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Screening for PPD
The Edinburgh Postnatal Depression Scale is a useful tool to screen patients for postpartum depression.
The Edinburgh Postnatal Depression Scale has been developed to assist primary care health professionals to detect mothers suffering from postnatal depression, a distressing disorder more prolonged than the "blues" (which occur in the first week after delivery) but less severe than puerperal psychosis. Previous studies have shown that postnatal depression affects at least 10% of women and that many depressed mothers remain untreated. These mothers may cope with their baby and with household tasks, but their enjoyment of life is seriously affected and it is possible that there are long-term effects on the family.
The EPDS was developed at health centers in Livingston and Edinburgh. It consists of ten short statements. The mother underlines which of the four possible responses is closest to how she has been feeling during the past week. Most mothers complete the scale without difficulty in less than 5 minutes. The validation study showed that mothers who scored above threshold 92.3% were likely to be suffering from a depressive illness of varying severity. Nevertheless, the EPDS score should not override clinical judgment. A careful clinical assessment should be carried out to confirm the diagnosis. The scale indicates how the mother has felt during the previous week and in doubtful cases, it may be usefully repeated after 2 weeks. The scale will not detect mothers with anxiety neuroses, phobias or personality disorder.
Taken from the British Journal of Psychiatry
Instructions for users:
Guidelines for Evaluation:
Response categories are scored 0, 1, 2, and 3 according to increased severity of the symptom. Questions 3, 5, 6, 7, 8, 9, 10 are reverse scored (i.e., 3, 2, 1, 0)
Individual items are totaled to give an overall score. A score of 12+ indicates the likelihood of depression, but not its severity. The EPDS score is designed to assist, not replace, clinical judgment. Women should be further assessed before deciding on treatment.
This scale may be reproduced by users without further permission providing they respect copyright by quoting the names of the authors, the title and the source of the paper in all reproduced copies.
As you have recently had a baby, we would like to know how you are feeling. Please UNDERLINE the answer that comes closest to how you have felt IN THE PAST 7 DAYS, not just how you feel today.
Department of Health
P. O. Box 360, Trenton, NJ 08625-0360
Last Modified: Thursday, 12-Jul-12 11:44:54