Screening for Postpartum Depression in American Indian/Alaska Native Women

A Comparison of Two Instruments

Bibliographic Data

ID4624485
AuthorsJennifer L Heck (0000-0002-0284-4587, corresponding author)
Year2018
Volume25
Issue2
Pages74-102
Publication date2018-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAmerican Indian and Alaska Native Mental Health Research (JOURNAL)
Journal identifiersISSN: 0893-5394 • E-ISSN: 1533-7731
PublisherCenters for American Indian and Alaska Native Health (PUBLISHER)
DOI10.5820/aian.2502.2018.74
PMID29889949
OpenAlexW2808561111
LanguageEN
Citations received3

This review examined validation studies of the Edinburgh Postnatal Depression Scale (EPDS) and the Patient Health Questionnaire-9 (PHQ-9) to identify an appropriate postpartum depression (PPD) screening tool for American Indian and Alaska Native (AI/AN) women in the U.S. Databases were searched using: EPDS paired with psychometric properties or validation and PHQ-9 paired with PPD and psychometric properties or validation, yielding a final sample of 58 articles. Both tools have good internal consistency, but discriminative validity for detecting PPD in women from non-Western cultures is low. Positive predictive values in these women are low and diverse (EPDS [n = 21] median 67%, range 21.1-90%; PHQ-9 [n = 1] median 26%). The low predictive accuracy of both tools suggests the tools may be culturally biased

Cartography · Depressive symptoms · Edinburgh Postnatal Depression Scale · Internal consistency · Patient Health Questionnaire · Postpartum depression · Predictive validity · Pregnancy · Psychiatry · Psychometrics · Clinical Psychology · Health disparities and outcomes · Maternal and Perinatal Health Interventions · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Psychology

Tools

Open DOIOpen Access