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Tag Archives | EPDS

How Can We Screen for Perinatal Depression in the Developing World?

While perinatal mood and anxiety disorders (PMAD) have a global footprint, the majority of research related to this group of illnesses has come largely from more affluent, Westernized countries.  Similarly, the tools used to detect and screen for PMADs were developed and tested in these Westernized countries.   The instrument most commonly used to detect […]

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Depression Trajectories Across the Peripartum Period: Many Women Depressed During the First Postpartum Year

In the earliest studies, postpartum depression was described an episode of depression associated with childbirth, typically emerging within the first three months after delivery.  As more research has been carried out, we have learned that a sizeable number of  women with PPD actually begin to experience symptoms during pregnancy.  The bottom line is that women […]

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Credit: Depressed Mother from Wikimedia Commons

Using the EPDS to Measure Postpartum Depression Severity

  The Edinburgh Postnatal Depression Scale (EPDS) is the instrument most commonly used to identify depression in postpartum women.  Traditionally, a cut-off score of 13 is used to distinguish depressed from nondepressed women.  Because depression exists along a continuum with regard to severity, this yes-or-no approach to the diagnosis of depression has its limitations.  By […]

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By Vera Kratochvil [Public domain], via Wikimedia Commons

Screening for Postpartum Depression Isn’t Enough

About ten years ago, we ran a collaborative project with our obstetrics department here at MGH where we screened all new mothers for postpartum depression.  The screening went well.  Nearly all the women completed the Edinburgh Postnatal Depression Scale (EPDS) at their 6-week postpartum visit.  We contacted the women with scores on the EPDS suggestive […]

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The Postpartum Stressors Scale: A Tool For Identifying Postpartum Women at Risk

Stressful life events occurring during pregnancy and the postpartum period have consistently been identified as a risk factor for perinatal mood and anxiety disorders.  While we have instruments to assess for stressful life events and to measure perceived stress, such as the well-established Holmes and Rahe Stress Scale, these tools do not necessarily assess factors […]

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By Vera Kratochvil [Public domain], via Wikimedia Commons

Is It Postpartum Depression or Postpartum Anxiety? What’s The Difference?

Meet Christine.  She is a married 30-year-old woman who just had her first baby about 3 weeks ago.  While the pregnancy went smoothly, the experience of labor and delivery was difficult.  After nearly 20 hours of labor, Christine had an emergency caesarean section.  The baby was healthy, but he had difficulty breastfeeding.  Christine was worried […]

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Credit: Depressed Mother from Wikimedia Commons

What Screening Tools Identify Postpartum Women with Bipolar Disorder?

Women with bipolar disorder (BD) are at extremely high risk for postpartum psychiatric illness, specifically postpartum psychosis.  While the American College of Obstetrics and Gynecology now recommends that all women be screened for depression during pregnancy and the postpartum period, we have little information regarding the screening tools that are best suited for the identification […]

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Credit: Pregnant Woman from Wikimedia Commons

Screening for Perinatal Anxiety Using PASS – the Perinatal Anxiety Screening Scale

There is a growing body of literature which indicates that anxiety symptoms are common during pregnancy and the postpartum period.  Anxiety during pregnancy places the woman at greater risk for postpartum depression and may also affect pregnancy outcomes.   The American College of Obstetricians and Gynecologists (ACOG) now recommends that clinicians screen women at least once […]

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Screening for Depression During Pregnancy May Lead to Misdiagnosis for Women with Bipolar Disorder

The American College of Obstetrics and Gynecology now recommends that women be screened for depression during pregnancy.  Because depressive symptoms during pregnancy have been associated with worse outcomes and are a robust predictor of postpartum depression, the identification of women with depression during pregnancy would help us to identify women in need of treatment and […]

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What is The Best Screening Tool for Antenatal Depression

About 10% to 15% of women experience clinically significant depressive symptoms during pregnancy. Furthermore, women with a history of major depression appear to be at high risk for recurrent illness during pregnancy particularly in the setting of antidepressant discontinuation.  We have long argued that it is important to identify and to offer treatment to women […]

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