Title
Comparative performance of Patient Health Questionnaire-9 and Edinburgh Postnatal Depression Scale for screening antepartum depression
Date Issued
20 June 2014
Access level
open access
Resource Type
journal article
Author(s)
Zhong Q.
Gelaye B.
Rondon M.
J. García P.
Sánchez E.
V. Barrios Y.
E. Simon G.
C. Henderson D.
May Cripe S.
A. Williams M.
Publisher(s)
Elsevier
Abstract
Objective We sought to evaluate the psychometric properties of two widely used screening scales: the Patient Health Questionnaire (PHQ-9) and Edinburgh Postnatal Depression Scale (EPDS) among pregnant Peruvian women. Methods This cross-sectional study included 1517 women receiving prenatal care from February 2012 to March 2013. A structured interview was used to collect data using PHQ-9 and EPDS. We examined reliability, construct and concurrent validity between two scales using internal consistency indices, factor structures, correlations, and Cohen's kappa. Results Both scales had good internal consistency (Cronbach's alpha>0.8). Correlation between PHQ-9 and EPDS scores was fair (rho=0.52). Based on exploratory factor analysis (EFA), both scales yielded a two-factor structure. EFA including all items from PHQ-9 and EPDS yielded four factors, namely, "somatization", "depression and suicidal ideation", "anxiety and depression", and "anhedonia". The agreement between the two scales was generally fair at different cutoff scores with the highest Cohen's kappa being 0.46. Conclusions Both the PHQ-9 and EPDS are reliable and valid scales for antepartum depression assessment. The PHQ-9 captures somatic symptoms, while EPDS detects depressive symptoms comorbid with anxiety during early pregnancy. Our findings suggest simultaneous administration of both scales may improve identification of antepartum depressive disorders in clinical settings. © 2014 Elsevier B.V.
Start page
1
End page
7
Volume
162
Language
English
OCDE Knowledge area
Psiquiatría
Scopus EID
2-s2.0-84898012690
PubMed ID
Source
Journal of Affective Disorders
ISSN of the container
01650327
Sponsor(s)
This research was supported by an award from the National Institutes of Health (NIH), the Eunice Kennedy Shriver National Institute of Child Health and Human Development ( R01-HD-059835 ). The NIH had no further role in study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the paper for publication
Sources of information: Directorio de Producción Científica Scopus