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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, Johann Martín | |
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.ispartofseries | Canadian Journal of Psychiatry | |
dc.rights | info:eu-repo/semantics/restrictedAccess | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es | |
dc.subject | epidemiology | en_US |
dc.subject | evidence-based medicine | en_US |
dc.subject | obstetrics and gynecology | en_US |
dc.subject | psychiatry | en_US |
dc.subject | statistics and research methods | 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#3.02.24 | |
dc.relation.issn | 1497-0015 |
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