Validation of the subscales of the Edinburgh Postnatal Depression Scale in a sample of women with unsettled infants.

Abstract:

BACKGROUND:The Edinburgh Postnatal Depression Scale (EPDS) was developed as a uni-dimensional measure of depression, however there is evidence that it also measures anxiety. This study examined the factor structure of the EPDS and validity of the identified subscales. METHOD:309 women with infants aged up to 12 months completed the EPDS, BDI-II, BAI and the SCID-I. RESULTS:Exploratory factor analysis revealed distinct anxiety and depression factors. Confirmatory factor analyses showed the identified two-factor model to be an adequate fit to the data and superior to a uni-dimensional model. An anxiety subscale score of 4 or more detected the presence of an anxiety disorder with sensitivity of 63%, specificity 70%, positive predictive value of 45% and negative predictive value of 81%. LIMITATIONS:All participants were mothers with unsettled infants, a group that is known to have higher than average rates of depression and anxiety. The factor structure of the EPDS may have unique features in this group and so these results may not be generalizable to general postnatal samples. Also, participants in this study ranged from 1 week to 12 months postpartum and there may be variations in the factor structure of the EPDS over this time. CONCLUSION:The 7-item depression subscale could be used in place of the total scale to identify women with major depression and the 3-item anxiety subscale could be used to identify women with anxiety disorders (occurring co-morbidly with depression or occurring alone). Future research should seek to replicate these findings in a general postnatal sample and to develop anxiety-specific screening tools for use in the postnatal period.

journal_name

J Affect Disord

authors

Phillips J,Charles M,Sharpe L,Matthey S

doi

10.1016/j.jad.2009.02.004

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

101-12

issue

1-3

eissn

0165-0327

issn

1573-2517

pii

S0165-0327(09)00072-X

journal_volume

118

pub_type

杂志文章
  • The association between insulin resistance and depression in the Korean general population.

    abstract:BACKGROUND:Previous studies showed that the insulin resistance (IR) could be related to depression. However, this association is still equivocal in the general population. Herein, we aimed to investigate the association between IR and depressive symptoms in a large sample in South Korea. METHODS:A cross-sectional stud...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2016.10.027

    authors: Lee JH,Park SK,Ryoo JH,Oh CM,Mansur RB,Alfonsi JE,Cha DS,Lee Y,McIntyre RS,Jung JY

    更新日期:2017-01-15 00:00:00

  • Dropout from randomised controlled trials of psychological treatments for depression in children and youth: a systematic review and meta-analyses.

    abstract:BACKGROUND:Depression is a prevalent and disabling condition in youth. Treatment efficacy has been demonstrated for several therapeutic modalities. Acceptability of treatments is also important to explore and was addressed by investigating treatment dropout using meta-analyses. METHODS:A systematic search was conducte...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章,评审

    doi:10.1016/j.jad.2020.11.039

    authors: Wright I,Mughal F,Bowers G,Meiser-Stedman R

    更新日期:2021-02-15 00:00:00

  • Bipolar patients treated with long-acting injectable risperidone in Taiwan: A 1-year mirror-image study using a national claims database.

    abstract:OBJECTIVE:Bipolar disorder (BD) is burdensome for patients and healthcare systems. This study evaluated changes in concomitant medication patterns, healthcare utilization, and costs after the initiation of risperidone long-acting injection (RLAI) treatment among BD patients. METHOD:287 BD patients receiving regular RL...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2017.04.074

    authors: Hsieh MH,Chuang PY,Wu CS,Chang CJ,Chung PF,Tang CH

    更新日期:2017-08-15 00:00:00

  • Complex polypharmacy in bipolar disorder: Side effect burden, adherence, and response predictors.

    abstract:BACKGROUND:Complex polypharmacy (CP) is common in bipolar disorder (BD). We assessed the associations between CP, adherence, and side effect burden, and patient traits associated with clinical improvement in relationship to CP. METHODS:We conducted a secondary analysis of 482 adult BD participants in the Bipolar CHOIC...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2019.06.050

    authors: Fung VC,Overhage LN,Sylvia LG,Reilly-Harrington NA,Kamali M,Gao K,Shelton RC,Ketter TA,Bobo WV,Thase ME,Calabrese JR,Tohen M,Deckersbach T,Nierenberg AA

    更新日期:2019-10-01 00:00:00

  • Acute and long-term treatment outcome in depressed inpatients with vs. without anxious features: results of a one-year follow-up study.

    abstract:BACKGROUND:Anxious depression (AD) is common in patients with unipolar depression. It remains unclear if they have a higher level of depressive symptoms, a higher risk of non-response, a poorer prognosis and a higher relapse rate compared to non-anxious depressed (non-AD) patients. METHODS:168 patients took part in al...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2013.05.043

    authors: Köhler S,Unger T,Hoffmann S,Steinacher B,Fydrich T

    更新日期:2013-09-25 00:00:00

  • Ergopsychometry in depressive patients.

    abstract::Thirteen patients with major depressive disorder, 25 patients with dysthymia and 12 healthy controls underwent ergopsychometric testing. The effect of self-paced and set-paced load on mood, vigilance and perseveration tendency was recorded. Within the clinical groups, various types of load seemed to result mainly in v...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/0165-0327(91)90095-a

    authors: Günther V,Kryspin-Exner I

    更新日期:1991-10-01 00:00:00

  • Shifts in gender equality and suicide: A panel study of changes over time in 87 countries.

    abstract:BACKGROUND:Increasing gender equality remains an imperative for countries and organisations worldwide, and is associated with the improved life outcomes of men and women. Unlike many health and wellbeing indicators, death by suicide is more common among men, but suicidal behaviours are more common among women. Understa...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2020.07.105

    authors: Milner A,Scovelle AJ,Hewitt B,Maheen H,Ruppanner L,King TL

    更新日期:2020-11-01 00:00:00

  • Where would young people seek help for mental disorders and what stops them? Findings from an Australian national survey.

    abstract:BACKGROUND:In order to improve help seeking by young people for mental illness, a better understanding is required of their help-seeking intentions and barriers to their help seeking from various different sources and for different disorders. METHODS:Young people's help-seeking intentions and perceived barriers to hel...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2012.11.014

    authors: Yap MB,Reavley N,Jorm AF

    更新日期:2013-05-01 00:00:00

  • A multi-level analysis of the relationship between spatial clusters of outpatient-treated depression, risk factors and mental health service planning in Catalonia (Spain).

    abstract:BACKGROUND:Previous research identified high/low clusters of prevalence of outpatient-treated depression at municipal level in Catalonia (Spain). This study aims to analyse potential risk factors, both socioeconomic and related to the mental health service planning, which could influence the occurrence of hot/cold spot...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2016.04.024

    authors: Rodero-Cosano ML,Salinas-Pérez JA,González-Caballero JL,García-Alonso CR,Lagares-Franco C,Salvador-Carulla L

    更新日期:2016-09-01 00:00:00

  • Severity of bipolar disorder is associated with impairment of response inhibition.

    abstract:BACKGROUND:Pathological impulsivity in bipolar disorder could be related to deficiencies in mechanisms involved in attention or response inhibition. We investigated these mechanisms in subjects with bipolar disorder and examined relationships to severity of course of illness, use of medication, affective state, age, ed...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2008.10.022

    authors: Swann AC,Lijffijt M,Lane SD,Steinberg JL,Moeller FG

    更新日期:2009-07-01 00:00:00

  • Nonverbal attunement between depressed patients and an interviewer predicts subsequent improvement.

    abstract::Depressed patients' support-seeking behaviour and the responses to this behaviour by others (support-giving) are presumed to play a causal role in depression. In interactions between normals, attuning nonverbal behaviour (i.e., equalizing levels of specific behavioural activities) is important for satisfaction of the ...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/0165-0327(96)00037-7

    authors: Geerts E,Bouhuys N,Van den Hoofdakker RH

    更新日期:1996-09-09 00:00:00

  • An examination of the prospective impact of bulimic symptoms and dietary restraint on life hassles and social support.

    abstract:BACKGROUND:The stress generation hypothesis posits that individuals with psychopathology engage in maladaptive behaviors that create stress. Although extensively researched in the depression literature, few studies have investigated whether the stress generation hypothesis applies to eating disorders. This study examin...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2015.11.009

    authors: Kwan MY,Gordon KH

    更新日期:2016-02-01 00:00:00

  • Schizoaffective disorder diagnosed according to different diagnostic criteria--systematic literature search and meta-analysis of key clinical characteristics and heterogeneity.

    abstract:BACKGROUND:Schizoaffective disorder is viewed as a heterogeneous diagnosis among psychotic illnesses. Different diagnostic systems differ in their definition with DSM (-IIIR, -IV, and -V) providing a narrower definition than RDC and ICD-10. It is unclear whether this difference is reflected in patient samples diagnosed...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.jad.2013.12.001

    authors: Pagel T,Franklin J,Baethge C

    更新日期:2014-03-01 00:00:00

  • Sleep disturbances and suicidal ideation in sleep medical center patients.

    abstract:OBJECTIVE:The purpose of this investigation was two-fold: first, we examined associations between suicidal ideation, maladaptive sleep patterns and abnormal sleep behaviors in a sleep center population, an understudied population in the domain of suicide research; and then, we explored whether significant associations ...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2010.12.001

    authors: Krakow B,Ribeiro JD,Ulibarri VA,Krakow J,Joiner TE Jr

    更新日期:2011-06-01 00:00:00

  • Determinants of access to health care for depression in 49 countries: A multilevel analysis.

    abstract:BACKGROUND:The relative importance of individual and country-level factors influencing access to diagnosis and treatment for depression across the world is fairly unknown. METHODS:We analysed cross-national data from the WHO World Health Surveys. Depression diagnosis and access to health care were ascertained using a ...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2018.02.092

    authors: Araya R,Zitko P,Markkula N,Rai D,Jones K

    更新日期:2018-07-01 00:00:00

  • The mental health and lifestyle impacts of COVID-19 on bipolar disorder.

    abstract:BACKGROUND:It is unclear how those with bipolar disorder (BD) have been affected by the coronavirus (COVID-19) pandemic. This study aimed to obtain a more detailed understanding of the current mental health needs of these individuals, which is important for both the development of intervention strategies to better mana...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2020.12.186

    authors: Karantonis JA,Rossell SL,Berk M,Van Rheenen TE

    更新日期:2020-12-31 00:00:00

  • Alcohol abuse in social phobic patients: is there a bipolar connection?

    abstract:BACKGROUND:Epidemiological and clinical studies have reported the frequent co-occurrence of social phobia (SP) and alcohol use disorders. Patients with SP often use alcohol to cope with the social situations they fear, and to lessen anticipatory anxiety, behavioral inhibition, and phobic avoidance. We investigated whet...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/s0165-0327(00)00316-5

    authors: Perugi G,Frare F,Madaro D,Maremmani I,Akiskal HS

    更新日期:2002-02-01 00:00:00

  • Temperament clusters associate with anxiety disorder comorbidity in depression.

    abstract:BACKGROUND:Individual temperament is associated with psychiatric morbidity and could explain differences in psychiatric comorbidities. We investigated the association of temperament profile clusters with anxiety disorder comorbidity in patients with depression. METHODS:We assessed the temperament of 204 specialized ca...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2018.04.084

    authors: Paavonen V,Luoto K,Lassila A,Leinonen E,Kampman O

    更新日期:2018-08-15 00:00:00

  • Dependency, matching adversities, length of survival and relapse in major depression.

    abstract::This paper reports the 1-year follow-up of a sample of depressed patients. Social cognitive variables obtained during the index episode, including ideal emotional support, roles and goals investment in various domains and dysfunctional attitudes were used to predict subjects' likelihood for subsequent relapse. More su...

    journal_title:Journal of affective disorders

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0165-0327(95)00075-5

    authors: Lam DH,Green B,Power MJ,Checkley S

    更新日期:1996-04-12 00:00:00

  • Pediatric bipolar disorder in a Spanish sample: results after 2.6years of follow-up.

    abstract:INTRODUCTION:Bipolar disorder (BD) often starts in childhood or adolescence. There is considerable scepticism outside the United States over the validity, stability and prevalence of BD in children and adolescents. Persistence of course lends support to the validity of a diagnosis. OBJECTIVES:To describe the longitudi...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2011.01.013

    authors: Escamilla I,Wozniak J,Soutullo CA,Gamazo-Garrán P,Figueroa-Quintana A,Biederman J

    更新日期:2011-07-01 00:00:00

  • Fluvoxamine and lithium in long-term treatment of unipolar subjects with high recurrence rate.

    abstract::We prolonged from 24 to 36 months a follow-up study of unipolar subjects with a high probability of recurrence treated with fluvoxamine (n = 32) or lithium (n = 32). During the extra observation period, two patients developed mania and were excluded from the study. There were no further recurrences in either the lithi...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/0165-0327(95)00095-x

    authors: Franchini L,Zanardi R,Gasperini M,Perez J,Smeraldi E

    更新日期:1996-04-26 00:00:00

  • Anxiety and impulsivity levels identify relevant subtypes in adolescents with at-risk behavior.

    abstract:BACKGROUND:Impulsivity (I) and anxiety (A) were hypothesized to be crucial clinical features in adolescents with at-risk behavior. We therefore classified them into sub-groups according to these two major dimensions. The study examined the relevance of these groups by describing their major diagnoses and behavioral cha...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/s0165-0327(02)00455-x

    authors: Askénazy FL,Sorci K,Benoit M,Lestideau K,Myquel M,Lecrubier Y

    更新日期:2003-05-01 00:00:00

  • Trajectories for Post-traumatic Stress Disorder Symptoms Among Local Disaster Recovery Workers Following the Great East Japan Earthquake: Group-based Trajectory Modeling.

    abstract:BACKGROUND:As many local municipality and medical workers were involved in disaster recovery duties following the Great East Japan Earthquake (GEJE) on March 11, 2011, the aim of this work was to elucidate the distinct trajectories for post-traumatic stress disorder (PTSD) symptoms and associated factors among these pe...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2020.05.152

    authors: Sakuma A,Ueda I,Shoji W,Tomita H,Matsuoka H,Matsumoto K

    更新日期:2020-09-01 00:00:00

  • Family religion and psychopathology in children of depressed mothers: ten-year follow-up.

    abstract:BACKGROUND:Previously we found that transmission of religion from mother to adult offspring as measured by correlations on ratings of personal importance of religion and frequency of attendance at religious services was hindered by maternal depression. Concordance of denomination, a measure indicating successful transm...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2011.11.030

    authors: Jacobs M,Miller L,Wickramaratne P,Gameroff M,Weissman MM

    更新日期:2012-02-01 00:00:00

  • Gene set enrichment analysis and expression pattern exploration implicate an involvement of neurodevelopmental processes in bipolar disorder.

    abstract:BACKGROUND:Bipolar disorder (BD) is a common and highly heritable disorder of mood. Genome-wide association studies (GWAS) have identified several independent susceptibility loci. In order to extract more biological information from GWAS data, multi-locus approaches represent powerful tools since they utilize knowledge...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2017.11.068

    authors: Mühleisen TW,Reinbold CS,Forstner AJ,Abramova LI,Alda M,Babadjanova G,Bauer M,Brennan P,Chuchalin A,Cruceanu C,Czerski PM,Degenhardt F,Fischer SB,Fullerton JM,Gordon SD,Grigoroiu-Serbanescu M,Grof P,Hauser J,Hautzinge

    更新日期:2018-03-01 00:00:00

  • Promoting the well-being of mothers with multidisciplinary psychosocial interventions in the perinatal period.

    abstract:BACKGROUND:Antenatal depressive and anxiety symptoms are common and may persist over time after delivery, with negative consequences on the mothers and their children. Evidence on the efficacy of psychological and pharmacological interventions during pregnancy aimed at preventing post-partum depression is controversial...

    journal_title:Journal of affective disorders

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jad.2018.12.028

    authors: Cauli G,Iapichino E,Rucci P,Quartieri Bollani M,Marconi AM,Bassi M,Gala C

    更新日期:2019-03-01 00:00:00

  • Prognosis of depressive disorders in the general population- results from the longitudinal Finnish Health 2011 Study.

    abstract:BACKGROUND:Depressive disorders are among the most pressing public health challenges worldwide. Yet, not enough is known about their long-term outcomes. This study examines the course and predictors of different outcomes of depressive disorders in an eleven-year follow-up of a general population sample. METHODS:In a n...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2015.10.043

    authors: Markkula N,Härkänen T,Nieminen T,Peña S,Mattila AK,Koskinen S,Saarni SI,Suvisaari J

    更新日期:2016-01-15 00:00:00

  • Graph-theoretical analysis of resting-state fMRI in pediatric obsessive-compulsive disorder.

    abstract:BACKGROUND:fMRI graph theory reveals resting-state brain networks, but has never been used in pediatric OCD. METHODS:Whole-brain resting-state fMRI was acquired at 3T from 21 children with OCD and 20 age-matched healthy controls. BOLD connectivity was analyzed yielding global and local graph-theory metrics across 100 ...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2015.12.071

    authors: Armstrong CC,Moody TD,Feusner JD,McCracken JT,Chang S,Levitt JG,Piacentini JC,O'Neill J

    更新日期:2016-03-15 00:00:00

  • Prevalence of complicated grief in a representative population-based sample.

    abstract:BACKGROUND:Complicated grief (CG) has been proposed as a distinct diagnostic category in the next edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). However, few epidemiological studies to date have measured CG in the general population. METHODS:Prevalence of CG, sociodemographic characteris...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2010.11.032

    authors: Kersting A,Brähler E,Glaesmer H,Wagner B

    更新日期:2011-06-01 00:00:00

  • GWAS and systems biology analysis of depressive symptoms among smokers from the COPDGene cohort.

    abstract:BACKGROUND:Large sample GWAS is needed to identify genetic factors associated with depression. This study used genome-wide genotypic and phenotypic data from the COPDGene study to identify genetic risk factors for depression. METHODS:Data were from 9716 COPDGene subjects with ≥10 pack-year history. Depression was defi...

    journal_title:Journal of affective disorders

    pub_type: 杂志文章

    doi:10.1016/j.jad.2018.09.003

    authors: Heinzman JT,Hoth KF,Cho MH,Sakornsakolpat P,Regan EA,Make BJ,Kinney GL,Wamboldt FS,Holm KE,Bormann N,Robles J,Kim V,Iyer AS,Silverman EK,Crapo JD,Han S,Potash JB,Shinozaki G,COPDGene Investigators.

    更新日期:2019-01-15 00:00:00