title: Validation of the Edinburgh Postnatal Depression Scale as a screening tool for postpartum depression in a clinical sample in Hungary.
abstract: BACKGROUND
  the purpose of the study was to assess the validity of the 10-item Edinburgh Postnatal Depression Scale (EPDS) in screening for postnatal depression (PND) in Hungary.
  
  
  METHODS
  between July 2010 and March 2011, a sample of 266 women attending a routine check-up at six weeks post partum completed the newly translated Hungarian version of the EPDS at the Department of Obstetrics and Gynecology, University of Szeged, Hungary, and underwent clinical assessments based on the Structured Clinical Interview for DSM-IV disorders (SCID-I).
  
  
  RESULTS
  eight (3.0%) of the mothers were diagnosed with major postnatal depression, and 36 (13.5%) with minor depression on the basis of the SCID. Internal consistency of the Hungarian version of the EPDS was satisfactory (Cronbach α coefficients ≥0.727). The best cut-off for major depression was 12/13, with a sensitivity of 100.0%, and a specificity of 97.7%. The area under the ROC curve was found significant for combined (major+minor) depression as well and at a cut-off of 7/8 indicated a sensitivity of 72.7% and a specificity of 86.0%. A factor analysis suggested multidimensionality with two factors (anxiety and depression).
  
  
  CONCLUSIONS
  the EPDS showed good validity in the postnatal period in a clinical sample in Hungary.
authors.affiliation: Department of Obstetrics and Gynecology, University of Szeged, Semmelweis u. 1, H-6725, Szeged, Hungary. Electronic address: torekiannamaria@gmail.com.
authors.forename: Annamária
authors.initials: A
authors.lastname: Toreki
authors.affiliation: Department of Psychiatry, University of Szeged, Szeged, Hungary.
authors.forename: Bálint
authors.initials: B
authors.lastname: Andó
authors.affiliation: Department of Psychiatry, University of Cambridge, Addenbrooke׳s Hospital, Cambridge, United Kingdom; Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, United Kingdom.
authors.forename: Robert B
authors.initials: RB
authors.lastname: Dudas
authors.affiliation: Department of Obstetrics and Gynecology, University of Szeged, Semmelweis u. 1, H-6725, Szeged, Hungary.
authors.forename: Diána
authors.initials: D
authors.lastname: Dweik
authors.affiliation: Department of Psychiatry, University of Szeged, Szeged, Hungary.
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Janka
authors.affiliation: Department of Obstetrics and Gynecology, Blekinge Hospital, Karlskrona, Sweden.
authors.forename: Zoltan
authors.initials: Z
authors.lastname: Kozinszky
authors.affiliation: Department of Obstetrics and Gynecology, University of Szeged, Semmelweis u. 1, H-6725, Szeged, Hungary.
authors.forename: Attila
authors.initials: A
authors.lastname: Keresztúri
mesh_terms: D019052:Depression, Postpartum / Q000175:diagnosis* / Q000628:therapy; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D008403:Mass Screening / Q000379:methods / Q000592:standards*; D011247:Pregnancy; D011569:Psychiatric Status Rating Scales / Q000592:standards*; D015203:Reproducibility of Results; D014175:Translating
keywords: Edinburgh Postnatal Depression Scale; Postnatal depression; SCID; Validation