Nowa wersja platformy, zawierająca wyłącznie zasoby pełnotekstowe, jest już dostępna.
Przejdź na


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
2012 | 7 | 2 | 216-223
Tytuł artykułu

Validation of a Romanian scale to detect antenatal depression

Treść / Zawartość
Warianty tytułu
Języki publikacji
The aim of this study was to develop and validate a linguistically and culturally appropriate version of the Edinburgh Postnatal Depression Scale (EPDS) for use with women attending antenatal care in Romania. We translated and tested a Romanian version of the EPDS (EPDS-R) in four hospitals in three Romanian cities: Cluj-Napoca, Satu Mare, and Sighetu-Marmatiei. The study population included third-trimester women attending antenatal clinics (n=418); 364 subjects were included in the analytic sample. We used the Center for Epidemiologic Studies Depression Scale (CES-D) as a “gold standard”. We assessed reliability, validity, and conducted sensitivity analysis to establish an EPDS-R cutpoint. We found that reliability was robust (α=0.89) and there was a significant linear relationship between EPDS-R and CES-D scores (r=0.77; p<0.001). We established an EPDS-R cutpoint of >12 to balance sensitivity and specificity. Principal component analysis revealed a two-factor solution. We detected antenatal depressive symptoms prevalence rates of 32% (CES-D) and 38% (EPDS-R). This is the first study to report exclusively on antenatal depression and the use of the EPDS in Central and Eastern Europe. The EPDS-R is easy to administer, reliable, and valid for screening depression among antenatal women in Romania.

Opis fizyczny
  • College of Osteopathic Medicine, Des Moines University, 3200 Grand Avenue, Des Moines, Iowa, 50312, USA
  • Open Minds: Center for Mental Health Research, Mehedinţi 35, 400675, Cluj-Napoca, Romania
  • Open Minds: Center for Mental Health Research, Mehedinţi 35, 400675, Cluj-Napoca, Romania
  • [1] Gavin, N.I., et al., Perinatal depression: A systematic review of prevalence and incidence. Obstet Gynecol, 2005. 106(5 Pt 1): p. 1071–1083[Crossref]
  • [2] Cox, J., et al., Validation of the Edinburgh Postnatal Depression Scale (EPDS) in non-postnatal women. J Affect Disord, 1996. 39(3): p. 185–189[Crossref]
  • [3] Ritter, C., et al., Stress, psychosocial resources, and depressive symptomotology during pregnancy in low-income, inner-city women. Health Psychol, 2000. 19(6): p. 576–585[Crossref]
  • [4] Ross, L., et al., Measurement issues in postpartum depression, part 1: Anxiety as a feature of postpartum depression. Arch Womens Ment Health, 2003. 6(1): p. 51–57[Crossref]
  • [5] Boath, E., A. Pryce, and J. Cox, Postnatal depression: The impact on the family. J Reprod Infant Psychol, 1998. 16: p. 199–203[Crossref]
  • [6] Lovestone, S. and R. Kumar, Postnatal psychiatric illness: The impact on partners. Br J Psychiatry, 1993. 163: p. 210–216[Crossref]
  • [7] Murray, L. and P. Cooper, Postpartum depression and child development. Psychol Med, 1997. 27: p. 253–260[Crossref]
  • [8] Murray, D., et al., The socio-emotional development of 5-year-old children of postnatally depressed mothers. J Child Psychol Psychiatry, 1999. 40: p. 1259–1271[Crossref]
  • [9] Caplan, H., et al., Maternal depression and the emotional development of the child. Br J Psychiatry, 1989. 154: p. 818–822[Crossref]
  • [10] Field, T., Prenatal depression effects on early development: A review. Infant Behav Dev, 2011. 34(1): p. 1–14[Crossref][WoS]
  • [11] Alwan, S., et al., National Birth Defects Prevention Study: Use of selective serotonin reuptake inhibitors in pregnancy and the risk of birth defects. N Engl J Med, 2007. 356: p. 2684–2692[Crossref][WoS]
  • [12] Kulin, N., et al., Pregnancy outcome following maternal use of the new selective serotonin reuptake inhibitors: a prospective controlled multicenter study. JAMA, 1998. 279: p. 609–610[Crossref]
  • [13] Nulman, I., et al., Neurodevelopment of children exposed in utero to antidepressent drugs. N Engl J Med, 1997. 336
  • [14] Elluminate Live USA, Elluminate Live Academic Edition 7.0. 2006, Elluminate Live USA: Ft. Lauderdale, FL
  • [15] National Institute of Statistics, Populatie. Anuarul Statistic al Romaniei. 2007, National Institute of Statistics: Bucharest, Romania
  • [16] Cox, J.L., J.M. Holden, and R. Sagovsky, Edinburgh Postnatal Depression Inventory. 1987
  • [17] Radloff, L.S., The CES-D scale: A self report depression scale for research in the general population. Appl Psychol Meas, 1977. 1: p. 385–401[Crossref]
  • [18] Radloff, L.S., The use of the Center for Epidemiologic Studies Depression Scale in adolescents and young adults. Journal of Youth and Adolescence, 1991. 20: p. 149–165[Crossref]
  • [19] Radloff, L.S. and L. Teri, Use of the Center for Epidemiologic Studies Depression Scale with older adults. Clin Gerontol, 1986. 5: p. 119–135[Crossref]
  • [20] Shafer, A., Meta-analysis of the factor structures of four depression questionnaires: Beck, CES-D, Hamilton, and Zung. J Clin Psychol, 2006. 62(1): p. 123–146[Crossref]
  • [21] Robila, M., Effects of economic pressure on marital conflict in Romania. J Fam Psychol, 2005. 19(2): p. 246–251[Crossref]
  • [22] WebSurveyor Corporation, WebSurveyor. 2006, WebSurveyor Corporation: Herndon, VA
  • [23] Wallis, A.B., et al., An international model for staffing maternal and child health research: the use of undergraduate students. Breastfeed Med, 2007. 2(3): p. 139–144[WoS][Crossref]
  • [24] IBM, IBM SPSS Statistics 19. 2010: Chicago, IL
  • [25] StataCorp LE, Stata 10. 2007, StataCorp LP: College Station, TX
  • [26] Streiner, D.L. and G.R. Norman, Health Measurement Scales: A Practical Guide to their Development and Use. Second ed. 1998, Oxford: Oxford University Press
  • [27] Charter, R.A., Sample size requirements for precise estimates of reliability, generalizability, and validity coefficients. J Clin Exp Neuropsychol, 1999. 21(4): p. 559–566[Crossref]
  • [28] Cronbach, L.J., Coefficient alpha and the internal structure of tests. Psychometrika, 1951. 16(3): p. 297–334[Crossref]
  • [29] Cronbach, L.J., My current thoughts on coefficient alpha and successor procedures. Educ Psychol Meas, 2004. 64(3): p. 391–418[Crossref]
  • [30] Radloff, L.S. and B.Z. Locke, The Community Mental Health Assessment Survey and the CES-D Scale, in Community Surveys, M. Weissman, J. Myers, and C. Ross, Editors. 1986, Rutgers University Press: New Brunswick, NJ
  • [31] Juul, S., An Introduction to Stata for Health Researchers. 2006, College Station, TX: Stata Press
  • [32] Streiner, D.L. and G.R. Norman, Health Measurement Scales: A Practical Guide to Their Development and Use. 4th edition ed. 2008, Oxford: Oxford University Press
  • [33] Brouwers, E., A. van Baar, and V. Pop, Does the Edinburgh Postnatal Depression Scale measure anxiety? J Psychosom Res, 2001. 51(659–63) [Crossref]
  • [34] Ross, L., et al., Measurement issues in postpartum depression, Part 1: Anxiety as a feature of postpartum depression. Archives of Women’s Mental Health, 2003. 6: p. 51–57[Crossref]
  • [35] Logsdon, M., W. Usui, and M. Nering, Validation of the Edinburgh postnatal depression scale for adolescent mothers. Arch Womens Ment Health, 2009. 12: p. 433–440[WoS][Crossref]
Typ dokumentu
Identyfikator YADDA
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.