95% CI 2.9% to 13.2%). In the 19 included studies, mean and median ratios of EPDS-5 to SCID prevalence were 2.1 and 1.4 times. Conclusions: Prevalence estimated based on EPDS-5 >= 7 appears to be substantially higher than the prevalence of major depression. Validated diagnostic interviews should be used to establish prevalence.

引用

页码：835 / 844

页数：10

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