Depression prevalence based on the Edinburgh Postnatal Depression Scale compared to Structured Clinical Interview for DSM DIsorders classification: Systematic review and individual participant data meta-analysis.
Edinburgh Postnatal Depression Scale
depression prevalence
individual participant data meta-analysis
major depression
structured clinical interview for DSM
Journal
International journal of methods in psychiatric research
ISSN: 1557-0657
Titre abrégé: Int J Methods Psychiatr Res
Pays: United States
ID NLM: 9111433
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
revised:
28
07
2020
received:
30
03
2020
accepted:
13
10
2020
pubmed:
23
10
2020
medline:
26
10
2021
entrez:
22
10
2020
Statut:
ppublish
Résumé
Estimates of depression prevalence in pregnancy and postpartum are based on the Edinburgh Postnatal Depression Scale (EPDS) more than on any other method. We aimed to determine if any EPDS cutoff can accurately and consistently estimate depression prevalence in individual studies. We analyzed datasets that compared EPDS scores to Structured Clinical Interview for DSM (SCID) major depression status. Random-effects meta-analysis was used to compare prevalence with EPDS cutoffs versus the SCID. Seven thousand three hundred and fifteen participants (1017 SCID major depression) from 29 primary studies were included. For EPDS cutoffs used to estimate prevalence in recent studies (≥9 to ≥14), pooled prevalence estimates ranged from 27.8% (95% CI: 22.0%-34.5%) for EPDS ≥ 9 to 9.0% (95% CI: 6.8%-11.9%) for EPDS ≥ 14; pooled SCID major depression prevalence was 9.0% (95% CI: 6.5%-12.3%). EPDS ≥14 provided pooled prevalence closest to SCID-based prevalence but differed from SCID prevalence in individual studies by a mean absolute difference of 5.1% (95% prediction interval: -13.7%, 12.3%). EPDS ≥14 approximated SCID-based prevalence overall, but considerable heterogeneity in individual studies is a barrier to using it for prevalence estimation.
Identifiants
pubmed: 33089942
doi: 10.1002/mpr.1860
pmc: PMC7992289
doi:
Types de publication
Journal Article
Meta-Analysis
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e1860Subventions
Organisme : CIHR
ID : KRS-140994
Pays : Canada
Organisme : NIMH NIH HHS
ID : K23 MH064476
Pays : United States
Organisme : Department of Health
ID : RP-PG-1210-12002
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 082384/Z/07/Z
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 211374/Z/18/Z
Pays : United Kingdom
Organisme : Department of Health
ID : RP-DG-1108-10012
Pays : United Kingdom
Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : NIMH NIH HHS
ID : K23 MH080290
Pays : United States
Organisme : Medical Research Council
ID : MR/S035818/1
Pays : United Kingdom
Informations de copyright
© 2020 The Authors. International Journal of Methods in Psychiatric Research published by John Wiley & Sons Ltd.
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