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Title: Screening for postnatal depression in routine primary care: properties of the Edinburgh Postnatal Depression Scale in an Australian sample.
Austin Authors: Milgrom, Jeannette ;Ericksen, Jennifer ;Negri, Lisa;Gemmill, Alan W 
Affiliation: Department of Psychology, School of Behavioural Science, University of Melbourne, Melbourne, Australia
Issue Date: 1-Sep-2005
Publication information: The Australian and New Zealand Journal of Psychiatry; 39(9): 833-9
Abstract: First, to explore the utility of the Edinburgh Postnatal Depression Scale (EPDS) in routine primary care through a large community screening program. Next, to compare administration of a second EPDS versus the Beck Depression Inventory (BDI) in identifying postnatal depression in the prescreened population.Screening with the EPDS through Maternal and Child Health Centres at 4 months post-partum. Women scoring > or = 12 were assessed against DSM-IV criteria and completed a BDI and a second EPDS. These data were subjected to receiver operating characteristic (ROC) analyses.Of 4148 screened, 533 (12.8%) scored > or = 12. Of these, 344 were assessed against DSM-IV criteria: 193 (56%) - major depressive disorder; 67 (20%) - other diagnoses that incorporated depression. Positive predictive value at screening was therefore 76%. Another 45 (13%) had non-depressive disorders and 39 (11%) were psychiatric non-cases. The BDI was the better diagnostic instrument in the prescreened population, having a significantly higher efficiency as quantified by ROC curve analysis, though the absolute difference in efficiency was small (approximately 6%).Screening with the EPDS integrated well into routine primary care. Two-step screening offers one way of achieving acceptable balances of operational simplicity and diagnostic accuracy.
Gov't Doc #: 16168042
DOI: 10.1111/j.1440-1614.2005.01660.x
ORCID: 0000-0002-4082-4595
Type: Journal Article
Subjects: Adult
Cross-Cultural Comparison
Depression, Postpartum.diagnosis.epidemiology.psychology
Diagnostic and Statistical Manual of Mental Disorders
Infant, Newborn
Mass Screening
Personality Inventory.statistics & numerical data
Primary Health Care
Psychometrics.statistics & numerical data
Reproducibility of Results
Risk Factors
Appears in Collections:Journal articles

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