Psychometric Properties and Diagnostic Accuracy of the Edinburgh Postnatal Depression Scale in a Sample of Iranian Women

Abstract

Background: Edinburgh Postnatal Depression Scale (EPDS) has been used as a reliable screening tool for postpartum depression in many countries. This study aimed to assess the psychometric properties and diagnostic accuracy of the EPDS in a sample of Iranian women. Methods: Using stratified sampling 262 postpartum women (2 weeks-3 months after delivery) were selected from urban and rural health center in the city of Isfahan. They were interviewed using EPDS and Hamilton depression rating scale (HDRS). Data were assessed using factor analysis, diagnosis analysis of receiver operating characteristic (ROC) curve, Cronbach's alpha and Pearson correlation coefficient. Results: The age of then participants ranged 18-45 years (26.6±5.1). Based on a cut-off point of >13 for HDRS, 18.3% of the participants. The overall reliability (Cronbach's alpha) of EPDS was 0.79. There was a significant correlation (r2=0.60, P value<0.01) between EPDS and HDRS. Two factor analysis showed that anhedonia and depression were two explanatory factors. At a cut-off point12 the sensitivity of the question-naire was 78% (95% CI: 73%-83%) and its specificity was 75% (95% CI: 72%-78%). Conclusion: The Persian version of the EPDS showed appropriate psychometric properties diagnostic accuracy index. It can be used by health system professionals for detection, assess-ment and treatment for mothers with post partum depression.