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Titre du document / Document title

Screening for antenatal depression with the Edinburgh Depression Scale

Auteur(s) / Author(s)

BUNEVICIUS Adomas (1) ; KUSMINSKAS Laima (1) ; POP Victor J. (2) ; PEDERSEN Cort A. (3) ; BUNEVICIUS Robertas (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Institute of Physiology and Rehabilitation, Kaunas University of Medicine, Palanga, LITUANIE
(2) Department of Psychology, Tilburg University, Tilburg, PAYS-BAS
(3) Department of Psychiatry, University of North Carolina, Chapel Hill, ETATS-UNIS

Résumé / Abstract

This study aimed to evaluate how precise the Edinburgh Depression Scale (EDS) is in screening for major depressive disorder (MDD) during different periods of pregnancy. A random sample of 230 pregnant women was interviewed in the first, second, and third trimesters of pregnancy using the EDS and not-patient version of the Structured Clinical Interview for DSM-III-R (SCID-NP). We evaluated test-retest reliability of the EDS; area under the ROC curve (AUC), sensitivity, specificity, and positive predictive value (PPV) of the EDS against the SCID-NP diagnoses in the first, second, and third trimesters of pregnancy. Test-retest reliability of the EDS was 0.81 (p < 0.001). An optimal cutoff score of the EDS for screening current SCID-NP diagnosis of MDD was 12 and higher in the first trimester of pregnancy (AUC 0.94, sensitivity 92%, specificity 95%, and PPV 52%) and 11 and higher in the second and third trimesters of pregnancy (AUC 0.96 and 0.90, respectively; sensitivity 100% and 88%, respectively; specificity 92% and 92%, respectively; PPV 25% and 29%, respectively). The EPDS is a reliable instrument for repeated evaluations of depressive symptoms during pregnancy. It has a good sensitivity and specificity for detecting antenatal MDD with optimal cutoff of 11/12 or higher.

Revue / Journal Title

Journal of psychosomatic obstetrics and gynaecology    ISSN  0167-482X   CODEN JPOGDP 

Source / Source

2009, vol. 30, no4, pp. 238-243 [6 page(s) (article)] (33 ref.)

Langue / Language

Anglais

Editeur / Publisher

Informa Healthcare, New York, NY, ETATS-UNIS  (1982) (Revue)

Mots-clés anglais / English Keywords

Psychometrics

;

Mood disorder

;

Woman

;

Female

;

Human

;

Pregnancy disorders

;

Sensitivity

;

Receiver operating characteristic curves

;

Test reliability

;

Evaluation scale

;

Depression

;

Prenatal

;

Medical screening

;

Mots-clés français / French Keywords

Psychométrie

;

Trouble de l'humeur

;

Edinburgh Depression Scale

;

Femme

;

Femelle

;

Homme

;

Pathologie de la gestation

;

Sensibilité

;

Méthode ROC

;

Fidélité test

;

Echelle d'évaluation

;

Etat dépressif

;

Prénatal

;

Dépistage

;

Mots-clés espagnols / Spanish Keywords

Psicometría

;

Trastorno humor

;

Mujer

;

Hembra

;

Hombre

;

Gestación patología

;

Sensibilidad

;

Método ROC

;

Fidelidad pruebra

;

Escala evaluación

;

Estado depresivo

;

Prenatal

;

Descubrimiento

;

Mots-clés d'auteur / Author Keywords

Edinburgh Depression Scale

;

major depressive disorder

;

area under the ROC curve

;

sensitivity

;

specificity

;

Localisation / Location

INIST-CNRS, Cote INIST : 20708, 35400018658444.0050

Nº notice refdoc (ud4) : 22189715



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