Naslov
Overestimation of postpartum depression prevalence based on a 5-item version of the EPDS: systematic review and individual participant data meta-analysis
(Overestimation of postpartum depression prevalence based on a 5-item version of the EPDS: systematic review and individual participant data meta-analysis)

Autori
Thombs, Brett D. ; Levis, Brooke ; Lyubenova, Anita ; Neupane, Dipika ; Negeri, Zelalem ; Wu, Yin ; Sun, Ying ; He, Chen ; Krishnan, Ankur ; Vigod, Simone N. ; Bhandari, Parash Mani ; Imran, Mahrukh ; Rice, Danielle B. ; Azar, Marleine ; Chiovitti, Matthew J. ; Saadat, Nazanin ; Riehm, Kira E. ; Boruff, Jill T. ; Cuijpers, Pim ; Gilbody, Simon ; Ioannidis, John P. A. ; Kloda, Lorie A. ; Patten, Scott B. ; Shrier, Ian ; Ziegelstein, Roy C. ; Comeau, Liane ; Mitchell, Nicholas D. ; Tonelli, Marcello ; Barnes, Jacqueline ; Beck, Cheryl Tatano ; Bindt, Carola ; Figueiredo, Barbara ; Helle, Nadine ; Howard, Louise M. ; Kohlhoff, Jane ; Kozinszky, Zoltán ; Leonardou, Angeliki A. ; Nakić Radoš, Sandra ; Quispel, Chantal ; Rochat, Tamsen J. ; Stein, Alan ; Stewart, Robert C. ; Tadinac, Meri ; Tandon, S. Darius ; Tendais, Iva ; Töreki, Annamária ; Tran, Thach D. ; Trevillion, Kylee ; Turner, Katherine ; Vega-Dienstmaier, Johann M. ; Benedetti, Andrea

Kolaboracija
DEPRESsion Screening Data (DEPRESSD) Collaboration

Izvornik
The Canadian Journal of Psychiatry (0706-7437) 65 (2020), 12; 835-844

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
epidemiology ; evidence-based medicine ; obstetrics and gynecology ; psychiatry ; statistics and research methods

Sažetak
Objective: 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.

Izvorni jezik
Engleski

Znanstvena područja
Psihologija

POVEZANOST RADA