title: Validation of the edinburgh postpartum depression scale in a population of adult pregnant women in Mexico.
abstract: BACKGROUND
  The Edinburgh postnatal depression scale (EPDS) is useful for screening depression in puerperal women as well as women during pregnancy. However, such instrument should be validated in a given language before it can be used. There is not validated Mexican version of the EPDS for use in adult pregnant women. Therefore, we sought to validate a Spanish translated Mexican version of the EPDS in a population of adult pregnant women.
  
  
  METHODS
  One hundred fifty-eight adult women (mean age: 28 ± 6.8 years; range: 18 - 45 years) within their 2 - 9 months of pregnancy attending routine prenatal consultations in a public hospital in Durango City, Mexico were studied. All pregnant women submitted a Spanish translated Mexican version of the EPDS. In addition, participants were assessed for major and minor depression by using the DSM-IV criteria.
  
  
  RESULTS
  Of the 158 pregnant women studied, 11 had major depression and 26 had minor depression by the DSM-IV criteria. The best EPDS score for screening combined major and minor depression in adult pregnant women was 9/10. This threshold showed a sensitivity of 75.7%, a specificity of 74.4%, a positive predictive value of 50.8%, a negative predictive value of 94.7% and an area under the curve of 0.89 (95% confidence interval: 0.71 - 1.06).
  
  
  CONCLUSIONS
  The Mexican version of the EPDS can be considered for screening depression in Mexican adult pregnant women whenever a cut-off score of 9/10 is used.
authors.affiliation: Biomedical Research Laboratory, Faculty of Medicine and Nutrition, Juarez University of Durango State, Durango, Mexico.
authors.forename: Cosme
authors.initials: C
authors.lastname: Alvarado-Esquivel
authors.affiliation: Biomedical Research Laboratory, Faculty of Medicine and Nutrition, Juarez University of Durango State, Durango, Mexico ; General Hospital, Secretary of Health, Durango, Mexico.
authors.forename: Antonio
authors.initials: A
authors.lastname: Sifuentes-Alvarez
authors.affiliation: General Hospital, Secretary of Health, Durango, Mexico.
authors.forename: Carlos
authors.initials: C
authors.lastname: Salas-Martinez
keywords: Depression; Mexico; Pregnancy; Validation study
references.citation: BMC Psychiatry. 2012 Aug 19;12:117
references.pmid: 22900835
references.citation: J Affect Disord. 2011 Dec;135(1-3):128-38
references.pmid: 21802737
references.citation: Gen Hosp Psychiatry. 2007 Sep-Oct;29(5):436-41
references.pmid: 17888811
references.citation: J Matern Fetal Neonatal Med. 2014 Jun;27(9):960-7
references.pmid: 24044422
references.citation: Arch Womens Ment Health. 2006 Mar;9(2):75-80
references.pmid: 16172837
references.citation: Arch Womens Ment Health. 2012 Feb;15(1):1-14
references.pmid: 22215285
references.citation: J Psychosom Obstet Gynaecol. 2009 Dec;30(4):238-43
references.pmid: 19845492
references.citation: Clin Pract Epidemiol Ment Health. 2006 Nov 29;2:33
references.pmid: 17134495
references.citation: Br J Psychiatry. 1987 Jun;150:782-6
references.pmid: 3651732
references.citation: Int J Nurs Stud. 2009 Jun;46(6):813-23
references.pmid: 19217107
references.citation: Arch Womens Ment Health. 2005 Jun;8(2):89-95
references.pmid: 15883653
references.citation: Arch Gynecol Obstet. 2011 Dec;284(6):1403-9
references.pmid: 21424404
references.citation: Gac Med Mex. 2010 Jan-Feb;146(1):1-9
references.pmid: 20422928
references.citation: Nord J Psychiatry. 2011 Dec;65(6):414-8
references.pmid: 21728782
references.citation: BMC Womens Health. 2011 Jun 02;11:22
references.pmid: 21635722
references.citation: Can J Psychiatry. 2012 Mar;57(3):161-7
references.pmid: 22398002
references.citation: J Psychosom Res. 2011 Apr;70(4):385-9
references.pmid: 21414460
references.citation: J Affect Disord. 2011 Dec;135(1-3):362-73
references.pmid: 21880372
references.citation: Gen Hosp Psychiatry. 2009 Jul-Aug;31(4):327-33
references.pmid: 19555792
references.citation: J Midwifery Womens Health. 2011 Jan-Feb;56(1):18-25
references.pmid: 21323846
references.citation: J Reprod Med. 1994 Aug;39(8):620-4
references.pmid: 7996526
references.citation: J Affect Disord. 2012 Jan;136(1-2):155-162
references.pmid: 21864914