| Screening for antenatal depression with the Edinburgh Depression Scale. | |
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MedLine Citation:
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PMID: 19845492 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study aimed to evaluate how precise the Edinburgh Depression Scale (EDS) is in screening for major depressive disorder (MDD) during different periods of pregnancy. A random sample of 230 pregnant women was interviewed in the first, second, and third trimesters of pregnancy using the EDS and not-patient version of the Structured Clinical Interview for DSM-III-R (SCID-NP). We evaluated test-retest reliability of the EDS; area under the ROC curve (AUC), sensitivity, specificity, and positive predictive value (PPV) of the EDS against the SCID-NP diagnoses in the first, second, and third trimesters of pregnancy. Test-retest reliability of the EDS was 0.81 (p < 0.001). An optimal cutoff score of the EDS for screening current SCID-NP diagnosis of MDD was 12 and higher in the first trimester of pregnancy (AUC 0.94, sensitivity 92%, specificity 95%, and PPV 52%) and 11 and higher in the second and third trimesters of pregnancy (AUC 0.96 and 0.90, respectively; sensitivity 100% and 88%, respectively; specificity 92% and 92%, respectively; PPV 25% and 29%, respectively). The EPDS is a reliable instrument for repeated evaluations of depressive symptoms during pregnancy. It has a good sensitivity and specificity for detecting antenatal MDD with optimal cutoff of 11/12 or higher. |
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Authors:
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Adomas Bunevicius; Laima Kusminskas; Victor J Pop; Cort A Pedersen; Robertas Bunevicius |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of psychosomatic obstetrics and gynaecology Volume: 30 ISSN: 1743-8942 ISO Abbreviation: J Psychosom Obstet Gynaecol Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-11-20 Completed Date: 2010-01-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8308648 Medline TA: J Psychosom Obstet Gynaecol Country: England |
Other Details:
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Languages: eng Pagination: 238-43 Citation Subset: IM |
Affiliation:
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Institute of Physiology and Rehabilitation, Kaunas University of Medicine, LT - 00135 Palanga, Lithuania. a.bunevicius@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Area Under Curve Depressive Disorder / diagnosis* Female Humans Pregnancy Pregnancy Complications / diagnosis*, psychology Psychiatric Status Rating Scales ROC Curve Reproducibility of Results |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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