Validation of a Romanian scale to detect antenatal depression

• Authors: Anne Wallis , Roberto Fernandez , Florin Oprescu , Răzvan Cherecheş , Alina Zlati , Claibourne Dungy
• Languages of publication: EN

Abstracts

EN

The aim of this study was to develop and validate a linguistically and culturally appropriate version of the Edinburgh Postnatal Depression Scale (EPDS) for use with women attending antenatal care in Romania. We translated and tested a Romanian version of the EPDS (EPDS-R) in four hospitals in three Romanian cities: Cluj-Napoca, Satu Mare, and Sighetu-Marmatiei. The study population included third-trimester women attending antenatal clinics (n=418); 364 subjects were included in the analytic sample. We used the Center for Epidemiologic Studies Depression Scale (CES-D) as a “gold standard”. We assessed reliability, validity, and conducted sensitivity analysis to establish an EPDS-R cutpoint. We found that reliability was robust (α=0.89) and there was a significant linear relationship between EPDS-R and CES-D scores (r=0.77; p<0.001). We established an EPDS-R cutpoint of >12 to balance sensitivity and specificity. Principal component analysis revealed a two-factor solution. We detected antenatal depressive symptoms prevalence rates of 32% (CES-D) and 38% (EPDS-R). This is the first study to report exclusively on antenatal depression and the use of the EPDS in Central and Eastern Europe. The EPDS-R is easy to administer, reliable, and valid for screening depression among antenatal women in Romania.

Keywords

EN

Perinatal depression; EPDS; Pregnancy; Psychometrics; Validity; Reliability; Central Europe; Eastern Europe

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2012
• Volume: 7
• Issue: 2
• Pages: 216-223

Dates

published

1 - 4 - 2012

online

3 - 2 - 2012

Contributors

author

Anne Wallis

author

Roberto Fernandez

• College of Osteopathic Medicine, Des Moines University, 3200 Grand Avenue, Des Moines, Iowa, 50312, USA

author

Florin Oprescu

• Open Minds: Center for Mental Health Research, Mehedinţi 35, 400675, Cluj-Napoca, Romania

author

Răzvan Cherecheş

author

Alina Zlati

• Open Minds: Center for Mental Health Research, Mehedinţi 35, 400675, Cluj-Napoca, Romania

author

Claibourne Dungy

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Identifiers

DOI

10.2478/s11536-011-0130-1