Validation of the Edinburgh postnatal depression scale (EPDS) in a sample of women with high-risk pregnancies in France
Abstract
Unlabelled This research is intended to validate the Edinburgh Postnatal Depression Scale (EPDS) in a high-risk pregnant population. Method Sixty women attending antenatal consultations for pregnancy complication in a major Parisian maternity facility were included. They completed the EPDS and were then interviewed according to a standardised psychiatric interview. Results The study of its sensitivity, specificity and predictive values, with a DSM-IV diagnosis of major depression as the reference, found that 11.5 was the optimal cut-off score (Se 0.80; Sp 0.80). Its validity as an index of severity of depression was also good as well as internal consistency and reliability. Factor analysis showed that its internal structure is composed of two subscales (F2 "depression" and F1 with items reflecting depression and other disorders, including anxiety). Conclusion The French version of the EPDS would be a valid instrument to identify pregnant women who are likely to have clinical major depression. The results may have to be confirmed on a community sample before clinical use.
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The EPDS threshold of 12 may be optimum for non-complicated pregnancies but not sensitive enough for those diagnosed as high-risk.
“which supports the suggestion made by Adouard et al. that the threshold of 12 may be optimum for non-complicated pregnancies but not sensitive enough for those diagnosed as high-risk.13”
From Prenatal Depression in Women Hospitalized for Obstetric Risk (2008) · cites this paper as [13]
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“Only values >0.400 are reported literature on women with high-risk pregnancies showing a high rate of major depression (Powers et al., 1986) and high dysphoria (Maloni et al., 2002).”
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- Authors
- Adouard, F., Glangeaud-Freudenthal, N. M. C., & Golse, B.
- Affiliations
- Inserm (FR)
- Hôpital Necker-Enfants Malades (FR)
- Venue
- Archives of Women’s Mental Health
- Published
- 2005-05-11
- Volume
- 8
- Issue
- 2
- Pages
- 89-95
- ISSN
- 1434-1816 (ISSN-L)
- 1435-1102
- OpenAlex
- W2007847526
- Cited by
- 285
- References
- 4
- Citations by year
- 2026: 11 · 2025: 9 · 2024: 11 · 2023: 10 · 2022: 15 · 2021: 18 · 2020: 11 · 2019: 12 · 2018: 10 · 2017: 20 · 2016: 19 · 2015: 25 · 2014: 18 · 2013: 14 · 2012: 14
- FWCI
- 8.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Archives of Women s Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- Edinburgh Postnatal Depression Scale, postpartum depression, high-risk pregnancy, pregnancy complications, French adaptation, psychometric validation, cut-off values, major depressive disorder, depression severity, anxiety, prenatal care
- MeSH terms
- Adult, Female, France, Humans, Infant, Newborn, Mass Screening, Middle Aged, Mothers, Postnatal Care, Pregnancy, Surveys and Questionnaires, Sensitivity and Specificity, Reproducibility of Results, Pregnancy, High-Risk, Risk Assessment, Depression, Postpartum
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