TY - JOUR
T1 - Diagnostic accuracy of the edinburgh postnatal depression scale
T2 - Consequences of screening in mexican women
AU - Macías-Cortés, Emma Del C.
AU - Lima-Gómez, Virgilio
AU - Asbun-Bojalil, Juan
N1 - Publisher Copyright:
© 2020 Academia Nacional de Medicina. All rights reserved.
PY - 2020/5/1
Y1 - 2020/5/1
N2 - Introduction: Postpartum depression is a non-psychotic depressive episode with serious repercussions on the bond between the mother and her child, hence the importance of detecting it in a timely manner. Objective: To determine the accuracy of the Edinburgh Postnatal Depression Scale as a diagnostic test and to analyze the consequences of screening and the probability of depression after applying the test. Method: Screening of 411 women with the Edinburgh Postnatal Depression Scale during the postpartum period; Beck’s Depression Inventory was used as reference. Results: At a cutoff point of 12, a sensitivity of 70.4 %, specificity of 72.2 %, positive predictive value of 36.9 % and negative predictive value of 91.4 % were obtained with Edinburgh Postnatal Depression Scale, as well as an area under the curve of 0.729 and a p-value of 0.0003. Out of 49 women without treatment for postpartum depression, five were identified to require it. Conclusions: The Edinburgh Postnatal Depression Scale has moderate accuracy; its application is simple, accessible and should be routine. It is necessary for strategies to detect and treat postpartum depression to be implemented in Mexico.
AB - Introduction: Postpartum depression is a non-psychotic depressive episode with serious repercussions on the bond between the mother and her child, hence the importance of detecting it in a timely manner. Objective: To determine the accuracy of the Edinburgh Postnatal Depression Scale as a diagnostic test and to analyze the consequences of screening and the probability of depression after applying the test. Method: Screening of 411 women with the Edinburgh Postnatal Depression Scale during the postpartum period; Beck’s Depression Inventory was used as reference. Results: At a cutoff point of 12, a sensitivity of 70.4 %, specificity of 72.2 %, positive predictive value of 36.9 % and negative predictive value of 91.4 % were obtained with Edinburgh Postnatal Depression Scale, as well as an area under the curve of 0.729 and a p-value of 0.0003. Out of 49 women without treatment for postpartum depression, five were identified to require it. Conclusions: The Edinburgh Postnatal Depression Scale has moderate accuracy; its application is simple, accessible and should be routine. It is necessary for strategies to detect and treat postpartum depression to be implemented in Mexico.
KW - Diagnostic accuracy
KW - Edinburgh Postnatal Depression Scale
KW - Postpartum depression
KW - Screening
KW - Sensitivity
KW - Specificity
UR - http://www.scopus.com/inward/record.url?scp=85086623881&partnerID=8YFLogxK
U2 - 10.24875/GMM.M20000387
DO - 10.24875/GMM.M20000387
M3 - Artículo
C2 - 32538997
AN - SCOPUS:85086623881
SN - 0016-3813
VL - 156
SP - 201
EP - 207
JO - Gaceta Medica de Mexico
JF - Gaceta Medica de Mexico
IS - 3
ER -