Validation of a Romanian scale to detect antenatal depression

Anne B Wallis; Roberto Fernandez; Florin I Oprescu; Razvan M Chereches; Alina Zlati; Claibourne I Dungy

doi:10.2478/s11536-011-0130-1

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Validation of a Romanian scale to detect antenatal depression

Journal article

Peer reviewed

Validation of a Romanian scale to detect antenatal depression

Anne B Wallis, Roberto Fernandez, Florin I Oprescu, Razvan M Chereches, Alina Zlati and Claibourne I Dungy

Central European Journal of Medicine, Vol.7(2), pp.216-223

2012

DOI: https://doi.org/10.2478/s11536-011-0130-1

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Abstract

perinatal depression

EPDS

pregnancy

psychometrics

validity

reliability

Central Europe

Eastern Europe

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.

Details

Title: Validation of a Romanian scale to detect antenatal depression
Authors: Anne B Wallis (Author) - University of Iowa, United States
Roberto Fernandez (Author) - Des Moines University, United States
Florin I Oprescu (Author) - Centre for Mental Health Research, Romania
Razvan M Chereches (Author) - Centre for Mental Health Research, Romania
Alina Zlati (Author) - Centre for Mental Health Research, Romania
Claibourne I Dungy (Author) - University of Iowa, United States
Publication details: Central European Journal of Medicine, Vol.7(2), pp.216-223
Publisher: Versita
Date published: 2012
DOI: 10.2478/s11536-011-0130-1
ISSN: 1895-1058
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; Engage Research Lab; School of Health and Behavioural Sciences - Legacy; School of Health - Public Health
Language: English
Record Identifier: 99447774802621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Psychiatry

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