title: Combined use of the postpartum depression screening scale (PDSS) and Edinburgh postnatal depression scale (EPDS) to identify antenatal depression among Chinese pregnant women with obstetric complications.
abstract: The purpose of the present study was to evaluate antenatal depression screening employing two scales: the Postpartum Depression Screening Scale (PDSS) and Edinburgh Postnatal Depression Scale (EPDS) for the population of Chinese pregnant women with obstetric complications. A convenience sample of 842 Chinese pregnant women with complications participated in this study. The PDSS total score correlated strongly with the EPDS total score (r=0.652, p=0.000). Each tool performed extremely well for detecting major and major/minor depressions with PDSS resulting in a better psychometric performance than EPDS (p<0.01). If combined use, the recommended EPDS cut-off score was 8/9 for major depression, at which the sensitivity (71.6%) and specificity (87.6%) were the best, and the recommended PDSS cut-off score was 79/80 for major depression, along with its best sensitivity (86.4%) and specificity (100%). The study concluded that EPDS and PDSS appear to be reliable assessments for major and minor depression among the Chinese pregnant women with obstetric complications. Combined use of these tools should consider lower cutoff scores to reduce the misdiagnosis and improve the screening validity.
authors: School of Nursing, Fudan University, No. 305 Fenglin Road, Shanghai 200032, PR China; Psychiatry Department, Fudan University Affiliated Huashan Hospital, No. 12 Wulumuqi Zhong Road, Shanghai 200040, PR China.
authors: Ying
authors: Y
authors: Zhao
authors: School of Nursing, University of Pittsburgh, 3500 Victoria St. VB 420, Pittsburgh, PA 15261, United States.
authors: Irene
authors: I
authors: Kane
authors: Fudan University Affiliated Women׳s Hospital, No. 128 Shenyang Road, Shanghai 200090, PR China. Electronic address: wangjing1172@sina.com.
authors: Jing
authors: J
authors: Wang
authors: Fudan University Affiliated Women׳s Hospital, No. 128 Shenyang Road, Shanghai 200090, PR China.
authors: Beibei
authors: B
authors: Shen
authors: Department of Biostatistics, School of Public Health, Fudan University, No. 130 Dongan Road, Shanghai 200032, PR China.
authors: Jianfeng
authors: J
authors: Luo
authors: Psychiatry Department, Fudan University Affiliated Huashan Hospital, No. 12 Wulumuqi Zhong Road, Shanghai 200040, PR China; Shanghai Jiao Tong University School of Medicine Affiliated Shanghai Mental Health Centre, No. 600 Wan Ping Nan Road, Shanghai 200030, PR China. Electronic address: shishenxun@163.com.
authors: Shenxun
authors: S
authors: Shi
mesh_terms: D000328:Adult; D044466:Asian People; D019052:Depression, Postpartum / Q000175:diagnosis*; D003866:Depressive Disorder / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D012680:Sensitivity and Specificity; D055815:Young Adult
keywords: Antenatal depression; Edinburgh Postnatal Depression Scale; High risk; Obstetric complications; Postpartum Depression Screening Scale; Screening