Detecting Maternal Depression in a Low-Income Country: Comparison of the Self-Reporting Questionnaire and the Edinburgh Postnatal Depression Scale

To validate the Self-Reporting Questionnaire (SRQ-20) and the Edinburgh Postnatal Depression Scale (EPDS) against the Clinical Interview Schedule-Revised (CIS-R). Two-phase design. 664 mothers were approached, 601 of them completed the EPDS and SRQ questionnaires. The CIS-R was administered to confi...

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Bibliographic Details
Published in:Journal of tropical pediatrics (1980) 2014-04, Vol.60 (2), p.129-133
Main Authors: HUSAIN, Nusrat, KIRAN, Tayyeba, SUMRA, Altaf, SHEHLA NAEEM ZAFAR, RAZA UR RAHMAN, JAFRI, Farhat, ANSARI, Sami, HUSAIN, Meher, MORUF LANREWAJU ADELEKAN, IMRAN BASHIR CHAUDHRY
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adult and adolescent clinical studies
Biological and medical sciences
Child, Preschool
Depression
Depression, Postpartum - diagnosis
Depression, Postpartum - psychology
Female
General aspects
Humans
Infant
Infant, Newborn
Interview, Psychological - methods
Male
Mass Screening - methods
Medical sciences
Mood disorders
Mothers - psychology
Pakistan
Poverty Areas
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Reproducibility of Results
ROC Curve
Self Report
Sensitivity and Specificity
Surveys and Questionnaires
Urban Population
Young Adult
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Summary:To validate the Self-Reporting Questionnaire (SRQ-20) and the Edinburgh Postnatal Depression Scale (EPDS) against the Clinical Interview Schedule-Revised (CIS-R). Two-phase design. 664 mothers were approached, 601 of them completed the EPDS and SRQ questionnaires. The CIS-R was administered to confirm the diagnosis for depression. The diagnostic accuracy was compared using the receiver operating characteristic analysis. At the threshold of 11, the SRQ had better sensitivity, negative predictive values and positive predictive values compared with the EPDS optimal threshold of 14. Both measures (EPDS and SRQ) have adequate validity to screen for depression in mothers in Pakistan. However, the SRQ performed better, with participants finding it easy to understand. The scales can be of great value to detect maternal depression in primary care and pediatric settings in low-income countries.
ISSN:0142-6338
1465-3664
DOI:10.1093/tropej/fmt097