Using the Edinburgh Postnatal Depression Scale for women and men—some cautionary thoughts

被引:0
作者
Stephen Matthey
Francesca Agostini
机构
[1] University of Sydney and UNSW,South Western Sydney Local Health District
[2] University of Bologna,Department of Psychology
来源
Archives of Women's Mental Health | 2017年 / 20卷
关键词
Postnatal depression or distress; EPDS; Screening; Measurement;
D O I
暂无
中图分类号
学科分类号
摘要
The objective of the study was to critically consider some of the possible limitations in the Edinburgh Depression Scale (EDS), given that great emphasis is put on the results of this measure within both clinical and research fields. Using findings and discussion points from other studies, as well as from a critical analysis of issues by the authors based upon their clinical and research experience, possible limitations with the scale in nine areas are discussed. Possible limitations include the following: (1) ambiguous items, (2) exclusion of certain types of distress, (3) scoring difficulties, (4) low positive predictive value, (5) frequent use of incorrect cut-off scores, (6) a vast array of validated cut-off scores, (7) validation against a questionable gold-standard, (8) limited anxiety detection and of depressive symptoms in men, and (9) many screen positive women only have transient distress. While the EDS has unquestionably been an extremely valuable instrument in aiding in the recognition of the importance of perinatal mental health, users of the scale should be aware that it, like other measures, has limitations. We discuss possible strategies to overcome these limitations and describe a recent scale that has been developed to surmount these shortcomings more effectively.
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页码:345 / 354
页数:9
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