Using The Edinburgh Postnatal Depression Scale With Learning Disabled Mothers

The edinburgh postnatal depression scale epds was developed to assist primary care health professionals in detecting mothers suffering from postpartum depression ppd. The epds consists of 10 questions. It consists of 10 items each scored from 0 3 with higher total scores being indicative of increasing distress green 1998.

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In this small scale study mothers with a learning disability were asked to complete an epds and take part in a structured interview which was designed to be more appropriate to their level of intellectual ability.

Using the edinburgh postnatal depression scale with learning disabled mothers. Accurate identification of postnatal depression in mothers with a learning disability is essential if they are to be offered appropriate treatment and support. However health visitors have raised concerns about the usefulness of the edinburgh postnatal depression scale epds with this group of women. In this small scale study mothers with a learning disability were asked to complete an edinburgh postnatal depression scale epds and take part in a structured interview which was designed to be more appropriate to their level of intellectual ability. Edinburgh postnatal depression scale epds the epds was developed for screening postpartum women in outpatient home visiting settings or at the 6 8 week postpartum examination.

It also has adequate sensitivity and specificity to identify depressive symptoms in the antenatal period and is useful in identifying symptoms of anxiety. A distressing disorder more prolonged than the blues which occur in the first week after delivery but less severe than puerperal psychosis. It has been utilized among numerous populations including u s. The edinburgh postnatal depression scale epds cox et al 1987 is probably the most widely used self report instrument to screen for depression in women in the perinatal period.

The edinburgh postnatal depression scale epds is a questionnaire originally developed to assist in identifying possible symptoms of depression in the postnatal period. Moreover mothers with pd often do not recognize the symptoms of depression. Mothers who score above 13 are likely to be suffering from a depressive illness of varying severity. Women and spanish speaking women in other countries.

The results also suggest that professionals need to deliver postnatal support in ways that empower parents such as providing information and advice in ways that validate the mothers role to help ensure that they engage with the professional and use the available support to full effect. The epds is easy to administer and has proven to be an effective screening tool. The epds score should not override clinical judgment. The obstetrician should be the first to identify those mothers who risk developing depression but this can be quite difficult as symptoms often appear after the routine 4 to 6 week postnatal examination.

However health visitors have raised. The 10 question edinburgh postnatal depression scale epds is a valuable and effici ent way of identifying patients at risk for perinatal depression.