Barbara P. Yawn|Wilson Pace|Peter C. Wollan|Susan Bertram|Margary Kurland|Deborah Graham|Allen J. Dietrich
Concordance of Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire (PHQ-9) to Assess Increased Risk of Depression among Postpartum Women
Olmsted Medical Center|American Academy of Family Physicians|Dartmouth–Hitchcock Medical Center|Olmsted Medical Center|American Academy of Family Physicians|Dartmouth–Hitchcock Medical Center|American Academy of Family Physicians|Dartmouth–Hitchcock Medical Center|Olmsted Medical Center|American Academy of Family Physicians|Dartmouth–Hitchcock Medical Center|Olmsted Medical Center|American Academy of Family Physicians|Dartmouth–Hitchcock Medical Center|Olmsted Medical Center|Olmsted Medical Center|American Academy of Family Physicians|Dartmouth–Hitchcock Medical Center|Olmsted Medical Center|American Academy of Family Physicians|Dartmouth–Hitchcock Medical Center
compare edinburgh postnatal depression scale epds patient health questionnaire phq9 screening tools postpartum depressionthis study population included first 500 women enroll return packets ongoing study postpartum depressionthe primary outcome study find rates concordance discordance epds phq9 categories normal increased risk major depressive disorder overall 97 eligible women enrolled 70 returned packets included epds phq9 four hundred eightyone first 500 packets complete data elevated epds phq9 scores 138 132 women respectively concordance epds phq9 present 399 women 83 326 678 normal score 73 152 elevated scores discordant scores 82 women included 17 elevated phq9 scores normal epds scores 65 elevated epds scores phq9 scores 10 multivariate logistic regression modeling age 30 low education level predictive discordant scores using epds phq9 scores 10 elevated odds ratio 19 p 02 odds ratio 23 p 01 respectively phq9 scores 5 9 referred consistent mild depressive symptoms appropriate watchful waiting repeat phq9 followup using followup approach would require reevaluation 120 25 women screenedpostpartum depression screening feasible primary care practices women epds phq9 scores concordant work required identify reasons 17 discordant scores well provide definitive recommendations phq9 scores 5 9