The Edinburgh Postnatal Depression Scale: Translation and antepartum validation for a Hungarian sample

the Edinburgh Postnatal Depression Scale (EPDS) is an important screening instrument routinely used during the peripartum period for the identification of depression. The purpose of the study was to assess the validity of the 10-item EPDS in screening for antepartum depression (APD) in Hungary. vali...

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Bibliographic Details
Published in:Midwifery 2013-04, Vol.29 (4), p.308-315
Main Authors: Töreki, Annamária, Andó, Bálint, Keresztúri, Attila, Sikovanyecz, János, Dudas, Robert B., Janka, Zoltán, Kozinszky, Zoltan, Pál, Attila
Format: Article
Language:English
Subjects:
Adult
Antepartum depression
Clinical assessment
Depression
Depression, Postpartum - diagnosis
Depressive Disorder, Major - diagnosis
Diagnostic and Statistical Manual of Mental Disorders
Edinburgh Postnatal Depression Scale
Female
Humans
Hungary
Mass Screening - methods
Mass Screening - standards
Nursing
Postnatal depression
Pregnancy
Pregnancy Complications - diagnosis
Pregnant Women - psychology
Prenatal Care - methods
Psychiatric Status Rating Scales
Reproducibility of Results
ROC Curve
SCID
Screening
Translating
Validation
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Summary:the Edinburgh Postnatal Depression Scale (EPDS) is an important screening instrument routinely used during the peripartum period for the identification of depression. The purpose of the study was to assess the validity of the 10-item EPDS in screening for antepartum depression (APD) in Hungary. validation study carried out between July and December 2010. Department of Obstetrics and Gynecology, University of Szeged, Hungary. 219 women attending a routine check-up at 12 weeks antepartum. participants completed the newly translated Hungarian version of the EPDS and underwent a clinical assessment with the Structured Clinical Interview for DSM-IV disorders (SCID-I). seven (3.2%) of the mothers were diagnosed with major antepartum depression and 15 persons (6.85%) with minor depression on the basis of the SCID. Internal consistency of the EPDS was satisfactory (Cronbach α coefficients ≥0.728). The best cut-off on the Hungarian version of the EPDS for major depression was 8/9, with a sensitivity of 71.4%, and a specificity of 91.5%. The area under the ROC curve was found significant for combined depression as well and at a cut-off of 6/7 indicated a sensitivity of 81.8% and a specificity of 83.2%. the EPDS showed acceptable validity despite a considerable scatter in the total scores in our sample. the EPDS is a reliable instrument for the screening of depressive disorders, especially major depressive disorder in early pregnancy among Hungarian women.
ISSN:0266-6138
1532-3099
DOI:10.1016/j.midw.2012.01.011