Overestimation of Postpartum Depression Prevalence Based on a 5-item Version of the EPDS Systematic Review and Individual Participant Data Meta-analysis /
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...
Elmentve itt :
| Szerzők: | |
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| Dokumentumtípus: | Cikk |
| Megjelent: |
2020
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| Sorozat: | CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE
65 No. 12 |
| doi: | 10.1177/0706743720934959 |
| mtmt: | 31702177 |
| Online Access: | http://publicatio.bibl.u-szeged.hu/21120 |
| LEADER | 04252nab a2200769 i 4500 | ||
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| 008 | 210329s2020 hu o 0|| zxx d | ||
| 022 | |a 0706-7437 | ||
| 024 | 7 | |a 10.1177/0706743720934959 |2 doi | |
| 024 | 7 | |a 31702177 |2 mtmt | |
| 040 | |a SZTE Publicatio Repozitórium |b hun | ||
| 041 | |a zxx | ||
| 100 | 1 | |a Brett Thombs D. | |
| 245 | 1 | 0 | |a Overestimation of Postpartum Depression Prevalence Based on a 5-item Version of the EPDS |h [elektronikus dokumentum] : |b Systematic Review and Individual Participant Data Meta-analysis / |c Brett Thombs D. |
| 260 | |c 2020 | ||
| 300 | |a 835-844 | ||
| 490 | 0 | |a CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE |v 65 No. 12 | |
| 520 | 3 | |a 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. | |
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