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Generating an efficient version of the Edinburgh Postnatal Depression Scale in an urban obstetrical population.
Gollan, Jackie K; Wisniewski, Stephen R; Luther, James F; Eng, Heather F; Dills, John Louis; Sit, Dorothy; Ciolino, Jody D; Wisner, Katherine L.
Afiliación
  • Gollan JK; Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, 676 North St Clair Street, Suite 1000, Chicago, IL 60611 USA. Electronic address: j-gollan@northwestern.edu.
  • Wisniewski SR; Epidemiology Data Center, Graduate School of Public Health, University of Pittsburgh, 127 Parran Hall, 130 DeSoto Street, Pittsburgh, PA 15261, USA. Electronic address: wisniew@edc.pitt.edu.
  • Luther JF; Epidemiology Data Center, Graduate School of Public Health, University of Pittsburgh, 127 Parran Hall, 130 DeSoto Street, Pittsburgh, PA 15261, USA. Electronic address: luterhj@edc.pitt.edu.
  • Eng HF; Epidemiology Data Center, Graduate School of Public Health, University of Pittsburgh, 127 Parran Hall, 130 DeSoto Street, Pittsburgh, PA 15261, USA. Electronic address: eng@edc.pitt.edu.
  • Dills JL; Epidemiology Data Center, Graduate School of Public Health, University of Pittsburgh, 127 Parran Hall, 130 DeSoto Street, Pittsburgh, PA 15261, USA. Electronic address: jldills@gmail.com.
  • Sit D; Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, 676 North St Clair Street, Suite 1000, Chicago, IL 60611 USA. Electronic address: Dorothy.sit@northwestern.edu.
  • Ciolino JD; Department of Preventive Medicine-Biostatistics, Northwestern University Feinberg School of Medicine, 680 N Lake Shore Drive, Suite 1400, Chicago, IL 60611 USA. Electronic address: jody.ciolino@northwestern.edu.
  • Wisner KL; Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, 676 North St Clair Street, Suite 1000, Chicago, IL 60611 USA. Electronic address: Katherine.wisner@northwestern.edu.
J Affect Disord ; 208: 615-620, 2017 Jan 15.
Article en En | MEDLINE | ID: mdl-27823853
BACKGROUND: Postpartum depression incurs significant burden and suffering. METHODS: We investigated the latent structure of the most commonly used screening measure, the Edinburgh Postnatal Depression Scale (EPDS) in women (N=15,172) and tested its predictive validity for the diagnosis of depression as determined with a structured clinical interview. Exploratory and confirmatory factor analyses, Receiver Operating Characteristic curves, and logistic regression analyses were conducted. RESULTS: A seven-item one factor scale (items 1, 2, 6, 7, 8, 9, 10) emerged with a Goodness of Index Fit Index (GFI) =.96, relative to the ten-item two factor version of the EPDS (GFI =.94). The seven-item EPDS achieved good sensitivity and specificity in predicting the 10-item EPDS, with a cut point score of 4 on the seven item EPDS to predict a 10-item EPDS score of 10 or more (sensitivity =95%, specificity =91%). The seven and 10-item EPDS showed a similar ability to predict a diagnoses of depression (area under the ROC curve=.795 for the 10-item, .770 for the seven-item EPDS). Logistic regression analyses showed similar predictive ability between the seven- and 10-item scales in predicting scores higher than 18 on the clinical interview LIMITATIONS: The sample represents women from one Midwest medical center and the EPDS was measured via phone. CONCLUSION: The seven-item one factor version of the EPDS is an efficient and effective measure of depression severity on par with the two factor 10-item version of the EPDS.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Encuestas y Cuestionarios / Depresión Posparto / Madres Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Qualitative_research / Screening_studies Límite: Adult / Female / Humans Idioma: En Revista: J Affect Disord Año: 2017 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Encuestas y Cuestionarios / Depresión Posparto / Madres Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Qualitative_research / Screening_studies Límite: Adult / Female / Humans Idioma: En Revista: J Affect Disord Año: 2017 Tipo del documento: Article Pais de publicación: Países Bajos