The psychometric properties of the Icelandic version of the Edinburgh Postnatal Depression Scale (EPDS) when used prenatal

Objective To evaluate the psychometric properties of the Icelandic version of the Edinburgh Postnatal Depression Scale (EPDS) when used prenatal, explore the dimensionality of the scale and describe its effectiveness in identifying depression. Design A sample of Icelandic women filled in the EPDS at...

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Published in:Midwifery
Main Authors: Lydsdottir, Linda B, Howard, Louise M, Olafsdottir, Halldora, Thome, Marga, Cand, Petur Tyrfingsson, Sigurdsson, Jon Fridrik
Format: Article in Journal/Newspaper
Language:English
Published: 2018
Subjects:
EFA
CFA
Online Access:https://kclpure.kcl.ac.uk/portal/en/publications/9716c9eb-1ad8-41ac-8974-9da6e57fbe5a
https://doi.org/10.1016/j.midw.2018.10.009
https://kclpure.kcl.ac.uk/ws/files/102173790/The_psychometric_properties_of_LYDSDOTTIR_Firstonline19October2018_GREEN_AAM_CC_BY_NC_ND_.pdf
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record_format openpolar
spelling ftkingscollondon:oai:kclpure.kcl.ac.uk:publications/9716c9eb-1ad8-41ac-8974-9da6e57fbe5a 2024-09-15T18:14:29+00:00 The psychometric properties of the Icelandic version of the Edinburgh Postnatal Depression Scale (EPDS) when used prenatal Lydsdottir, Linda B Howard, Louise M Olafsdottir, Halldora Thome, Marga Cand, Petur Tyrfingsson Sigurdsson, Jon Fridrik 2018-10-19 application/pdf https://kclpure.kcl.ac.uk/portal/en/publications/9716c9eb-1ad8-41ac-8974-9da6e57fbe5a https://doi.org/10.1016/j.midw.2018.10.009 https://kclpure.kcl.ac.uk/ws/files/102173790/The_psychometric_properties_of_LYDSDOTTIR_Firstonline19October2018_GREEN_AAM_CC_BY_NC_ND_.pdf eng eng https://kclpure.kcl.ac.uk/portal/en/publications/9716c9eb-1ad8-41ac-8974-9da6e57fbe5a info:eu-repo/semantics/openAccess Lydsdottir , L B , Howard , L M , Olafsdottir , H , Thome , M , Cand , P T & Sigurdsson , J F 2018 , ' The psychometric properties of the Icelandic version of the Edinburgh Postnatal Depression Scale (EPDS) when used prenatal ' , MIDWIFERY . https://doi.org/10.1016/j.midw.2018.10.009 EPDS Prenatal care Depression Factor analysis Statistical Psychometric properties EFA CFA DASS MINI+ article 2018 ftkingscollondon https://doi.org/10.1016/j.midw.2018.10.009 2024-07-29T23:47:32Z Objective To evaluate the psychometric properties of the Icelandic version of the Edinburgh Postnatal Depression Scale (EPDS) when used prenatal, explore the dimensionality of the scale and describe its effectiveness in identifying depression. Design A sample of Icelandic women filled in the EPDS at week 16 gestation, week 24 and week 36. If screened positive in week 16 they were asked to attend a psychiatric diagnostic interview 2-4 weeks later. Every10th woman screened negative was also asked to attend an interview. Setting Antenatal clinics at primary health care centres in Iceland. Participants In total, 2512 women receiving prenatal care participated in the study. At week 16 gestation, 2397 women filled in the Edinburgh Postnatal Depression Scale, 2025 at week 24, and 1756 at week 36. 474 women attended diagnostic interview two to four weeks after screening. Measurements and findings Internal reliability, convergent validity and test-retest correlation of the Icelandic version of the Edinburgh Postnatal Depression Scale appeared acceptable. An exploratory factor analysis supported a one-factor structure of the Edinburgh Postnatal Depression Scalethat was confirmed by confirmatory factor analysis showing best fit for one general factor with two group factors. A cut-off score of 11 or higher had specificity of .89, sensitivity of .80 and positive predictive value of .44. Key conclusions and implications for practice The Icelandic version of the Edinburgh Postnatal Depression Scale is a valid and reliable one-dimensional instrument suitable to screen for depression prenatally. We recommend using score 11 or higher as a cut-off. If women score 11, they should be re-assessed two weeks later, but if they score 12 or higher, they should be referred directly for a further assessment. A time gap of two to four weeks does weaken the scale's ability to discriminate between those suffering from Major Depression and those who screen negative. Article in Journal/Newspaper Iceland King's College, London: Research Portal Midwifery 69 45 51
institution Open Polar
collection King's College, London: Research Portal
op_collection_id ftkingscollondon
language English
topic EPDS
Prenatal care
Depression
Factor analysis
Statistical
Psychometric properties
EFA
CFA
DASS
MINI+
spellingShingle EPDS
Prenatal care
Depression
Factor analysis
Statistical
Psychometric properties
EFA
CFA
DASS
MINI+
Lydsdottir, Linda B
Howard, Louise M
Olafsdottir, Halldora
Thome, Marga
Cand, Petur Tyrfingsson
Sigurdsson, Jon Fridrik
The psychometric properties of the Icelandic version of the Edinburgh Postnatal Depression Scale (EPDS) when used prenatal
topic_facet EPDS
Prenatal care
Depression
Factor analysis
Statistical
Psychometric properties
EFA
CFA
DASS
MINI+
description Objective To evaluate the psychometric properties of the Icelandic version of the Edinburgh Postnatal Depression Scale (EPDS) when used prenatal, explore the dimensionality of the scale and describe its effectiveness in identifying depression. Design A sample of Icelandic women filled in the EPDS at week 16 gestation, week 24 and week 36. If screened positive in week 16 they were asked to attend a psychiatric diagnostic interview 2-4 weeks later. Every10th woman screened negative was also asked to attend an interview. Setting Antenatal clinics at primary health care centres in Iceland. Participants In total, 2512 women receiving prenatal care participated in the study. At week 16 gestation, 2397 women filled in the Edinburgh Postnatal Depression Scale, 2025 at week 24, and 1756 at week 36. 474 women attended diagnostic interview two to four weeks after screening. Measurements and findings Internal reliability, convergent validity and test-retest correlation of the Icelandic version of the Edinburgh Postnatal Depression Scale appeared acceptable. An exploratory factor analysis supported a one-factor structure of the Edinburgh Postnatal Depression Scalethat was confirmed by confirmatory factor analysis showing best fit for one general factor with two group factors. A cut-off score of 11 or higher had specificity of .89, sensitivity of .80 and positive predictive value of .44. Key conclusions and implications for practice The Icelandic version of the Edinburgh Postnatal Depression Scale is a valid and reliable one-dimensional instrument suitable to screen for depression prenatally. We recommend using score 11 or higher as a cut-off. If women score 11, they should be re-assessed two weeks later, but if they score 12 or higher, they should be referred directly for a further assessment. A time gap of two to four weeks does weaken the scale's ability to discriminate between those suffering from Major Depression and those who screen negative.
format Article in Journal/Newspaper
author Lydsdottir, Linda B
Howard, Louise M
Olafsdottir, Halldora
Thome, Marga
Cand, Petur Tyrfingsson
Sigurdsson, Jon Fridrik
author_facet Lydsdottir, Linda B
Howard, Louise M
Olafsdottir, Halldora
Thome, Marga
Cand, Petur Tyrfingsson
Sigurdsson, Jon Fridrik
author_sort Lydsdottir, Linda B
title The psychometric properties of the Icelandic version of the Edinburgh Postnatal Depression Scale (EPDS) when used prenatal
title_short The psychometric properties of the Icelandic version of the Edinburgh Postnatal Depression Scale (EPDS) when used prenatal
title_full The psychometric properties of the Icelandic version of the Edinburgh Postnatal Depression Scale (EPDS) when used prenatal
title_fullStr The psychometric properties of the Icelandic version of the Edinburgh Postnatal Depression Scale (EPDS) when used prenatal
title_full_unstemmed The psychometric properties of the Icelandic version of the Edinburgh Postnatal Depression Scale (EPDS) when used prenatal
title_sort psychometric properties of the icelandic version of the edinburgh postnatal depression scale (epds) when used prenatal
publishDate 2018
url https://kclpure.kcl.ac.uk/portal/en/publications/9716c9eb-1ad8-41ac-8974-9da6e57fbe5a
https://doi.org/10.1016/j.midw.2018.10.009
https://kclpure.kcl.ac.uk/ws/files/102173790/The_psychometric_properties_of_LYDSDOTTIR_Firstonline19October2018_GREEN_AAM_CC_BY_NC_ND_.pdf
genre Iceland
genre_facet Iceland
op_source Lydsdottir , L B , Howard , L M , Olafsdottir , H , Thome , M , Cand , P T & Sigurdsson , J F 2018 , ' The psychometric properties of the Icelandic version of the Edinburgh Postnatal Depression Scale (EPDS) when used prenatal ' , MIDWIFERY . https://doi.org/10.1016/j.midw.2018.10.009
op_relation https://kclpure.kcl.ac.uk/portal/en/publications/9716c9eb-1ad8-41ac-8974-9da6e57fbe5a
op_rights info:eu-repo/semantics/openAccess
op_doi https://doi.org/10.1016/j.midw.2018.10.009
container_title Midwifery
container_volume 69
container_start_page 45
op_container_end_page 51
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