Depression prevalence based on the Edinburgh Postnatal Depression Scale compared to Structured Clinical Interview for DSM DIsorders classification: Systematic review and individual participant data meta-analysis.

Journal: International journal of methods in psychiatric research

Volume: 30

Issue: 1

Year of Publication: 2021

Affiliated Institutions:  Lady Davis Institute for Medical Research, Jewish General Hospital, Montréal, Québec, Canada. Schulich Library of Physical Sciences, Life Sciences, and Engineering, McGill University, Montréal, Québec, Canada. Department of Medicine, Stanford University, Stanford, California, USA. Department of Clinical, Neuro and Developmental Psychology, EMGO Institute, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands. Hull York Medical School and the Department of Health Sciences, University of York, Heslington, York, UK. Library, Concordia University, Montréal, Québec, Canada. Departments of Community Health Sciences and Psychiatry, University of Calgary, Calgary, Alberta, Canada. Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. International Union for Health Promotion and Health Education, École de santé publique de l'Université de Montréal, Montréal, Québec, Canada. Department of Psychiatry, University of Alberta, Edmonton, Alberta, Canada. Department of Medicine, University of Calgary, Calgary, Alberta, Canada. Women's College Hospital and Research Institute, University of Toronto, Toronto, Ontario, Canada. Department of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy. Department of Psychological Sciences, Birkbeck, University of London, London, UK. Department of Psychiatry, Rajarajeswari Medical College and Hospital, Bengaluru, Karnataka, India. University of Connecticut School of Nursing, Mansfield, Connecticut, USA. Department of Child and Adolescent Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. Discipline of Psychiatry, Westmead Clinical School, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia. Neuroscience Institute, Lithuanian University of Health Sciences, Kaunas, Lithuania. Departments of Psychiatry, Pediatrics, Obstetrics and Gynecology, School of Medicine and Dentistry, University of Rochester, Rochester, New York, USA. Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland. School of Psychology, University of Minho, Braga, Portugal. Perinatal Mental Health Unit CLINIC-BCN, Institut Clínic de Neurociències, Hospital Clínic, Barcelona, Spain. Department of Health Sciences, Psychiatry Unit, University of Florence, Firenze, Italy. Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. School of Psychiatry, University of New South Wales, Kensington, New South Wales, Australia. Private Practice, Hamburg, Germany. Department of Obstetrics and Gynecology, Danderyd Hospital, Stockholm, Sweden. First Department of Psychiatry, Women's Mental Health Clinic, Athens University Medical School, Athens, Greece. Department of Psychology, Catholic University of Croatia, Zagreb, Croatia. Department of Obstetrics and Gynaecology, Albert Schweitzer Ziekenhuis, Dordrecht, the Netherlands. Halifax Health, Graduate Medical Education, Daytona Beach, Florida, USA. MRC/Developmental Pathways to Health Research Unit, School of Clinical Medicine, University of Witwatersrand, Johannesburg, South Africa. Centre for Academic Primary Care, Bristol Medical School, University of Bristol, Bristol, UK. Department of Psychiatry, Castle Peak Hospital, Hong Kong SAR, China. Department of Psychiatry, University of Oxford, Oxford, UK. Division of Psychiatry, University of Edinburgh, Edinburgh, Scotland, UK. Department of Psychology, Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia. Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA. Department of Emergency, University of Szeged, Szeged, Hungary. School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia. Epilepsy Center-Child Neuropsychiatry Unit, ASST Santi Paolo Carlo, San Paolo Hospital, Milan, Italy. Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Perú. Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, Québec, Canada.

Abstract summary 

Estimates of depression prevalence in pregnancy and postpartum are based on the Edinburgh Postnatal Depression Scale (EPDS) more than on any other method. We aimed to determine if any EPDS cutoff can accurately and consistently estimate depression prevalence in individual studies.We analyzed datasets that compared EPDS scores to Structured Clinical Interview for DSM (SCID) major depression status. Random-effects meta-analysis was used to compare prevalence with EPDS cutoffs versus the SCID.Seven thousand three hundred and fifteen participants (1017 SCID major depression) from 29 primary studies were included. For EPDS cutoffs used to estimate prevalence in recent studies (≥9 to ≥14), pooled prevalence estimates ranged from 27.8% (95% CI: 22.0%-34.5%) for EPDS ≥ 9 to 9.0% (95% CI: 6.8%-11.9%) for EPDS ≥ 14; pooled SCID major depression prevalence was 9.0% (95% CI: 6.5%-12.3%). EPDS ≥14 provided pooled prevalence closest to SCID-based prevalence but differed from SCID prevalence in individual studies by a mean absolute difference of 5.1% (95% prediction interval: -13.7%, 12.3%).EPDS ≥14 approximated SCID-based prevalence overall, but considerable heterogeneity in individual studies is a barrier to using it for prevalence estimation.

Authors & Co-authors:  Lyubenova Anita A Neupane Dipika D Levis Brooke B Wu Yin Y Sun Ying Y He Chen C Krishnan Ankur A Bhandari Parash M PM Negeri Zelalem Z Imran Mahrukh M Rice Danielle B DB Azar Marleine M Chiovitti Matthew J MJ Saadat Nazanin N Riehm Kira E KE Boruff Jill T JT Ioannidis John P A JPA Cuijpers Pim P Gilbody Simon S Kloda Lorie A LA Patten Scott B SB Shrier Ian I Ziegelstein Roy C RC Comeau Liane L Mitchell Nicholas D ND Tonelli Marcello M Vigod Simone N SN Aceti Franca F Barnes Jacqueline J Bavle Amar D AD Beck Cheryl T CT Bindt Carola C Boyce Philip M PM Bunevicius Adomas A Chaudron Linda H LH Favez Nicolas N Figueiredo Barbara B Garcia-Esteve Lluïsa L Giardinelli Lisa L Helle Nadine N Howard Louise M LM Kohlhoff Jane J Kusminskas Laima L Kozinszky Zoltán Z Lelli Lorenzo L Leonardou Angeliki A AA Meuti Valentina V Radoš Sandra N SN García Purificación N PN Pawlby Susan J SJ Quispel Chantal C Robertson-Blackmore Emma E Rochat Tamsen J TJ Sharp Deborah J DJ Siu Bonnie W M BWM Stein Alan A Stewart Robert C RC Tadinac Meri M Tandon S Darius SD Tendais Iva I Töreki Annamária A Torres-Giménez Anna A Tran Thach D TD Trevillion Kylee K Turner Katherine K Vega-Dienstmaier Johann M JM Benedetti Andrea A Thombs Brett D BD

Study Outcome 

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Citations :  Aceti, F. , Aveni, F. , Baglioni, V. , Carluccio, G. M. , Colosimo, D. , Giacchetti, N. , … Biondi, M. (2012). Perinatal and postpartum depression: From attachment to personality. A pilot study. Journal of Psychopathology, 18, 328–334.
Authors :  68
Identifiers
Doi : e1860
SSN : 1557-0657
Study Population
Male,Female
Mesh Terms
Depression
Other Terms
Edinburgh Postnatal Depression Scale;depression prevalence;individual participant data meta-analysis;major depression;structured clinical interview for DSM
Study Design
Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Publication Country
United States