Wickberg B, Hwang C P
Department of Psychology, Göteborg University, Sweden.
Acta Psychiatr Scand. 1996 Sep;94(3):181-4. doi: 10.1111/j.1600-0447.1996.tb09845.x.
The Edinburgh Postnatal Depression Scale (EPDS) was designed to be used by community health workers to screen for postnatal depression. We report data from a population-based sample of 1655 women who completed the EPDS at 2 months and 3 months postpartum. A total of 128 women were interviewed with the Montgomery Asberg Depression Rating Scale (MADRS) and assessed according to DSM-III-R criteria for major depression. A cut-off score of 11.5 on the EPDS identified all but two women with major depression, giving it a sensitivity of 96%, a specificity of 49% and a positive predictive value of 59%. This study supports the validity of the EPDS shown in earlier studies, and indicates that the scale is a useful screening instrument for identifying postnatal depression in primary health care in Sweden.
爱丁堡产后抑郁量表（EPDS）旨在供社区卫生工作者用于筛查产后抑郁。我们报告了来自1655名妇女的基于人群的样本数据，这些妇女在产后2个月和3个月完成了EPDS。共有128名妇女接受了蒙哥马利-阿斯伯格抑郁评定量表（MADRS）的访谈，并根据DSM-III-R标准对重度抑郁进行了评估。EPDS上11.5的临界值识别出了除两名妇女外的所有重度抑郁患者，其敏感性为96%，特异性为49%，阳性预测值为59%。本研究支持了早期研究中显示的EPDS的有效性，并表明该量表是瑞典初级卫生保健中识别产后抑郁的有用筛查工具。
