Detection of mental disorders other than depression with the Edinburgh Postnatal Depression Scale in a sample of pregnant women in northern Mexico

We sought to evaluate the capacity of the Edinburgh Postnatal Depression Scale (EPDS) in discriminating mental disorders other than depression in pregnant women in northern Mexico. Three hundred pregnant women attending prenatal consultations in a public hospital in Durango City, Mexico submitted a...

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Main Authors: Cosme Alvarado-Esquivel, Antonio Sifuentes-Alvarez, Carlos Salas-Martinez
Format: Article
Language:English
Published: Wiley 2016-05-01
Series:Mental Illness
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Online Access:http://www.pagepress.org/journals/index.php/mi/article/view/6021
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author Cosme Alvarado-Esquivel
Antonio Sifuentes-Alvarez
Carlos Salas-Martinez
author_facet Cosme Alvarado-Esquivel
Antonio Sifuentes-Alvarez
Carlos Salas-Martinez
author_sort Cosme Alvarado-Esquivel
collection DOAJ
description We sought to evaluate the capacity of the Edinburgh Postnatal Depression Scale (EPDS) in discriminating mental disorders other than depression in pregnant women in northern Mexico. Three hundred pregnant women attending prenatal consultations in a public hospital in Durango City, Mexico submitted a validated EPDS and were examined for mental disorders other than depression using the Diagnostic and Statistical Manual of Mental Disorders - 4th Ed. (DSM-IV) criteria. Sensitivity and specificity of cut-off points of the EPDS, and positive and negative predictive values were calculated. Of the 300 pregnant women studied, 21 had mental disorders other than depression by the DSM-IV criteria. The best EPDS score for screening mental disorders other than depression was 8/9. This threshold showed a sensitivity of 52.4%, a specificity of 67.0%, a positive predictive value of 11.5%, a negative predictive value of 95.4%, and an area under the curve of 0.643 (95% confidence interval: 0.52-0.76). The EPDS can be considered for screening mental disorders other than depression in Mexican pregnant women whenever a cut-off score of 8/9 is used. However, the tool showed small power to separate pregnant women with and without mental disorders other than depression.
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spelling doaj-art-e108a97c6ffe4b419c41ae10894160c82025-02-03T05:58:01ZengWileyMental Illness2036-74572036-74652016-05-018110.4081/mi.2016.60213326Detection of mental disorders other than depression with the Edinburgh Postnatal Depression Scale in a sample of pregnant women in northern MexicoCosme Alvarado-Esquivel0Antonio Sifuentes-Alvarez1Carlos Salas-Martinez2Biomedical Research Laboratory, Faculty of Medicine and Nutrition, Juárez University of Durango StateBiomedical Research Laboratory, Faculty of Medicine and Nutrition, Juárez University of Durango State; Mothers and Children’s Hospital, DurangoBiomedical Research Laboratory, Faculty of Medicine and Nutrition, Juárez University of Durango State; Mothers and Children’s Hospital, DurangoWe sought to evaluate the capacity of the Edinburgh Postnatal Depression Scale (EPDS) in discriminating mental disorders other than depression in pregnant women in northern Mexico. Three hundred pregnant women attending prenatal consultations in a public hospital in Durango City, Mexico submitted a validated EPDS and were examined for mental disorders other than depression using the Diagnostic and Statistical Manual of Mental Disorders - 4th Ed. (DSM-IV) criteria. Sensitivity and specificity of cut-off points of the EPDS, and positive and negative predictive values were calculated. Of the 300 pregnant women studied, 21 had mental disorders other than depression by the DSM-IV criteria. The best EPDS score for screening mental disorders other than depression was 8/9. This threshold showed a sensitivity of 52.4%, a specificity of 67.0%, a positive predictive value of 11.5%, a negative predictive value of 95.4%, and an area under the curve of 0.643 (95% confidence interval: 0.52-0.76). The EPDS can be considered for screening mental disorders other than depression in Mexican pregnant women whenever a cut-off score of 8/9 is used. However, the tool showed small power to separate pregnant women with and without mental disorders other than depression.http://www.pagepress.org/journals/index.php/mi/article/view/6021Mental disorderspregnancyvalidation studyepidemiologyMexico
spellingShingle Cosme Alvarado-Esquivel
Antonio Sifuentes-Alvarez
Carlos Salas-Martinez
Detection of mental disorders other than depression with the Edinburgh Postnatal Depression Scale in a sample of pregnant women in northern Mexico
Mental Illness
Mental disorders
pregnancy
validation study
epidemiology
Mexico
title Detection of mental disorders other than depression with the Edinburgh Postnatal Depression Scale in a sample of pregnant women in northern Mexico
title_full Detection of mental disorders other than depression with the Edinburgh Postnatal Depression Scale in a sample of pregnant women in northern Mexico
title_fullStr Detection of mental disorders other than depression with the Edinburgh Postnatal Depression Scale in a sample of pregnant women in northern Mexico
title_full_unstemmed Detection of mental disorders other than depression with the Edinburgh Postnatal Depression Scale in a sample of pregnant women in northern Mexico
title_short Detection of mental disorders other than depression with the Edinburgh Postnatal Depression Scale in a sample of pregnant women in northern Mexico
title_sort detection of mental disorders other than depression with the edinburgh postnatal depression scale in a sample of pregnant women in northern mexico
topic Mental disorders
pregnancy
validation study
epidemiology
Mexico
url http://www.pagepress.org/journals/index.php/mi/article/view/6021
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