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Validation study of the French version of the Edinburgh Postnatal Depression Scale (EPDS): new results about use and psychometric properties

Published online by Cambridge University Press:  16 April 2020

N Guedeney
Affiliation:
Infant Unit, Department of Psychiatry, Institut Mutualiste Montsouris 42 Boulevard Jourdan, 75014, Paris
J Fermanian
Affiliation:
Infant Unit, Department of Psychiatry, Institut Mutualiste Montsouris 42 Boulevard Jourdan, 75014, Paris
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Summary

The validation of the French version of the Edinburgh Postnatal Depression Scale (EPDS), conducted on a sample of 87 women in the first 4 months of post-partum, is presented. The study of the sensitivity, specificity and predictive values versus research diagnosis criteria provide the cut-off score of 10.5 as the best (sensitivity: 0.80; specificity: 0.92). The EPDS as an index of severity of postnatal depression (PND) also had good criterion validity compared to the psychiatrist's assessment. Factor analysis shows that the internal structure of the EPDS is composed of two subscales which underline a more accurate description of PND. The reliability study confirms the good internal consistency of the global scale (Cronbach's alpha: 0.76) and its good short term test-retest reliability (0.98).

Type
Original article
Copyright
Copyright © Elsevier, Paris 1998

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References

American Psychiatric Association. Diagnostic and Statictical Manual of Mental Disorders. DSM III-R. Washington: American Psychiatric Press; 1987Google Scholar
American Psychological Association. Standards for educational and psychological tests Washington DC: American Psychological Association; 1985Google Scholar
Boyce, PM, Stubbs, J, Todd, A. The Edinburgh Postnatal Depression Scale: validation for an Australian sample Aust N Z J Psychiatry 1993 ; 27 : 472-610.3109/00048679309075805CrossRefGoogle ScholarPubMed
Carothers, AD, Murray, L. Estimating psychiatry morbidity by logistic regression: application to post-natal depression in a community sample Psychol Med 1990 ; 20 : 69570210.1017/S0033291700017219CrossRefGoogle Scholar
Cox, J, Holden, J, Sagovsky, R. Detection of postnatal depression. Development of the 10 item EPDS Br J Psychiatry 1987 ; 150 : 782-610.1192/bjp.150.6.782CrossRefGoogle Scholar
Cox, J, Murray, D, Chapman, G. A controlled study of onset, duration and prevalence of postnatal depression Br J Psychiatry 1993 ; 163 : 273110.1192/bjp.163.1.27CrossRefGoogle ScholarPubMed
Cox, J, Holden, J eds. Perinatal psychiatry. Use und misuse of the Edinburgh Postnatal Depression Scale London: Gaskell ; 1994Google Scholar
Endicott, J, Spitzer, RL, Manuzza, S. Schedule for affective disorders and schizophrenia lifetime version R New York: New York State Psychiatric Institute; 1990Google Scholar
Fisher, RA, Yates, F. Statistical tables for biological, agricultural and medical research 6thEdn. Oliver, , Boyd, eds. Edinburgh; 1963Google Scholar
Fraenkel, KA, Lindahl, K, Harmon, RJ. Preschoolers’ response to maternal sadness: relationships with maternal depression and emotional availability Infant Ment Health J 1992 ; 13 : 132-463.0.CO;2-C>CrossRefGoogle Scholar
Goldberg, DP, Hillier, VF. A scale version of the general questionnary Psychol Med 1979 ; 9 : 139-45CrossRefGoogle Scholar
Guelfi, JD. L’évaluation clinique standardisée en psychiatrie vol I. Boulogne:Editions Médicales Pierre Fabre; 1993Google Scholar
Guy, W. ECDU in National Institute of Mental Health, eds. Assessment Manual for Psychopharmacology Rockville : NIH; 1976Google Scholar
Harman, HH. Modern factor analysis Chicago: University of Chicago Press; 1967Google Scholar
Harris, B, Huckle, P, Thomas, R. The use of rating scales to identify postnatal depression Br J Psychiatry 1989 ; 154 : 813-17CrossRefGoogle Scholar
Kendall, M. Rank correlation method London: C Griffin and Company; 1975Google Scholar
Lundh, W, Gyllang, C. Use of the EPDS in some Swedish child health centres Stand J Caring Sci 1993 ; 1 : 149-54CrossRefGoogle Scholar
Murray, L, Cox, J. Screening for postnatal depression during pregnancy with the EPDS J Reprod Infant Psychol 1990 ; 8 : 9910910.1080/02646839008403615CrossRefGoogle Scholar
Murray, L, Carothers, AD. The validation of the EPDS on a community sample Br J Psychiatry 1990 ; 157 : 288-90CrossRefGoogle ScholarPubMed
Norris, H. The action of sedatives on brain stem oculomotor systems in man Neuropharmacology 1971 ; 10 : 181-9110.1016/0028-3908(71)90039-6CrossRefGoogle ScholarPubMed
O’Hara, MW, Neunaber, DJ, Zekovsky, EM. Prospective study of post partum depression: prevalence, course and predictive factors J Abnorm Psychol 1984 ; 93 : 158-7110.1037/0021-843X.93.2.158CrossRefGoogle ScholarPubMed
O’Hara, MW, Zekovsky, EM, Phillips, LH. Controlled prospective study of post partum mood disorders: comparison of childbearing and non childbearing women J Abnorm Psychol 1990 ; 99 : 31510.1037/0021-843X.99.1.3CrossRefGoogle Scholar
O’Hara, MW. Post partum depression: identification and measurement in a cross cultural context In: Cox, , Holden, eds. Perinatal psychiatry: use and misuse of EPDS 1994Google Scholar
Pop, V, Komptroe, IH, Van Son, MJ. Characteristics of the EPDS in the Netherlands J Affect Disord 1992 ; 26 : 105-10CrossRefGoogle ScholarPubMed
Radloff, LS. The CES-D scale: a self report depression scale for research in the general population Appl Psychol Meas 1977 ; 1 : 38540110.1177/014662167700100306CrossRefGoogle Scholar
Shrout, DE, Fleiss, JL. lntra class correlations: uses in assessing rater reliability Psychol Bull 1979 ; 86 : 420-8CrossRefGoogle Scholar
Spitzer, RL, Endicott, J, Robins, E. Research diagnostic criteria: rationale and reliability Arch Gen Psychiatry 1978 ; 36 : 773-82CrossRefGoogle Scholar
Webster, ML, Thompson, JM, Mitchell, EA et al. Postnatal depression in a community cohort Aust N Z J Psychiatry 1994 ; 28 : 42-910.3109/00048679409075844CrossRefGoogle Scholar
Weinstein, MC, Fineberg, HV. Clinical decision analysis Philadelphia : Saunders; 1980Google Scholar
Williams, P, Tarnopolsky, A, Hand, D. Case definition and case identification in psychiatric epidemiology: Review and assessment Psychol Med 1980 ; 10 : 101-14CrossRefGoogle ScholarPubMed
Wing, JK, Cooper, JE, Sartorius, N. Present state examination Cambridge: Cambridge University Press; 1973Google Scholar
Zelkowitz, P, Milet, TH. Screening for post partum depression in a community sample Can J Psychiatry 1995 ; 1 : 80-610.1177/070674379504000205CrossRefGoogle Scholar
World Health Organisation. The ICD-10. Classification of mental and behavioral disorders Geneva: WHO; 1992Google Scholar
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