TY - JOUR
TI - Depression prevalence based on the Edinburgh Postnatal Depression Scale
compared to Structured Clinical Interview for DSM DIsorders
classification: Systematic review and individual participant data
meta-analysis
AU - Lyubenova, Anita
AU - Neupane, Dipika
AU - Levis, Brooke
AU - Wu, Yin and
AU - Sun, Ying
AU - He, Chen
AU - Krishnan, Ankur
AU - Bhandari, Parash M. and
AU - Negeri, Zelalem
AU - Imran, Mahrukh
AU - Rice, Danielle B.
AU - Azar,
AU - Marleine
AU - Chiovitti, Matthew J.
AU - Saadat, Nazanin
AU - Riehm, Kira
AU - E.
AU - Boruff, Jill T.
AU - Ioannidis, John P. A.
AU - Cuijpers, Pim and
AU - Gilbody, Simon
AU - Kloda, Lorie A.
AU - Patten, Scott B.
AU - Shrier, Ian
AU - and Ziegelstein, Roy C.
AU - Comeau, Liane
AU - Mitchell, Nicholas D. and
AU - Tonelli, Marcello
AU - Vigod, Simone N.
AU - Aceti, Franca
AU - Barnes,
AU - Jacqueline
AU - Bavle, Amar D.
AU - Beck, Cheryl T.
AU - Bindt, Carola and
AU - Boyce, Philip M.
AU - Bunevicius, Adomas
AU - Chaudron, Linda H. and
AU - Favez, Nicolas
AU - Figueiredo, Barbara
AU - Garcia-Esteve, Lluisa and
AU - Giardinelli, Lisa
AU - Helle, Nadine
AU - Howard, Louise M.
AU - Kohlhoff,
AU - Jane
AU - Kusminskas, Laima
AU - Kozinszky, Zoltan
AU - Lelli, Lorenzo and
AU - Leonardou, Angeliki A.
AU - Meuti, Valentina
AU - Rados, Sandra N. and
AU - Garcia, Purificacion N.
AU - Pawlby, Susan J.
AU - Quispel, Chantal and
AU - Robertson-Blackmore, Emma
AU - Rochat, Tamsen J.
AU - Sharp, Deborah J.
AU - and Siu, Bonnie W. M.
AU - Stein, Alan
AU - Stewart, Robert C. and
AU - Tadinac, Meri
AU - Tandon, S. Darius
AU - Tendais, Iva
AU - Toreki,
AU - Annamaria
AU - Torres-Gimenez, Anna
AU - Tran, Thach D.
AU - Trevillion,
AU - Kylee
AU - Turner, Katherine
AU - Vega-Dienstmaier, Johann M. and
AU - Benedetti, Andrea
AU - Thombs, Brett D.
JO - International Journal of Methods in Psychiatric Research
PY - 2021
VL - 30
TODO - 1
SP - null
PB - Wiley
SN - 1049-8931, 1557-0657
TODO - 10.1002/mpr.1860
TODO - depression prevalence; Edinburgh Postnatal Depression Scale; structured
clinical interview for DSM; individual participant data meta-analysis;
major depression
TODO - Objectives Estimates of depression prevalence in pregnancy and
postpartum are based on the Edinburgh Postnatal Depression Scale (EPDS)
more than on any other method. We aimed to determine if any EPDS cutoff
can accurately and consistently estimate depression prevalence in
individual studies. Methods We analyzed datasets that compared EPDS
scores to Structured Clinical Interview for DSM (SCID) major depression
status. Random-effects meta-analysis was used to compare prevalence with
EPDS cutoffs versus the SCID. Results Seven thousand three hundred and
fifteen participants (1017 SCID major depression) from 29 primary
studies were included. For EPDS cutoffs used to estimate prevalence in
recent studies (>= 9 to >= 14), pooled prevalence estimates ranged from
27.8% (95% CI: 22.0%-34.5%) for EPDS >= 9 to 9.0% (95% CI:
6.8%-11.9%) for EPDS >= 14; pooled SCID major depression prevalence
was 9.0% (95% CI: 6.5%-12.3%). EPDS >= 14 provided pooled prevalence
closest to SCID-based prevalence but differed from SCID prevalence in
individual studies by a mean absolute difference of 5.1% (95%
prediction interval: -13.7%, 12.3%). Conclusion EPDS >= 14
approximated SCID-based prevalence overall, but considerable
heterogeneity in individual studies is a barrier to using it for
prevalence estimation.
ER -