Validation of Edinburgh Postnatal Depression Scale as a Screening Test for Postpartum Depression: A Systematic Review

Rizqie Putri Novembriani, Indang Trihandini


Faculty of Public Health, Universitas Indonesia



Background: The Edinburgh Postnatal Depression Scale (EPDS) is a set of 10 screening ques­ti­ons that indicate whether a parent has symptoms that are common in wo­men with depression and an­xiety during pregnancy and in the year following the birth of a child. This study aimed to review sys­tematically the validity of EPDS as a screen­ing test for postpartum depression.

Subjects and Method: A systematic review was used for this study. The subjects of this study were post-partum women. This study was conducted by searching eligible ar­ti­cles from 3 data­ba­ses: ProQuest, PubMed, and Scopus, obtained from 2008 to 2018. The keywords used for this stu­dy were Edinburgh Postnatal Depression Scale (EPDS) AND validation AND validating AND vali­di­ty. The inclusion criteria were post-par­tum women (1 year), used EPDS as screening in­stru­ment. EPDS was compared with gold standard diagnostic test. Data of sensitivity, specificity, and positive pre­dictive value must be included. The data on methodology and main findings were then extracted, compiled, and analyzed.

Results: Out of 104 articles, 5 articles were selected for this study. Sensitivity and spe­ci­­­ficity throughout the studies showed heterogeneity. Sensitivity varied from 71% to 100%. Specificity varied from 79% to 98.7%. Positive predictive value varied widely from 33.3% to 78%.

Conclusion: EPDS shows a variety of sensitivity and specificity, ranging from fair to good validity. EPDS shows too wide range of positive predictive values.

Keywords: post-partum depression, Edinburgh Postnatal Depression Scale, screen­ing, validation

Correspondence: Rizqie Putri Novembriani. Faculty of Public Health, Universitas Indonesia, Jl. Lingkar Kampus Raya, Depok 16424. Email: rizqie.putri@ui.­ Mobile: 085791069100.


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