Edinburgh Depression Scale
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Edinburgh Depression Scale
(or Edinburgh Postnatal Depression Scale)
DATE COMPLETED_____________
As you have recently had a baby‚ we would like to know how you are feeling. Please CIRCLE the number next to the answer which comes closest to how you have felt IN
THE PAST 7 DAYS‚ not just how you feel today. Here is an example‚ already completed.
I have felt happy:
In the past 7 days:
1. I have been able to laugh and see the funny side of things.
2. I have looked forward with enjoyment to things.
3. I have blamed myself unnecessarily when things went wrong.
4. I have been anxious or worried for no good reason.
In the past 7 days:
5. I have felt scared or panicky for no very good reason.
6. Things have been getting on top of me.
7. I have been so unhappy that I have had difficulty sleeping.
8. I have felt sad or miserable.
9. I have been so unhappy that I have been crying.
10. The thought of harming myself has occurred to me.
Scoring and Other Information
Response categories are scored 0‚ 1‚ 2‚ and 3 according to increased severity of the symptom. Items 3‚ 5-10 are reverse scored (i.e.‚ 3‚ 2‚ 1‚ and 0). The total score is calculated by adding together the scores for each of the ten items. Users may reproduce the scale without further permission providing they respect copyright (which remains with the British Journal of Psychiatry) quoting the names of the authors‚ the title and the source of the paper in all reproduced copies.
The Edinburgh Postnatal Depression Scale (EPDS) has been developed to assist primary care health professionals to detect mothers suffering from postnatal depression; a distressing disorder more prolonged than the "blues" (which occur in the first week after delivery) but less severe than puerperal psychosis.
Previous studies have shown that postnatal depression affects at least 10% of women and that many depressed mothers remain untreated. These mothers may cope with their baby and with household tasks‚ but their enjoyment of life is seriously affected and it is possible that there are long term effects on the family.
The EPDS was developed at health centres in Livingston and Edinburgh. It consists of ten short statements. The mother underlines which of the four possible responses is closest to how she has been feeling during the past week. Most mothers complete the scale without difficulty in less than 5 minutes.
The validation study showed that mothers who scored above a threshold 12/13 were likely to be suffering from a depressive illness of varying severity. Nevertheless the EPDS score should not override clinical judgement. A careful clinical assessment should be carried out to confirm the diagnosis. The scale indicates how the mother has felt during the previous week‚ and in doubtful cases it may be usefully repeated after 2 weeks. The scale will not detect mothers with anxiety neuroses‚ phobias or personality disorders.
Instructions for users
1. The mother is asked to underline the response which comes closest to how she has been feeling in the previous 7 days.
2. All ten items must be completed.
3. Care should be taken to avoid the possibility of the mother discussing her answers with others.
4. The mother should complete the scale herself‚ unless she has limited English or has difficulty with reading.
5. The EPDS may be used at 6-8 weeks to screen postnatal women. The child health clinic‚ postnatal check-up or a home visit may provide suitable opportunities for its completion.
Cox‚ J. L.‚ Holden‚ J. M.‚ & Sagovsky‚ R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry‚ 150‚ 782-786. -3-
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