A comparison of the postpartum depression screening scale. Comparative analysis of the performance of the postpartum depression screening scale with two other depression. At this time, no single screening tool is recommended by u. Short forms of the postpartum depression screening scale. Accuracy of depression screening tools for identifying postpartum. Its important to be screened for postpartum depression any time mood disturbances are severe or last longer than two weeks after birth.
There are currently no validated clinicianrated scales that assess for depression specifically during pregnancy. Other validated screening tools include the center for epidemiologic studies of depression instrument cesd, the patient health questionnaire phq9, and the postpartum depression screening scale pdss. Postpartum depression screening scale pdss is a selfreport scale with 35 items and 7 factors each factor has 5 items, scored with a 5point likert scale 15. The advantages to this screening are that it does into greater symptom detail and reduces somatic confounds. By far the most widely used instrument in postpartum depression studies and for populationbased screening is the edinburgh postnatal depression scale epds. As you are having a baby, we would like to know how you are feeling. A recent study indicated that the epds may be further abbreviated to a three question version which can be used to screen for postpartum. A comparison of the postpartum depression screening scale pdss with the edinburgh postnatal depression scale epds. Further validation of the postpartum depression screening. Postpartum depression as profiled through the depression.
Review the clinical assessment of ppd, including the edinburgh postnatal depression scale epds and the postpartum depression screening scale pdss. Postnatal depression scale epds, beck depression inventory ii bdi. Comparative analysis of the performance of the postpartum. Postpartum depression screening scale pdss the pdss is a 35item selfreport instrument that can be administered in 510 minutes.
The purpose of this study was to further assess the construct validity of the newly designed postpartum depression screening scale pdss along with its sensitivity, specificity, and predictive values. Postpartum major depression is a disorder that is often unrecognized and must be distinguished from baby blues. With the postpartum depression screening scale pdss, clinicians can identify mothers suffering from postpartum depression early and easily. Postpartum depression is a mood altering condition that affects 1020% of women after childbirth. Edinburgh postpartum depression screening tool responses are scored 0, 1, 2, or 3 according to the severity of the symptoms. Screening for postpartum depression in military women with. Postpartum depression screening scale pdss healthy. The purpose of the present study was to evaluate antenatal depression screening employing two scales. I have been able to laugh and see the funny side of things 6. Content validity was supported through the literature and the judgments rendered by a panel of five content experts and a focus group. Combined use of the postpartum depression screening scale.
The percentages are even higher for women who are also dealing with. Symptoms include an inability to perform activities of daily living, feelings of inadequacyworthlessness, a discouraged outlook on life, altered sleeping pattern, overall worried feelings, and exhaustion. Usually these symptoms get better or go away within a week or two and do not require treatment. Perinatal nurses and midwives knowledge about assessment. Edinburgh perinatalpostnatal depression scale epds for use between 28 32 weeks in all pregnancies and 6 8 weeks postpartum name. Pdf postpartum depression is a disorder that is often unrecognized and undertreated. Benefits, gives clinicians a quick, systematic way to address postpartum depression and a valid assessment on which to base treatment.
Yawn bp, pace w, wollan pc, bertram s, kurland m, graham d, dietrich a. Describe the symptoms and understand the differential diagnosis of prenatal and postpartum depression, anxiety, panic disorder, ocd, ptsd, bipolar disorders and. Methods of screening to detect postpartum depression by. The total score is determined by adding the scores of each of the 10 questions. This postpartum depression scale can be very helpful as postpartum depression is a serious mental illness that affects up to 1in8 new mothers. Edinburgh postnatal depression scale epds ucsf fresno. The aims of the present study were to develop three shorter forms of the portuguese version of the postpartum depression screening scale pdss as adapted and translated in portugal, to analyse their psychometrics and to determine their cutoff points and associated conditional probabilities to screen for perinatal depression according to dsmiv. Pdf the purpose of the study was to analyse for the first time the validity of a slightly modified version of the portuguese postpartum depression. The component elements of the diagnostic presented were identified through the postpartum depression screening scale pdss. Complete an interactive quiz and share the results with your health care provider. Accuracy of depression screening tools for identifying. New zealand research, clinical report by new zealand college of midwives journal. Mothers feared others perceptions that they were bad mothers and.
Postpartum depression screening scale by san gurung on prezi. Screening test feel like you might be suffering from perinatal depression. Postpartum depression screening scale buros online shop. List the effects of ppd on maternal bonding, motherinfant attachment, and a childs socioemotional and cognitive development. Beck depression inventory bdiii beck depression inventory fs formerly bdipc center for epidemiological studies depression scale cesd edinburgh postnatal depression scale epds postpartum depression screening scale pdss patient health questionnaire9 phq9. Postpartum depression screening scale pdss this 35 item selfreport designed specifically for postpartum use. Screening and addressing postpartum depression ppd in. To purchase the actual test materials, you will need to contact the test publishers. Screening for postpartum depression in military women with the postpartum depression screening scale guarantor. This illness has potentially devastating consequences for both mother and. It is not available for free online and must be purchased.
Sagovsky, department of psychiatry, university of edinburgh please note. Opportunities for routine postpartum depression screening include mothers postpartum office visits and their infants wellchild visits. If your institution is entitled to use the task, you may install an addon xml file on your server containing the required strings, to make the task fully functional, but you must provide this xml file and its contents yourself it is outside the scope of camcops. In an official capacity, postpartum depression screening is performed typically by the womans obstetriciangynecologist obgyn. The goal was to describe the accuracy of the edinburgh postnatal depression scale epds, beck depression inventory ii bdiii, and postpartum depression screening scale pdss in identifying major depressive disorder mdd or minor depressive disorder mndd in lowincome, urban mothers attending well childcare wcc visits during the postpartum year. But, if your mood does not improve after 2 weeks of giving birth, you may be experiencing postpartum depression. Edinburgh postnatal depression scale 1 epds postpartum depression is the most common complication of childbearing. Screening for prenatal and postpartum depression wisconsin association for perinatal care mcconnell hall 1010 mound street madison, wisconsin 53715 6082676060 depression screening can improve health outcomes when combined with a system for treatment.
Edinburgh postnatal depression scale epds the epds was developed for screening postpartum women in outpatient, home visiting settings, or at the 6 8 week postpartum examination. The edinburgh postnatal depression scale epds is a set of 10 screening questions that can indicate whether a parent has symptoms that are common in women with depression and anxiety during pregnancy and in the year following the birth of a child. Early identification and treatment by primary care clinicians or mental health specialists is essential. The goal was to describe the accuracy of the edinburgh. Postpartum depression screening can also be performed by the family physician, a labor and delivery nurse or another type of health care provider working with the mother. Give each postpartum woman a screening tool to complete, in the form of. Cutoff scores are likely to differ in their utility with various populations for. Depression in pregnancy can be underdiagnosed as a consequence of the symptoms being misattributed to normal pregnancy.
Postpartum depression scale, postpartum depression. If you have a score of or above, please call for an appointment. The edinburgh postnatal depression scale epds was developed to assist primary care health professionals in detecting mothers suffering from postpartum depression ppd. Approximately 15% of women experience significant depression following childbirth.
It has been utilized among numerous populations including u. Identifies women who are at high risk for postpartum depression so that they can be referred for definitive diagnosis and treatment. Postpartum depression and opinions on screening 9 2, patient health questionairre9 phq9, and the postpartum depression screening scale pdss. Analysis of positive edinburgh depression scale referrals to a consultation liaison psychiatric service in a twoyear period. Screening for prenatal and postpartum depression 2 hurtingor not being able to protectthe infant are particularly troubling to mothers. Screening for prenatal and postpartum depression wisconsin association for perinatal care depression screening can improve health outcomes when combined with a system for treatment.
Those specific to detect maternal depression in the peripartum or postpartum period include the edinburg postpartum depression scale epds, the postpartum depression screening scale pdss, and the pregnancy risk questionnaire prq. This stage involves a panic attacks b obsessive thinking and c fogginess. A total sample of 150 mothers within 12 weeks postpartum participated in the study. Health, general mental health postpartum depression. The research was conducted in the province of ankara between 15 june 2003 and 15 february 2004. The signs and symptoms of depression include depressed. We sought to develop a brief, convenient screening tool to identify depression in pregnant women in the community. Massachusetts chapter american academy of pediatrics.
This wapc position statement includes the rationale and plan for routine depression screening and treatment of pregnant and postpartum women by health care providers. Cheryl tatano beck postpartum depression 2019 natural. A study examined the use of the postpartum depression screening scale in a highvolume collaborative obstetric and midwifery practice. Cheryl tatano beck, dnsc cnm faan each year, 16,000 women on active duty in the u. It is important to note that screening does not replace a diagnostic interview, but it can help to. This 35item, selfreport instrument can be administered in just 5 to 10 minutes. Postpartum depression screening postpartum depression. According to beck 1993, women were hit suddenly and unexpectedly by the postpartum depression and they were blindsided by it.
All of these tools have different variations of questions, and each have positive and negative aspects. Used as a brief screening device, it identifies women who are at high risk for postpartum depression, so that health. The edinburgh postpartum depression scale is the most widely used test for postpartum depression. Anxiety, inadequate selfadaptation, and inappropriate selfcontrol, were the most frequent defining characteristics. Just click on the picture below and the pdf of the postpartum depression test will. Journal of psychosocial nursing and mental health services the current study addresses lack of knowledge about assessment and management of postpartum depression ppd among nurses and midwives. With the postpartum depression screening scale pdss, clinicians can identify mothers suffering from postpartum depressionearly and easily. Postpartum depression screening scale in a collaborative. Post partum depression fact sheet molina healthcare. Massachusetts department of public health 2012 post partum depression screening tool grid vii scores of 59 on the phq9 variously categorized as watchful waiting and reevaluation vs. Postpartum depression is a clinical depressive episode that occurs in % to 20% of women after birth or miscarriage. Screening is better than normal routine care in detecting postpartum. Author cheryl tatano beck, dnsc, cnm, faan, has done extensive research on postpartum mood and anxiety disorders and developed the postpartum depression screening scale pdss. The aim of this study was to determine the reliability and validity of the postpartum depression screening scale pdss for the turkish population.