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Overestimation of P...
Overestimation of Postpartum Depression Prevalence Based on a 5-item Version of the EPDS: Systematic Review and Individual Participant Data Meta-analysis
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Thombs, BD (author)
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Levis, B (author)
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Lyubenova, A (author)
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Neupane, D (author)
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Negeri, Z (author)
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Wu, Y (author)
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Sun, Y (author)
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He, C (author)
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Krishnan, A (author)
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Vigod, SN (author)
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Bhandari, PM (author)
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Imran, M (author)
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Rice, DB (author)
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Azar, M (author)
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Chiovitti, MJ (author)
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Saadat, N (author)
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Riehm, KE (author)
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Boruff, JT (author)
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Cuijpers, P (author)
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Gilbody, S (author)
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Ioannidis, JPA (author)
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Kloda, LA (author)
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Patten, SB (author)
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Shrier, I (author)
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Ziegelstein, RC (author)
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Comeau, L (author)
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Mitchell, ND (author)
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Tonelli, M (author)
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Barnes, J (author)
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Beck, CT (author)
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Bindt, C (author)
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Figueiredo, B (author)
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Helle, N (author)
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Howard, LM (author)
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Kohlhoff, J (author)
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- Kozinszky, Z (author)
- Karolinska Institutet
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Leonardou, AA (author)
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Rados, SN (author)
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Quispel, C (author)
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Rochat, TJ (author)
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Stein, A (author)
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Stewart, RC (author)
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Tadinac, M (author)
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Tandon, SD (author)
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Tendais, I (author)
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Toreki, A (author)
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Tran, TD (author)
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Trevillion, K (author)
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Turner, K (author)
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Vega-Dienstmaier, JM (author)
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Benedetti, A (author)
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(creator_code:org_t)
- 2020-10-26
- 2020
- English.
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In: Canadian journal of psychiatry. Revue canadienne de psychiatrie. - : SAGE Publications. - 1497-0015. ; 65:12, s. 835-844
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Abstract
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- 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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- ref (subject category)
- art (subject category)
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- By the author/editor
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Thombs, BD
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Levis, B
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Lyubenova, A
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Neupane, D
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Negeri, Z
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Wu, Y
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show more...
-
Sun, Y
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He, C
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Krishnan, A
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Vigod, SN
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Bhandari, PM
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Imran, M
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Rice, DB
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Azar, M
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Chiovitti, MJ
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Saadat, N
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Riehm, KE
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Boruff, JT
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Cuijpers, P
-
Gilbody, S
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Ioannidis, JPA
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Kloda, LA
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Patten, SB
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Shrier, I
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Ziegelstein, RC
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Comeau, L
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Mitchell, ND
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Tonelli, M
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Barnes, J
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Beck, CT
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Bindt, C
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Figueiredo, B
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Helle, N
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Howard, LM
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Kohlhoff, J
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Kozinszky, Z
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Leonardou, AA
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Rados, SN
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Quispel, C
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Rochat, TJ
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Stein, A
-
Stewart, RC
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Tadinac, M
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Tandon, SD
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Tendais, I
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Toreki, A
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Tran, TD
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Trevillion, K
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Turner, K
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Vega-Dienstmaier ...
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Benedetti, A
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show less...
- Articles in the publication
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Canadian journal ...
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The Canadian Jou ...
- By the university
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Karolinska Institutet