About 10% to 15% of women of all ages practical experience clinically important depressive signs during being pregnant. On top of that, women of all ages with a heritage of important melancholy show up to be at superior chance for recurrent health issues during pregnancy specially in the location of antidepressant discontinuation. We have prolonged argued that it is important to identify and to supply treatment to women who endure from melancholy all through pregnancy, but we have yet to agree on what is the best instrument for this objective.
Applying the EPDS to Determine Depression During Being pregnant?
The Edinburgh Postnatal Despair Scale (EPDS), while in the beginning engineered to detect postpartum melancholy, has been employed in pregnant populations nevertheless, there has been significant variability in the estimates of the sensitivity and specificity of the EPDS in this location.
Can Traditional Screening Applications Be Applied in Expecting Women of all ages?
Researchers have extended been anxious that the tools frequently employed to detect and measure depressive signs and symptoms in the basic populace, this sort of as the Hamilton Ranking Scale for Despair (HAM-D) and the Beck Despair Inventory (BDI), incorporate many inquiries about bodily signs, these kinds of as alterations in appetite and rest disturbance. While these indicators are standard depressive signs, they are also signs and symptoms of a ordinary pregnancy.
A research carried out in Brazil women indicates that these screening resources operate just as well as the far more commonly utilized Edinburgh Postnatal Despair Scale (EPDS). The researchers concluded that the scales examined can be thought of as legitimate screening resources for antenatal despair. All three screening tools had narrow assurance intervals and yielded optimistic predictive values larger than .75. In addition, all scales experienced good inner consistency. In reality, the BDI has far better psychometric houses (with the best AUC value of .90) than the more greatly made use of EPDS.
Ruta Nonacs, MD PhD