Accuracy of the Edinburgh Postnatal Depression Scale in screening for major depressive disorder and other psychiatric disorders in women towards the end of their puerperium

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023752%3A_____%2F22%3A43920885" target="_blank" >RIV/00023752:_____/22:43920885 - isvavai.cz</a>

Výsledek na webu

<a href="https://www.cs-gynekologie.cz/en/journals/czech-gynaecology/2022-1-4/accuracy-of-the-edinburgh-postnatal-depression-scale-in-screening-for-major-depressive-disorder-and-other-psychiatric-disorders-in-women-towards-the-end-of-their-puerperium-129769" target="_blank" >https://www.cs-gynekologie.cz/en/journals/czech-gynaecology/2022-1-4/accuracy-of-the-edinburgh-postnatal-depression-scale-in-screening-for-major-depressive-disorder-and-other-psychiatric-disorders-in-women-towards-the-end-of-their-puerperium-129769</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.48095/cccg202219" target="_blank" >10.48095/cccg202219</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Accuracy of the Edinburgh Postnatal Depression Scale in screening for major depressive disorder and other psychiatric disorders in women towards the end of their puerperium

Popis výsledku v původním jazyce

Objective: To assess the accuracy of the Edinburgh Postnatal Depression Scale (EPDS) in screening for severe depression and other mental disorders in women at the end of puerperium. Materials and methods: We administered the Czech version of the EPDS to assess depressive symptoms and the Mini International Neuropsychiatric Interview to determine psychiatric diagnoses in 243 women at the end of their puerperium. Then, we determined the frequencies of severe depressive disorder and other psychiatric disorders in our cohort. Furthermore, we assessed the sensitivity, specificity, positive predictive value, negative predictive value, and other diagnostic variables for the presence of severe depression and other psychiatric disorders for different threshold scores on EPDS. We evaluated the detection potential of EPDS for detecting monitored mental disorders by using the receiver operating characteristic curve analysis and determining the area under the curve. Results: Severe depressive disorder was present in 2.5% (95% CI: 1.1-5.3%) of women. Any monitored mental disorder was present in 13.6% (95% CI: 9.8-18.5%). The best sensitivity/specificity ratio for detecting major depressive disorder was found for the EPDS threshold score &gt;= 11; sensitivity was 83% (95% CI: 35-99%) and specificity was 79% (95% CI: 74-84%). The EPDS &gt;= 11 then achieved a sensitivity of 76% (95% CI: 58-89%) and specificity of 82% (95% CI: 76-87%) for the detection of any mental disorder of interest. Conclusion: Our results showed that the Czech version of EPOS has good internal consistency, and the EPDS score &gt;= 11 achieves the best combination of sensitivity and specificity values for detecting major depressive disorder. Screening with EPDS in women at the end of puerperium can detect psychiatric disorders other than severe major depression.

Název v anglickém jazyce

Accuracy of the Edinburgh Postnatal Depression Scale in screening for major depressive disorder and other psychiatric disorders in women towards the end of their puerperium

Popis výsledku anglicky

Objective: To assess the accuracy of the Edinburgh Postnatal Depression Scale (EPDS) in screening for severe depression and other mental disorders in women at the end of puerperium. Materials and methods: We administered the Czech version of the EPDS to assess depressive symptoms and the Mini International Neuropsychiatric Interview to determine psychiatric diagnoses in 243 women at the end of their puerperium. Then, we determined the frequencies of severe depressive disorder and other psychiatric disorders in our cohort. Furthermore, we assessed the sensitivity, specificity, positive predictive value, negative predictive value, and other diagnostic variables for the presence of severe depression and other psychiatric disorders for different threshold scores on EPDS. We evaluated the detection potential of EPDS for detecting monitored mental disorders by using the receiver operating characteristic curve analysis and determining the area under the curve. Results: Severe depressive disorder was present in 2.5% (95% CI: 1.1-5.3%) of women. Any monitored mental disorder was present in 13.6% (95% CI: 9.8-18.5%). The best sensitivity/specificity ratio for detecting major depressive disorder was found for the EPDS threshold score &gt;= 11; sensitivity was 83% (95% CI: 35-99%) and specificity was 79% (95% CI: 74-84%). The EPDS &gt;= 11 then achieved a sensitivity of 76% (95% CI: 58-89%) and specificity of 82% (95% CI: 76-87%) for the detection of any mental disorder of interest. Conclusion: Our results showed that the Czech version of EPOS has good internal consistency, and the EPDS score &gt;= 11 achieves the best combination of sensitivity and specificity values for detecting major depressive disorder. Screening with EPDS in women at the end of puerperium can detect psychiatric disorders other than severe major depression.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30215 - Psychiatry

Projekt

<a href="/cs/project/NU21J-09-00064" target="_blank" >NU21J-09-00064: Účinnost distanční peer podpory v prevenci poporodní deprese: randomizovaná kontrolovaná studie.</a><br>

Návaznosti

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Česká gynekologie

ISSN

1210-7832

e-ISSN

1805-4455

Svazek periodika

87

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

8

Strana od-do

19-26

Kód UT WoS článku

000765443900001

EID výsledku v databázi Scopus

2-s2.0-85125690727