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Cited by 278Maternal Mental Health During Pregnancy and PostpartumHealth Education and ValidationMental Health Treatment and Access

The DOI matches its Crossref record; 46 of the 46 references it cites were found in a registry or an index.

Detecting perinatal common mental disorders in Ethiopia: Validation of the self-reporting questionnaire and Edinburgh Postnatal Depression Scale

Hanlon, Charlotte, Medhin, Girmay, Alem, Atalay, Araya, Mesfin, Abdulahi, Abdulreshid, Hughes, Marcus, Tesfaye, Markos, Wondimagegn, Dawit, Patel, Vikram, Prince, Martin·2008·Journal of Affective Disorders
DOI 10.1016/j.jad.2007.10.023
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Abstract

Background The cultural validity of instruments to detect perinatal common mental disorders (CMD) in rural, community settings has been little-investigated in developing countries.Methods Semantic, content, technical, criterion and construct validity of the Edinburgh Postnatal Depression Scale (EPDS) and Self-Reporting Questionnaire (SRQ) were evaluated in perinatal women in rural Ethiopia. Gold-standard measure of CMD was psychiatric assessment using the Comprehensive Psychopathological Rating Scale (CPRS). Community-based, convenience sampling was used. An initial validation study (n=101) evaluated both EPDS and SRQ. Subsequent validation was of SRQ alone (n=119).Results EPDS exhibited poor validity; area under the receiver operating characteristic (AUROC) curve of 0.62 (95%CI 0.49 to 0.76). SRQ-20 showed better validity as a dimensional scale, with AUROC of 0.82 (95%CI 0.68 to 0.96) and 0.70 (95%CI 0.57 to 0.83) in the two studies. The utility of SRQ in detecting 'cases' of CMD was not established, with differing estimates of optimal cut-off score: three and above in Study 1 (sensitivity 85.7%, specificity 75.6%); seven and above in Study 2 (sensitivity 68.4%, specificity 62%). High convergent validity of SRQ as a dimensional measure was demonstrated in a community survey of 1065 pregnant women.Limitations Estimation of optimal cut-off scores and validity coefficients for detecting CMD was limited by sample size.Conclusions EPDS demonstrated limited clinical utility as a screen for perinatal CMD in this rural, low-income setting. The SRQ-20 was superior to EPDS across all domains for evaluating cultural equivalence and showed validity as a dimensional measure of perinatal CMD.

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Metadata

Authors
Hanlon, C., Medhin, G., Alem, A., Araya, M., Abdulahi, A., Hughes, M., Tesfaye, M., Wondimagegn, D., Patel, V., & Prince, M.
Affiliations
  • King's College London (GB)
  • Addis Ababa University (ET)
  • London School of Hygiene & Tropical Medicine (GB)
Corresponding author
Hanlon, Charlotte
ORCID
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2008-06
Volume
108
Issue
3
Pages
251-262
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/j.jad.2007.10.023
OpenAlex
W1974901321
Cited by
278
References
46
Citations by year
2026: 10 · 2025: 12 · 2024: 18 · 2023: 21 · 2022: 20 · 2021: 32 · 2020: 25 · 2019: 17 · 2018: 13 · 2017: 11 · 2016: 14 · 2015: 13 · 2014: 14 · 2013: 17 · 2012: 8
FWCI
8.27
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (submittedVersion)
Funders
Wellcome Trust (GR071643MA)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Nursing › Research and Theory › Health Education and Validation
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords
Edinburgh Postnatal Depression Scale, Self-Reporting Questionnaire, SRQ-20, screening tool validation, cultural validity, rural Ethiopia, pregnant women, cut-off values, convergent validity, dimensional metrology
MeSH terms
Adult, Mental Disorders, Catchment Area, Health, Ethiopia, Female, Humans, Mass Screening, Perinatology, Puerperal Disorders, Surveys and Questionnaires, Reproducibility of Results, Prevalence, Depression, Postpartum

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