About 10% to 15% of women of all ages experience clinically major depressive signs during being pregnant. On top of that, ladies with a heritage of important depression show up to be at superior chance for recurrent health issues for the duration of pregnancy notably in the placing of antidepressant discontinuation. We have very long argued that it is vital to recognize and to give procedure to females who go through from depression during being pregnant, but we have however to concur on what is the ideal instrument for this goal.
Employing the EPDS to Recognize Despair In the course of Pregnancy?
The Edinburgh Postnatal Depression Scale (EPDS), even though in the beginning engineered to detect postpartum melancholy, has been utilized in pregnant populations nevertheless, there has been substantial variability in the estimates of the sensitivity and specificity of the EPDS in this placing.
Can Conventional Screening Instruments Be Employed in Pregnant Women of all ages?
Researchers have extensive been worried that the equipment usually employed to identify and evaluate depressive symptoms in the normal population, this sort of as the Hamilton Score Scale for Despair (HAM-D) and the Beck Depression Inventory (BDI), involve several concerns about actual physical signs and symptoms, these kinds of as adjustments in appetite and snooze disturbance. Even though these signs or symptoms are standard depressive symptoms, they are also indications of a usual pregnancy.
A analyze carried out in Brazil gals implies that these screening equipment get the job done just as nicely as the more frequently used Edinburgh Postnatal Depression Scale (EPDS). The scientists concluded that the scales examined can be deemed as valid screening tools for antenatal melancholy. All three screening tools experienced slim confidence intervals and yielded optimistic predictive values larger than .75. What’s more, all scales had good inside regularity. In point, the BDI has better psychometric houses (with the greatest AUC benefit of .90) than the a lot more greatly employed EPDS.
Ruta Nonacs, MD PhD