Cited by 307Maternal Mental Health During Pregnancy and PostpartumAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesHealth Education and Validation

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Validation studies of the Edinburgh Postnatal Depression Scale for the antenatal period

Kozinszky, Zoltan, Dudas, Robert B.·2015·Journal of Affective Disorders

DOI 10.1016/j.jad.2015.01.044

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Abstract

Background Relatively few studies have focused on the validation of psychometric scales measuring depression during pregnancy. The aim of this review was to critically appraise and review antenatal validation studies of the Edinburgh Postnatal Depression Scale (EPDS).Methods A systematic search was performed in MEDLINE, EMBASE, ISI, CINAHL, SCIELO and PsyCINFO for the period 1987-2013.Results Eleven validation studies met the inclusion criteria. The study design varied between studies. Sensitivity and specificity estimates also varied between 64-100% and 73-100%, respectively. The confidence interval estimates also showed a high degree of variability. Our estimates suggest lower positive predictive values in the general population than those reported in the validation study samples. The sensitivity values in validation studies of the EPDS show fairly large variability, ranging from good to acceptable.Limitations Future studies should have larger sample sizes and include both representative and clinical samples and look at the psychometric performance of the EPDS in each trimester.Conclusions Due to differences in study design and variation in the cultural/linguistic adaptation, uncertainty remains regarding the comparability of the sensitivity and specificity estimates of different EPDS versions. Future studies should have larger sample sizes, include both representative and clinical samples, and look at the psychometric performance of the EPDS in each trimester. Reporting quality, especially as regards checks to ensure content validity, should be improved.

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Authors: Kozinszky, Z., & Dudas, R. B.
Affiliations: Norfolk and Suffolk NHS Foundation Trust (GB)
ORCID: Kozinszky, Zoltan
Dudas, Robert B.
Venue: Journal of Affective Disorders
Publisher: Elsevier BV
Published: 2015-05
Volume: 176
Pages: 95-105
ISSN: 0165-0327 (ISSN-L)
DOI: 10.1016/j.jad.2015.01.044
OpenAlex: W1969116346
Cited by: 307
References: 84
Citations by year: 2026: 21 · 2025: 24 · 2024: 31 · 2023: 27 · 2022: 34 · 2021: 41 · 2020: 37 · 2019: 26 · 2018: 22 · 2017: 20 · 2016: 17 · 2015: 7
FWCI: 3.17
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)
Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
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 › Nursing › Research and Theory › Health Education and Validation
Keywords: Edinburgh Postnatal Depression Scale, antenatal depression, depression screening, psychometric validation, sensitivity and specificity, positive predictive value, pregnancy, scale adaptation, content validity
MeSH terms: Major Depressive Disorder, Female, Humans, Pregnancy, Pregnancy Complications, Psychiatric Status Rating Scales, Psychometrics, Validation Studies as Topic

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Validation studies of the Edinburgh Postnatal Depression Scale for the antenatal period

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