title: Validation of the Edinburgh Postnatal Depression Scale as a screening tool for depression in late pregnancy among Nigerian women.
abstract: This study aimed to examine the validity of the Edinburgh Postnatal Depression Scale (EPDS) as a screening tool for depression in late pregnancy among Nigerian women. A total of 182 women in late pregnancy (32-36 weeks) completed either the English or the translated Yoruba language version of the EPDS and a proportion of them were then assessed for the presence of DSM-IV major and minor depressive disorders using the MINI International Neuropsychiatric Interview. A cut-off score of 10 on the EPDS was found to be the best for screening for both major and minor depression (sensitivity = 0.867, specificity = 0.915, Diagnostic Likelihood Ratio for a positive result = 10.200). When screening for major depression only, a cut-off of 12 was found to the most appropriate (sensitivity = 1.000, specificity = 0.961, Diagnostic Likelihood Ratio for a positive result = 25.641). The EPDS is a valid and useful instrument in screening for depression in late pregnancy among Nigerian women.
authors.affiliation: Department of Mental Health, Obafemi Awolowo University Teaching Hospital Complex,. Ile-Ife, Osun state, Nigeria. biodunwuya@yahoo.com
authors.forename: Abiodun O
authors.initials: AO
authors.lastname: Adewuya
authors.forename: Bola A
authors.initials: BA
authors.lastname: Ola
authors.forename: Atinuke O
authors.initials: AO
authors.lastname: Dada
authors.forename: Olubunmi O
authors.initials: OO
authors.lastname: Fasoto
mesh_terms: D000328:Adult; D019052:Depression, Postpartum / Q000175:diagnosis* / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D009549:Nigeria / Q000453:epidemiology; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires