Sumitra Devi Shrestha|Rina Pradhan|Thach Tran|Rosa C. Gualano|Jane Fisher
Reliability and validity of the Edinburgh Postnatal Depression Scale (EPDS) for detecting perinatal common mental disorders (PCMDs) among women in low-and lower-middle-income countries: a systematic review
Ministry of Health and Population|Jean Hailes|Monash University|Jean Hailes|Monash University|Jean Hailes|Monash University
edinburgh postnatal depression scale epds originally developed britain one widely used screening instruments assessing symptoms perinatal common mental disorders pcmds depression anxiety however potential detect pcmds culturally diverse low lowermiddle income countries lalmics unclear systematic review aimed appraise formally validated local language versions epds resourceconstrained settingsfollowing prisma protocol searched medlineovid cinahlplus pubmed identify studies reporting translation cultural adaptation formal validation epds detect pcmds among women lalmics quality studies meeting inclusion criteria assessed using standard criteria new processbased criteria developed specifically studywe identified 1281 records among 16 met inclusion criteria three papers identified handsearching reference lists publications reported findings 12 lalmics 14 native languages local language versions epds llvepds lower precision identifying true cases pcmds among women general perinatal population compared original english version one study met criteria culturally sensitive translation others established comprehensibility local version amongst representative groups women pretesting many studies tested llvepds amongst convenience samples recruited single health facilities diagnostic interviews confirmation mental disorders could influenced mental health professionals lack blinding initial screening results additionally even diagnosticinterviews carried local language questions might understood studies followed standard diagnostic protocol culturally adaptedmost llvepds nonenglish speaking low middleincomecountries meet criteria formal validation screening instrument psychometric properties llvepds could enhanced adopting new processbased criteria translation adaptation validation