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  • Thombs, BD (author)

Overestimation of Postpartum Depression Prevalence Based on a 5-item Version of the EPDS: Systematic Review and Individual Participant Data Meta-analysis

  • Article/chapterEnglish2020

Publisher, publication year, extent ...

  • 2020-10-26
  • SAGE Publications,2020

Numbers

  • LIBRIS-ID:oai:prod.swepub.kib.ki.se:145114730
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:145114730URI
  • https://doi.org/10.1177/0706743720934959DOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • gratis
  • 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.

Added entries (persons, corporate bodies, meetings, titles ...)

  • Levis, B (author)
  • Lyubenova, A (author)
  • Neupane, D (author)
  • Negeri, Z (author)
  • Wu, Y (author)
  • Sun, Y (author)
  • He, C (author)
  • Krishnan, A (author)
  • Vigod, SN (author)
  • Bhandari, PM (author)
  • Imran, M (author)
  • Rice, DB (author)
  • Azar, M (author)
  • Chiovitti, MJ (author)
  • Saadat, N (author)
  • Riehm, KE (author)
  • Boruff, JT (author)
  • Cuijpers, P (author)
  • Gilbody, S (author)
  • Ioannidis, JPA (author)
  • Kloda, LA (author)
  • Patten, SB (author)
  • Shrier, I (author)
  • Ziegelstein, RC (author)
  • Comeau, L (author)
  • Mitchell, ND (author)
  • Tonelli, M (author)
  • Barnes, J (author)
  • Beck, CT (author)
  • Bindt, C (author)
  • Figueiredo, B (author)
  • Helle, N (author)
  • Howard, LM (author)
  • Kohlhoff, J (author)
  • Kozinszky, ZKarolinska Institutet (author)
  • Leonardou, AA (author)
  • Rados, SN (author)
  • Quispel, C (author)
  • Rochat, TJ (author)
  • Stein, A (author)
  • Stewart, RC (author)
  • Tadinac, M (author)
  • Tandon, SD (author)
  • Tendais, I (author)
  • Toreki, A (author)
  • Tran, TD (author)
  • Trevillion, K (author)
  • Turner, K (author)
  • Vega-Dienstmaier, JM (author)
  • Benedetti, A (author)
  • Karolinska Institutet (creator_code:org_t)

Related titles

  • In:Canadian journal of psychiatry. Revue canadienne de psychiatrie: SAGE Publications65:12, s. 835-8441497-0015
  • In:The Canadian Journal of Psychiatry: SAGE Publications65:12, s. 835-8440706-7437

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