Subconstructs of the Edinburgh Postpartum Depression Scale in a Multi-Ethnic Inner-City Population in the U.S

Details

• Alternative Title:
  Arch Womens Ment Health
• Personal Author:
  Chiu, Yueh-Hsiu Mathilda ; Sheffield, Perry E. ; Hsu, Hsiao-Hsien Leon ; Goldstein, Jonathan ; Curtin, Paul C. ; Wright, Rosalind J.
• Description:
  The ten-item Edinburgh Postnatal Depression Scale (EPDS) is one of the most widely used self-report measures of postpartum depression. Although originally described as a one-dimensional measure, the recognition that depressive symptoms may be differentially experienced across cultural and racial/ethnic groups has led to studies examining structural equivalence of the EPDS in different populations. Variation of the factor structure remains understudied across racial/ethnic groups of US women. We examined the factor structure of the EPDS assessed 6 months postpartum in 515 women (29% black, 53% Hispanic, 18% white) enrolled in an urban Boston longitudinal birth cohort. Exploratory factor analysis (EFA) identified that a three-factor model, including depression, anxiety, and anhedonia subscales, was the most optimal fit in our sample as a whole and across race/ethnicity. Confirmatory factor analysis (CFA) was used to examine the fit of both the two- and three-factor models reported in prior research. CFA confirmed the best fit for a three-factor model, with minimal differences across race/ethnicity. "Things get on top of me" loaded on the anxiety factor among Hispanics, but loaded on the depression factor in whites and African Americans. These findings suggest that EPDS factor structure may need to be adjusted for diverse samples and warrants further study.
• Subjects:
  Adult Anhedonia Anxiety Depression Depression, Postpartum Ethnicity Factor Analysis, Statistical Female Humans Postpartum Period Poverty Psychiatric Status Rating Scales Psychometrics Reproducibility Of Results Self Report Social Class Surveys And Questionnaires

  More +
• Source:
  Arch Womens Ment Health. 20(6):803-810.
• Pubmed ID:
  28770342
• Pubmed Central ID:
  PMC5841245
• Document Type:
  Journal Article
• Funding:
  U01 HL072494/HL/NHLBI NIH HHS/United States ; R01 ES010932/ES/NIEHS NIH HHS/United States ; R01 HL080674/HL/NHLBI NIH HHS/United States ; T42 OH008422/OH/NIOSH CDC HHS/United States ; P30 ES023515/ES/NIEHS NIH HHS/United States ; K23 ES024127/NH/NIH HHS/United States ; K23 ES024127/ES/NIEHS NIH HHS/United States ; L40 ES017745/ES/NIEHS NIH HHS/United States
• Place as Subject:
  United States
• Volume:
  20
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:2762cacf1ad95a1915ec87c6221d5323447f6f6282a33db20c187066e52de7ef
• Download URL:
  https://stacks.cdc.gov/view/cdc/52398/cdc_52398_DS1.pdf
• File Type:
  [PDF - 681.09 KB ]