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Validation of the edinburgh postpartum depression scale in a population of adult pregnant women in Mexico.

Alvarado-Esquivel C, Sifuentes-Alvarez A, Salas-Martinez C - J Clin Med Res (2014)

Bottom Line: One hundred fifty-eight adult women (mean age: 28 ± 6.8 years; range: 18 - 45 years) within their 2 - 9 months of pregnancy attending routine prenatal consultations in a public hospital in Durango City, Mexico were studied.Of the 158 pregnant women studied, 11 had major depression and 26 had minor depression by the DSM-IV criteria.This threshold showed a sensitivity of 75.7%, a specificity of 74.4%, a positive predictive value of 50.8%, a negative predictive value of 94.7% and an area under the curve of 0.89 (95% confidence interval: 0.71 - 1.06).

View Article: PubMed Central - PubMed

Affiliation: Biomedical Research Laboratory, Faculty of Medicine and Nutrition, Juarez University of Durango State, Durango, Mexico.

ABSTRACT

Background: The Edinburgh postnatal depression scale (EPDS) is useful for screening depression in puerperal women as well as women during pregnancy. However, such instrument should be validated in a given language before it can be used. There is not validated Mexican version of the EPDS for use in adult pregnant women. Therefore, we sought to validate a Spanish translated Mexican version of the EPDS in a population of adult pregnant women.

Methods: One hundred fifty-eight adult women (mean age: 28 ± 6.8 years; range: 18 - 45 years) within their 2 - 9 months of pregnancy attending routine prenatal consultations in a public hospital in Durango City, Mexico were studied. All pregnant women submitted a Spanish translated Mexican version of the EPDS. In addition, participants were assessed for major and minor depression by using the DSM-IV criteria.

Results: Of the 158 pregnant women studied, 11 had major depression and 26 had minor depression by the DSM-IV criteria. The best EPDS score for screening combined major and minor depression in adult pregnant women was 9/10. This threshold showed a sensitivity of 75.7%, a specificity of 74.4%, a positive predictive value of 50.8%, a negative predictive value of 94.7% and an area under the curve of 0.89 (95% confidence interval: 0.71 - 1.06).

Conclusion: The Mexican version of the EPDS can be considered for screening depression in Mexican adult pregnant women whenever a cut-off score of 9/10 is used.

No MeSH data available.


Related in: MedlinePlus

A receiver operating characteristic curve that shows different cut-off points of the EPDS in pregnant women. Good performance of the Mexican version of the EPDS in these women was found at 9/10 cut-off point.
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Figure 1: A receiver operating characteristic curve that shows different cut-off points of the EPDS in pregnant women. Good performance of the Mexican version of the EPDS in these women was found at 9/10 cut-off point.

Mentions: Of the 158 pregnant women studied, 11 had major depression and 26 had minor depression according to the DSM-IV criteria. Results of sensitivity and specificity for different EPDS scores found in the 158 women are shown in Table 1. As seen in Figure 1, the receiver operating characteristic curve showed that the best sensitivity and specificity of the Mexican version of the EPDS in pregnant women was found at 9/10 score. At this threshold, we found a sensitivity of 75.7% and a specificity of 74.4%. The area under the curve was 0.89 (95% confidence interval: 0.71 - 1.06). Increasing the threshold to 10/11, the sensitivity was reduced to 64.9%, but the specificity increased to 79.3%. While lowering the threshold to 8/9, the sensitivity increased to 83.8%, but the specificity was reduced to 68.6%. Of the 37 women with depression by the DSM-IV criteria, 32 were positive and five negative in the EPDS. While of the 121 women without depression by the DSM-IV criteria, 90 were negative and 31 positive in the EPDS. Thus a positive predictive value of 50.8% and a negative predictive value of 94.7% for the EPDS were obtained. Depressed women were treated either with sertraline or psychotherapy.


Validation of the edinburgh postpartum depression scale in a population of adult pregnant women in Mexico.

Alvarado-Esquivel C, Sifuentes-Alvarez A, Salas-Martinez C - J Clin Med Res (2014)

A receiver operating characteristic curve that shows different cut-off points of the EPDS in pregnant women. Good performance of the Mexican version of the EPDS in these women was found at 9/10 cut-off point.
© Copyright Policy - open access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4125333&req=5

Figure 1: A receiver operating characteristic curve that shows different cut-off points of the EPDS in pregnant women. Good performance of the Mexican version of the EPDS in these women was found at 9/10 cut-off point.
Mentions: Of the 158 pregnant women studied, 11 had major depression and 26 had minor depression according to the DSM-IV criteria. Results of sensitivity and specificity for different EPDS scores found in the 158 women are shown in Table 1. As seen in Figure 1, the receiver operating characteristic curve showed that the best sensitivity and specificity of the Mexican version of the EPDS in pregnant women was found at 9/10 score. At this threshold, we found a sensitivity of 75.7% and a specificity of 74.4%. The area under the curve was 0.89 (95% confidence interval: 0.71 - 1.06). Increasing the threshold to 10/11, the sensitivity was reduced to 64.9%, but the specificity increased to 79.3%. While lowering the threshold to 8/9, the sensitivity increased to 83.8%, but the specificity was reduced to 68.6%. Of the 37 women with depression by the DSM-IV criteria, 32 were positive and five negative in the EPDS. While of the 121 women without depression by the DSM-IV criteria, 90 were negative and 31 positive in the EPDS. Thus a positive predictive value of 50.8% and a negative predictive value of 94.7% for the EPDS were obtained. Depressed women were treated either with sertraline or psychotherapy.

Bottom Line: One hundred fifty-eight adult women (mean age: 28 ± 6.8 years; range: 18 - 45 years) within their 2 - 9 months of pregnancy attending routine prenatal consultations in a public hospital in Durango City, Mexico were studied.Of the 158 pregnant women studied, 11 had major depression and 26 had minor depression by the DSM-IV criteria.This threshold showed a sensitivity of 75.7%, a specificity of 74.4%, a positive predictive value of 50.8%, a negative predictive value of 94.7% and an area under the curve of 0.89 (95% confidence interval: 0.71 - 1.06).

View Article: PubMed Central - PubMed

Affiliation: Biomedical Research Laboratory, Faculty of Medicine and Nutrition, Juarez University of Durango State, Durango, Mexico.

ABSTRACT

Background: The Edinburgh postnatal depression scale (EPDS) is useful for screening depression in puerperal women as well as women during pregnancy. However, such instrument should be validated in a given language before it can be used. There is not validated Mexican version of the EPDS for use in adult pregnant women. Therefore, we sought to validate a Spanish translated Mexican version of the EPDS in a population of adult pregnant women.

Methods: One hundred fifty-eight adult women (mean age: 28 ± 6.8 years; range: 18 - 45 years) within their 2 - 9 months of pregnancy attending routine prenatal consultations in a public hospital in Durango City, Mexico were studied. All pregnant women submitted a Spanish translated Mexican version of the EPDS. In addition, participants were assessed for major and minor depression by using the DSM-IV criteria.

Results: Of the 158 pregnant women studied, 11 had major depression and 26 had minor depression by the DSM-IV criteria. The best EPDS score for screening combined major and minor depression in adult pregnant women was 9/10. This threshold showed a sensitivity of 75.7%, a specificity of 74.4%, a positive predictive value of 50.8%, a negative predictive value of 94.7% and an area under the curve of 0.89 (95% confidence interval: 0.71 - 1.06).

Conclusion: The Mexican version of the EPDS can be considered for screening depression in Mexican adult pregnant women whenever a cut-off score of 9/10 is used.

No MeSH data available.


Related in: MedlinePlus