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Overestimation of Postpartum Depression Prevalence Based on a 5-item Version of the EPDS: Systematic Review and Individual Participant Data Meta-analysis

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dc.contributor.author Thombs, B.D.
dc.contributor.author Levis, B.
dc.contributor.author Lyubenova, A.
dc.contributor.author Neupane, D.
dc.contributor.author Negeri, Z.
dc.contributor.author Wu, Y.
dc.contributor.author Sun, Y.
dc.contributor.author He, C.
dc.contributor.author Krishnan, A.
dc.contributor.author Vigod, S.N.
dc.contributor.author Bhandari, P.M.
dc.contributor.author Imran, M.
dc.contributor.author Rice, D.B.
dc.contributor.author Azar, M.
dc.contributor.author Chiovitti, M.J.
dc.contributor.author Saadat, N.
dc.contributor.author Riehm, K.E.
dc.contributor.author Boruff, J.T.
dc.contributor.author Cuijpers, P.
dc.contributor.author Gilbody, S.
dc.contributor.author Ioannidis, J.P.A.
dc.contributor.author Kloda, L.A.
dc.contributor.author Patten, S.B.
dc.contributor.author Shrier, I.
dc.contributor.author Ziegelstein, R.C.
dc.contributor.author Comeau, L.
dc.contributor.author Mitchell, N.D.
dc.contributor.author Tonelli, M.
dc.contributor.author Barnes, J.
dc.contributor.author Beck, C.T.
dc.contributor.author Bindt, C.
dc.contributor.author Figueiredo, B.
dc.contributor.author Helle, N.
dc.contributor.author Howard, L.M.
dc.contributor.author Kohlhoff, J.
dc.contributor.author Kozinszky, Z.
dc.contributor.author Leonardou, A.A.
dc.contributor.author Radoš, S.N.
dc.contributor.author Quispel, C.
dc.contributor.author Rochat, T.J.
dc.contributor.author Stein, A.
dc.contributor.author Stewart, R.C.
dc.contributor.author Tadinac, M.
dc.contributor.author Tandon, S.D.
dc.contributor.author Tendais, I.
dc.contributor.author Töreki, A.
dc.contributor.author Tran, T.D.
dc.contributor.author Trevillion, K.
dc.contributor.author Turner, K.
dc.contributor.author Vega-Dienstmaier, J.M.
dc.contributor.author Benedetti, A.
dc.date.accessioned 2020-12-14T16:10:17Z
dc.date.available 2020-12-14T16:10:17Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/20.500.12866/8823
dc.description.abstract Objective: The Maternal Mental Health in Canada, 2018/2019, survey reported that 18% of 7,085 mothers who recently gave birth reported “feelings consistent with postpartum depression” based on scores ≥7 on a 5-item version of the Edinburgh Postpartum Depression Scale (EPDS-5). The EPDS-5 was designed as a screening questionnaire, not to classify disorders or estimate prevalence; the extent to which EPDS-5 results reflect depression prevalence is unknown. We investigated EPDS-5 ≥7 performance relative to major depression prevalence based on a validated diagnostic interview, the Structured Clinical Interview for DSM (SCID). Methods: We searched Medline, Medline In-Process & Other Non-Indexed Citations, PsycINFO, and the Web of Science Core Collection through June 2016 for studies with data sets with item response data to calculate EPDS-5 scores and that used the SCID to ascertain depression status. We conducted an individual participant data meta-analysis to estimate pooled percentage of EPDS-5 ≥7, pooled SCID major depression prevalence, and the pooled difference in prevalence. Results: A total of 3,958 participants from 19 primary studies were included. Pooled prevalence of SCID major depression was 9.2% (95% confidence interval [CI] 6.0% to 13.7%), pooled percentage of participants with EPDS-5 ≥7 was 16.2% (95% CI 10.7% to 23.8%), and pooled difference was 8.0% (95% CI 2.9% to 13.2%). In the 19 included studies, mean and median ratios of EPDS-5 to SCID prevalence were 2.1 and 1.4 times. Conclusions: Prevalence estimated based on EPDS-5 ≥7 appears to be substantially higher than the prevalence of major depression. Validated diagnostic interviews should be used to establish prevalence. en_US
dc.language.iso eng
dc.publisher SAGE Publications
dc.relation.ispartof urn:issn:1497-0015
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject UNAVAILABLE en_US
dc.title Overestimation of Postpartum Depression Prevalence Based on a 5-item Version of the EPDS: Systematic Review and Individual Participant Data Meta-analysis en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.1177/0706743720934959
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.24

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