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Erschienen in: Maternal and Child Health Journal 4/2016

01.04.2016

The Edinburgh Postnatal Depression Scale: Screening Tool for Postpartum Anxiety as Well? Findings from a Confirmatory Factor Analysis of the Hebrew Version

verfasst von: Rena Bina, Donna Harrington

Erschienen in: Maternal and Child Health Journal | Ausgabe 4/2016

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Abstract

Objectives The Edinburgh Postnatal Depression Scale (EPDS) was originally created as a uni-dimensional scale to screen for postpartum depression (PPD); however, evidence from various studies suggests that it is a multi-dimensional scale measuring mainly anxiety in addition to depression. The factor structure of the EPDS seems to differ across various language translations, raising questions regarding its stability. This study examined the factor structure of the Hebrew version of the EPDS to assess whether it is uni- or multi-dimensional. Methods Seven hundred and fifteen (n = 715) women were screened at 6 weeks postpartum using the Hebrew version of the EPDS. Confirmatory factor analysis (CFA) was used to test four models derived from the literature. Results Of the four CFA models tested, a 9-item two factor model fit the data best, with one factor representing an underlying depression construct and the other representing an underlying anxiety construct. Conclusions for Practice The Hebrew version of the EPDS appears to consist of depression and anxiety sub-scales. Given the widespread PPD screening initiatives, anxiety symptoms should be addressed in addition to depressive symptoms, and a short scale, such as the EPDS, assessing both may be efficient.
Fußnoten
1
These centers provide all vaccination and well child visits from birth to 6 years old.
 
Literatur
1.
Zurück zum Zitat Adouard, F., Glangeaud-Freudenthal, N. M. C., & Golse, B. (2005). Validation of the Edinburgh Postnatal Depression Scale (EPDS) in a sample of women with high-risk pregnancies in France. Archives of Womens Mental Health, 8, 89–95.CrossRef Adouard, F., Glangeaud-Freudenthal, N. M. C., & Golse, B. (2005). Validation of the Edinburgh Postnatal Depression Scale (EPDS) in a sample of women with high-risk pregnancies in France. Archives of Womens Mental Health, 8, 89–95.CrossRef
2.
Zurück zum Zitat Andajani-Sutjahjo, S., Manderson, L., & Astbury, J. (2007). Complex emotions, complex problems: Understanding the experiences of perinatal depression among new mothers in urban Indonesia. Culture, Medicine and Psychiatry, 31, 101–122.CrossRefPubMed Andajani-Sutjahjo, S., Manderson, L., & Astbury, J. (2007). Complex emotions, complex problems: Understanding the experiences of perinatal depression among new mothers in urban Indonesia. Culture, Medicine and Psychiatry, 31, 101–122.CrossRefPubMed
3.
Zurück zum Zitat Andrews Horowitz, J., & Cousins, A. (2006). Postpartum depression treatment rates for at-risk women. Nursing Research, 55(2S), s23–s27.CrossRef Andrews Horowitz, J., & Cousins, A. (2006). Postpartum depression treatment rates for at-risk women. Nursing Research, 55(2S), s23–s27.CrossRef
4.
Zurück zum Zitat Berle, J. O., Aarre, T. F., Mykletun, A., Dahl, A. A., & Holsten, F. (2003). Screening for postnatal depression: Validation of the Norwegian version of the Edinburgh Postnatal Depression Scale, and assessment of risk factors for postnatal depression. Journal of Affective Disorders, 76, 151–156.CrossRefPubMed Berle, J. O., Aarre, T. F., Mykletun, A., Dahl, A. A., & Holsten, F. (2003). Screening for postnatal depression: Validation of the Norwegian version of the Edinburgh Postnatal Depression Scale, and assessment of risk factors for postnatal depression. Journal of Affective Disorders, 76, 151–156.CrossRefPubMed
5.
Zurück zum Zitat Brockington, I. F., Macdonald, E., & Wainscott, G. (2006). Anxiety, obsessions and morbid preoccupations in pregnancy and the puerperium. Archives of Womens Mental Health, 9, 253–263.CrossRef Brockington, I. F., Macdonald, E., & Wainscott, G. (2006). Anxiety, obsessions and morbid preoccupations in pregnancy and the puerperium. Archives of Womens Mental Health, 9, 253–263.CrossRef
6.
Zurück zum Zitat Brouwers, E. P. M., Van Baar, A. L., & Pop, V. J. M. (2001). Does the Edinburgh Postnatal Depression Scale measure anxiety? Journal of Psychosomatic Research, 51, 659–663.CrossRefPubMed Brouwers, E. P. M., Van Baar, A. L., & Pop, V. J. M. (2001). Does the Edinburgh Postnatal Depression Scale measure anxiety? Journal of Psychosomatic Research, 51, 659–663.CrossRefPubMed
7.
Zurück zum Zitat Brown, T. A. (2015). Confirmatory factor analysis for applied research (2nd ed.). New York: The Guilford Press. Brown, T. A. (2015). Confirmatory factor analysis for applied research (2nd ed.). New York: The Guilford Press.
8.
Zurück zum Zitat Byrne, B. M. (2012). Structural equation modeling with Mplus. New York: Routledge. Byrne, B. M. (2012). Structural equation modeling with Mplus. New York: Routledge.
9.
Zurück zum Zitat Chabrol, H., & Teissedre, F. (2004). Relation between Edinburgh Postnatal Depression Scale scores at 2–3 days and 4–6 weeks postpartum. Journal of Reproductive and Infant Psychology, 22(1), 33–39.CrossRef Chabrol, H., & Teissedre, F. (2004). Relation between Edinburgh Postnatal Depression Scale scores at 2–3 days and 4–6 weeks postpartum. Journal of Reproductive and Infant Psychology, 22(1), 33–39.CrossRef
10.
Zurück zum Zitat Cox, J. L., & Holden, J. (2003). Perinatal mental health: A guide to the Edinburgh Postnatal Depression Scale. London: Gaskell. Cox, J. L., & Holden, J. (2003). Perinatal mental health: A guide to the Edinburgh Postnatal Depression Scale. London: Gaskell.
11.
Zurück zum Zitat Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150, 782–786.CrossRefPubMed Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150, 782–786.CrossRefPubMed
12.
Zurück zum Zitat DeVaus, D. (2002). Analyzing social science data: 50 key problems in data analysis. Thousand Oaks: Sage. DeVaus, D. (2002). Analyzing social science data: 50 key problems in data analysis. Thousand Oaks: Sage.
13.
Zurück zum Zitat Earls, M. F. (2010). Incorporating recognition and management of perinatal and postpartum depression into pediatric practice. Pediatrics, 126, 1032.CrossRefPubMed Earls, M. F. (2010). Incorporating recognition and management of perinatal and postpartum depression into pediatric practice. Pediatrics, 126, 1032.CrossRefPubMed
14.
Zurück zum Zitat Farr, S. L., Dietz, P. M., O’Hara, M. W., Burley, K., & Ko, J. Y. (2014). Postpartum anxiety and comorbid depression in a population-based sample of women. Journal of Women’s Health, 23(2), 120–128.CrossRefPubMed Farr, S. L., Dietz, P. M., O’Hara, M. W., Burley, K., & Ko, J. Y. (2014). Postpartum anxiety and comorbid depression in a population-based sample of women. Journal of Women’s Health, 23(2), 120–128.CrossRefPubMed
15.
Zurück zum Zitat Gibson, J., McKenzie-McHarg, K., Shakespeare, J., Price, J., & Gray, R. (2009). A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women. Acta Psychiatrica Scandinavica, 119(5), 350–364.CrossRefPubMed Gibson, J., McKenzie-McHarg, K., Shakespeare, J., Price, J., & Gray, R. (2009). A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women. Acta Psychiatrica Scandinavica, 119(5), 350–364.CrossRefPubMed
16.
Zurück zum Zitat Glasser, S., & Barell, V. (1999). Depression scale for research in and identification of postpartum depression. Harefuah, 136, 764–768. [Hebrew].PubMed Glasser, S., & Barell, V. (1999). Depression scale for research in and identification of postpartum depression. Harefuah, 136, 764–768. [Hebrew].PubMed
17.
Zurück zum Zitat Guedeney, N., & Fermanian, J. (1998). Validation study of the French version of the Edinburgh Postnatal Depression Scale (EPDS): New results about use and psychometric properties. European Psychiatry, 13, 83–89.CrossRefPubMed Guedeney, N., & Fermanian, J. (1998). Validation study of the French version of the Edinburgh Postnatal Depression Scale (EPDS): New results about use and psychometric properties. European Psychiatry, 13, 83–89.CrossRefPubMed
18.
Zurück zum Zitat Ip, W. Y., & Martin, C. R. (2007). The factor structure of the Chinese version of the Edinburgh Postnatal Depression Scale (EPDS). Journal of Reproductive and Infant Psychology, 25, 83–86.CrossRef Ip, W. Y., & Martin, C. R. (2007). The factor structure of the Chinese version of the Edinburgh Postnatal Depression Scale (EPDS). Journal of Reproductive and Infant Psychology, 25, 83–86.CrossRef
19.
Zurück zum Zitat Jomeen, J., & Martin, C. R. (2005). Confirmation of an occluded anxiety component within the Edinburgh Postnatal Depression Scale (EPDS) during early pregnancy. Journal of Reproductive and Infant Psychology, 23, 143–154.CrossRef Jomeen, J., & Martin, C. R. (2005). Confirmation of an occluded anxiety component within the Edinburgh Postnatal Depression Scale (EPDS) during early pregnancy. Journal of Reproductive and Infant Psychology, 23, 143–154.CrossRef
20.
Zurück zum Zitat Jomeen, J., & Martin, C. R. (2007). Replicability and stability of the multidimensional model of the Edinburgh Postnatal Depression Scale in late pregnancy. Journal of Psychiatric and Mental Health Nursing, 14, 319–324.CrossRefPubMed Jomeen, J., & Martin, C. R. (2007). Replicability and stability of the multidimensional model of the Edinburgh Postnatal Depression Scale in late pregnancy. Journal of Psychiatric and Mental Health Nursing, 14, 319–324.CrossRefPubMed
21.
Zurück zum Zitat Kandel-Katznelson S, Maisel S, Zilber N, Lerner J. (2000) Validation of the Hebrew translation of the Edinburgh postnatal depression scale: Background, methods and findings. Tenth Annual Conference of the Israeli Psychiatric Association, Jerusalem, Israel [Hebrew]. Kandel-Katznelson S, Maisel S, Zilber N, Lerner J. (2000) Validation of the Hebrew translation of the Edinburgh postnatal depression scale: Background, methods and findings. Tenth Annual Conference of the Israeli Psychiatric Association, Jerusalem, Israel [Hebrew].
22.
Zurück zum Zitat Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). New York: The Guilford Press. Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). New York: The Guilford Press.
23.
Zurück zum Zitat Lee King, P. A. (2012). Replicability of structural models of the Edinburgh Postnatal Depression Scale (EPDS) in a community sample of postpartum African American women with low socioeconomic status. Archives of Womens Mental Health, 15, 77–86.CrossRef Lee King, P. A. (2012). Replicability of structural models of the Edinburgh Postnatal Depression Scale (EPDS) in a community sample of postpartum African American women with low socioeconomic status. Archives of Womens Mental Health, 15, 77–86.CrossRef
24.
Zurück zum Zitat Matthey, S. (2008). Using the Edinburgh Postnatal Depression Scale to screen for anxiety disorders. Depression and Anxiety, 25, 926–931.CrossRefPubMed Matthey, S. (2008). Using the Edinburgh Postnatal Depression Scale to screen for anxiety disorders. Depression and Anxiety, 25, 926–931.CrossRefPubMed
25.
Zurück zum Zitat Matthey, S., Fisher, J., & Rowe, H. (2013). Using the Edinburgh Postnatal Depression Scale to screen for anxiety disorders: Conceptual and methodological considerations. Journal of Affective Disorders, 146, 224–230.CrossRefPubMed Matthey, S., Fisher, J., & Rowe, H. (2013). Using the Edinburgh Postnatal Depression Scale to screen for anxiety disorders: Conceptual and methodological considerations. Journal of Affective Disorders, 146, 224–230.CrossRefPubMed
26.
Zurück zum Zitat Montazeri, A., Torkan, B., & Omidvari, S. (2007). The Edinburgh Postnatal Depression Scale (EPDS): Translation and validation study of the Iranian version. BMC Psychiatry, 7, 11.CrossRefPubMedPubMedCentral Montazeri, A., Torkan, B., & Omidvari, S. (2007). The Edinburgh Postnatal Depression Scale (EPDS): Translation and validation study of the Iranian version. BMC Psychiatry, 7, 11.CrossRefPubMedPubMedCentral
27.
Zurück zum Zitat Phillips, J., Charles, M., Sharpe, L., & Matthey, S. (2009). Validation of the subscales of the Edinburgh Postnatal Depression Scale in a sample of women with unsettled infants. Journal of Affective Disorders, 118, 101–112.CrossRefPubMed Phillips, J., Charles, M., Sharpe, L., & Matthey, S. (2009). Validation of the subscales of the Edinburgh Postnatal Depression Scale in a sample of women with unsettled infants. Journal of Affective Disorders, 118, 101–112.CrossRefPubMed
28.
Zurück zum Zitat Pop, V. J., Komproe, I. H., & Van Son, M. J. (1992). Characteristics of the Edinburgh Post Natal Depression Scale in the Netherlands. Journal of Affective Disorders, 26, 105–110.CrossRefPubMed Pop, V. J., Komproe, I. H., & Van Son, M. J. (1992). Characteristics of the Edinburgh Post Natal Depression Scale in the Netherlands. Journal of Affective Disorders, 26, 105–110.CrossRefPubMed
29.
Zurück zum Zitat Reck, C., Müller, M., Tietz, A., & Möhler, E. (2013). Infant distress to novelty is associated with maternal anxiety disorder and especially with maternal avoidance behavior. Journal of Anxiety Disorders, 27, 404–412.CrossRefPubMed Reck, C., Müller, M., Tietz, A., & Möhler, E. (2013). Infant distress to novelty is associated with maternal anxiety disorder and especially with maternal avoidance behavior. Journal of Anxiety Disorders, 27, 404–412.CrossRefPubMed
30.
Zurück zum Zitat Reichenheim, M. E., Moraes, C. L., Oliveira, A. S. D., & Lobato, G. (2011). Revisiting the dimensional structure of the Edinburgh Postnatal Depression Scale (EPDS): Empirical evidence for a general factor. BMC Medical Research Methodology, 11, 93.CrossRefPubMedPubMedCentral Reichenheim, M. E., Moraes, C. L., Oliveira, A. S. D., & Lobato, G. (2011). Revisiting the dimensional structure of the Edinburgh Postnatal Depression Scale (EPDS): Empirical evidence for a general factor. BMC Medical Research Methodology, 11, 93.CrossRefPubMedPubMedCentral
31.
Zurück zum Zitat Ross, L. E., Gilbert Evans, S. E., Sellers, E. M., & Romach, M. K. (2003). Measurement issues in postpartum depression part 1: Anxiety as a feature of postpartum depression. Archives of Womens Mental Health, 6, 51–57.CrossRef Ross, L. E., Gilbert Evans, S. E., Sellers, E. M., & Romach, M. K. (2003). Measurement issues in postpartum depression part 1: Anxiety as a feature of postpartum depression. Archives of Womens Mental Health, 6, 51–57.CrossRef
32.
Zurück zum Zitat Rowe, H. J., Fisher, J. R. W., & Loh, W. M. (2008). The Edinburgh Postnatal Depression Scale detects but does not distinguish anxiety disorders from depression in mothers of infants. Archives of Womens Mental Health, 11, 103–108.CrossRef Rowe, H. J., Fisher, J. R. W., & Loh, W. M. (2008). The Edinburgh Postnatal Depression Scale detects but does not distinguish anxiety disorders from depression in mothers of infants. Archives of Womens Mental Health, 11, 103–108.CrossRef
34.
Zurück zum Zitat Small, R., Lumley, J., Yelland, J., & Brown, S. (2007). The performance of the Edinburgh Postnatal Depression Scale in English speaking and non-English speaking populations in Australia. Social Psychiatry Psychiatric Epidemiology, 42, 70–78.CrossRefPubMed Small, R., Lumley, J., Yelland, J., & Brown, S. (2007). The performance of the Edinburgh Postnatal Depression Scale in English speaking and non-English speaking populations in Australia. Social Psychiatry Psychiatric Epidemiology, 42, 70–78.CrossRefPubMed
35.
Zurück zum Zitat Swalm, D., Brooks, J., Doherty, D., Nathan, E., & Jacques, A. (2010). Using the Edinburgh Postnatal Depression Scale to screen for perinatal anxiety. Archives of Womens Mental Health, 13, 515–522.CrossRef Swalm, D., Brooks, J., Doherty, D., Nathan, E., & Jacques, A. (2010). Using the Edinburgh Postnatal Depression Scale to screen for perinatal anxiety. Archives of Womens Mental Health, 13, 515–522.CrossRef
36.
Zurück zum Zitat Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). New York, NY: Pearson. Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). New York, NY: Pearson.
37.
Zurück zum Zitat Tuohy, A., & McVey, C. (2008). Subscales measuring symptoms of non-specific depression, anhedonia, and anxiety in the Edinburgh Postnatal Depression Scale. British Journal of Clinical Psychology, 47, 153–169.CrossRefPubMed Tuohy, A., & McVey, C. (2008). Subscales measuring symptoms of non-specific depression, anhedonia, and anxiety in the Edinburgh Postnatal Depression Scale. British Journal of Clinical Psychology, 47, 153–169.CrossRefPubMed
38.
Zurück zum Zitat Woolhouse, H., Brown, S., Krastev, A., Perlen, S., & Gunn, J. (2009). Seeking help for anxiety and depression after childbirth: Results of the Maternal Health Study. Archives of Womens Mental Health, 12, 75–83.CrossRef Woolhouse, H., Brown, S., Krastev, A., Perlen, S., & Gunn, J. (2009). Seeking help for anxiety and depression after childbirth: Results of the Maternal Health Study. Archives of Womens Mental Health, 12, 75–83.CrossRef
Metadaten
Titel
The Edinburgh Postnatal Depression Scale: Screening Tool for Postpartum Anxiety as Well? Findings from a Confirmatory Factor Analysis of the Hebrew Version
verfasst von
Rena Bina
Donna Harrington
Publikationsdatum
01.04.2016
Verlag
Springer US
Erschienen in
Maternal and Child Health Journal / Ausgabe 4/2016
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-015-1879-7

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