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Archives of Women's Mental Health

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11.01.2017 | Original Article

Using the Edinburgh Postnatal Depression Scale for women and men—some cautionary thoughts

verfasst von: Stephen Matthey, Francesca Agostini

Erschienen in: Archives of Women's Mental Health | Ausgabe 2/2017

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Abstract

The objective of the study was to critically consider some of the possible limitations in the Edinburgh Depression Scale (EDS), given that great emphasis is put on the results of this measure within both clinical and research fields. Using findings and discussion points from other studies, as well as from a critical analysis of issues by the authors based upon their clinical and research experience, possible limitations with the scale in nine areas are discussed. Possible limitations include the following: (1) ambiguous items, (2) exclusion of certain types of distress, (3) scoring difficulties, (4) low positive predictive value, (5) frequent use of incorrect cut-off scores, (6) a vast array of validated cut-off scores, (7) validation against a questionable gold-standard, (8) limited anxiety detection and of depressive symptoms in men, and (9) many screen positive women only have transient distress. While the EDS has unquestionably been an extremely valuable instrument in aiding in the recognition of the importance of perinatal mental health, users of the scale should be aware that it, like other measures, has limitations. We discuss possible strategies to overcome these limitations and describe a recent scale that has been developed to surmount these shortcomings more effectively.

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Titel: Using the Edinburgh Postnatal Depression Scale for women and men—some cautionary thoughts
verfasst von: Stephen Matthey
Francesca Agostini
Publikationsdatum: 11.01.2017
Verlag: Springer Vienna
Erschienen in: Archives of Women's Mental Health / Ausgabe 2/2017
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI: https://doi.org/10.1007/s00737-016-0710-9

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