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. ; ... More +
Chiu, Yueh-Hsiu Mathilda ; Sheffield, Perry E. ; Hsu, Hsiao-Hsien Leon ; Goldstein, Jonathan ; Curtin, Paul C. ; Wright, Rosalind J. Less -
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.
Subject:
[+]
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

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 ; ... More +
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 Less -
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:2762cacf1ad95a1915ec87c6221d5323447f6f6282a33db20c187066e52de7ef
File Type:

Supporting Files

• 	NIHMS946849-supplement-1.docx	docx
  	nihms946849.nxml	xml
  	nihms946849f1.gif	gif
  	nihms946849f1.jpg	jpeg

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