Περίληψη:
Objective:
The Maternal Mental Health in Canada, 2018/2019, survey reported that
18% of 7,085 mothers who recently gave birth reported “feelings
consistent with postpartum depression” based on scores >= 7 on a
5-item version of the Edinburgh Postpartum Depression Scale (EPDS-5).
The EPDS-5 was designed as a screening questionnaire, not to classify
disorders or estimate prevalence; the extent to which EPDS-5 results
reflect depression prevalence is unknown. We investigated EPDS-5 >= 7
performance relative to major depression prevalence based on a validated
diagnostic interview, the Structured Clinical Interview for DSM (SCID).
Methods:
We searched Medline, Medline In-Process & Other Non-Indexed Citations,
PsycINFO, and the Web of Science Core Collection through June 2016 for
studies with data sets with item response data to calculate EPDS-5
scores and that used the SCID to ascertain depression status. We
conducted an individual participant data meta-analysis to estimate
pooled percentage of EPDS-5 >= 7, pooled SCID major depression
prevalence, and the pooled difference in prevalence.
Results:
A total of 3,958 participants from 19 primary studies were included.
Pooled prevalence of SCID major depression was 9.2% (95% confidence
interval [CI] 6.0% to 13.7%), pooled percentage of participants with
EPDS-5 >= 7 was 16.2% (95% CI 10.7% to 23.8%), and pooled difference
was 8.0% (95% CI 2.9% to 13.2%). In the 19 included studies, mean
and median ratios of EPDS-5 to SCID prevalence were 2.1 and 1.4 times.
Conclusions:
Prevalence estimated based on EPDS-5 >= 7 appears to be substantially
higher than the prevalence of major depression. Validated diagnostic
interviews should be used to establish prevalence.
Συγγραφείς:
Thombs, Brett D.
Levis, Brooke
Lyubenova, Anita
Neupane,
Dipika
Negeri, Zelalem
Wu, Yin
Sun, Ying
He, Chen and
Krishnan, Ankur
Vigod, Simone N.
Bhandari, Parash Mani and
Imran, Mahrukh
Rice, Danielle B.
Azar, Marleine
Chiovitti,
Matthew J.
Saadat, Nazanin
Riehm, Kira E.
Boruff, Jill T.
and Cuijpers, Pim
Gilbody, Simon
Ioannidis, John P. A. and
Kloda, Lorie A.
Patten, Scott B.
Shrier, Ian
Ziegelstein,
Roy C.
Comeau, Liane
Mitchell, Nicholas D.
Tonelli, Marcello
and Barnes, Jacqueline
Beck, Cheryl Tatano
Bindt, Carola and
Figueiredo, Barbara
Helle, Nadine
Howard, Louise M. and
Kohlhoff, Jane
Kozinszky, Zoltan
Leonardou, Angeliki A. and
Rados, Sandra Nakic
Quispel, Chantal
Rochat, Tamsen J. and
Stein, Alan
Stewart, Robert C.
Tadinac, Meri
Tandon, S.
Darius
Tendais, Iva
Toreki, Annamaria
Tran, Thach D. and
Trevillion, Kylee
Turner, Katherine
Vega-Dienstmaier, Johann M.
and Benedetti, Andrea
