Review of validation studies of the Edinburgh Postnatal Depression Scale

Acta Psychiatrica Scandinavica, 104(4), 243-249

DOI 10.1034/j.1600-0447.2001.00187.x PMID 11722298

Abstract

Objective

To review validation studies of the Edinburgh Postnatal Depression Scale (EPDS).

Method

A systematic search was performed in Medline and the Science Citation Index Expanded (ISI) from the period 1987-2000. For sensitivity and specificity of the EPDS presented in each study, 95% confidence intervals were estimated. Positive and negative predictive values were estimated assuming prevalences of postpartum depression ranging from 5% to 20%.

Results

Eighteen validation studies were identified. The study design varied between studies. The sensitivity and specificity estimates also varied: 65-100% and 49-100%, respectively. The confidence intervals were estimated to be wide. Our estimates suggest a lower positive predictive value in a normal population than in the validation study samples.

Conclusion

Most studies show a high sensitivity of the EPDS. Because of the differences in study design and large confidence intervals, uncertainty remains regarding the comparability between the sensitivity and specificity estimates of the different EPDS versions.

Topics

Edinburgh Postnatal Depression Scale validation systematic review, EPDS sensitivity specificity postpartum depression screening, postnatal depression screening tool validation studies, Edinburgh Postnatal Depression Scale positive predictive value, EPDS validation different populations prevalence postpartum depression, postpartum depression screening instrument psychometric properties, EPDS sensitivity confidence intervals population screening, postnatal depression prevalence effect on screening accuracy, Edinburgh Postnatal Depression Scale cross-cultural validation review, depression screening tool pregnancy postpartum systematic review

Cite this article

Eberhard-Gran, M., Eskild, A., Tambs, K., Opjordsmoen, S., & Samuelsen, S. O. (2001). Review of validation studies of the Edinburgh Postnatal Depression Scale. *Acta psychiatrica Scandinavica*, *104*(4), 243-249. https://doi.org/10.1034/j.1600-0447.2001.00187.x

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