Archives of Women's Mental Health

, Volume 14, Issue 4, pp 325–333

Mood and anxiety disorders in a sample of Canadian perinatal women referred for psychiatric care

  • Sophie Grigoriadis
  • Diane de Camps Meschino
  • Elaine Barrons
  • Lana Bradley
  • Allison Eady
  • Alicja Fishell
  • Lana Mamisachvili
  • Greer Slyfield Cook
  • Maura O’Keefe
  • Sarah Romans
  • Lori E. Ross
Original Article

Abstract

Perinatal depression currently receives considerable attention, but not all perinatal women presenting for psychiatric care are depressed. The Edinburgh Postnatal Depression Scale (EPDS) is now routinely administered, but high scores are interpreted as evidence for depressive illness only. This study examined psychiatric diagnoses and mean EPDS scores among perinatal women at a tertiary center. Women accessing care between March 2006 and June 2008 completed a clinical diagnostic interview and the EPDS. Mean EPDS scores were calculated for each psychiatric diagnosis; sensitivity and specificity were calculated for major depressive episode (MDE) and generalized anxiety disorder (GAD). The majority of the sample (N = 91), 49.5%, had GAD comorbid with MDE or another anxiety disorder, followed by MDE (38.5%) comorbid with an anxiety disorder. One third (29.7%) met criteria for MDE and GAD. Only 3.3% had MDE alone and 5.5% had GAD alone. Half the sample (50.5%) had more than one psychiatric disorder. Mean EPDS scores exceeded 11 for the majority of diagnostic groups. Sensitivity of the EPDS for MDE was 0.78 and 0.70 for GAD. Most women had an anxiety disorder and met criteria for more than one psychiatric disorder. Mean EPDS scores were consistently high. Sensitivity of the EPDS for MDE and GAD was comparable.

Keywords

Pregnancy Postpartum Depression Anxiety Screening 

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Sophie Grigoriadis
    • 1
    • 2
    • 3
  • Diane de Camps Meschino
    • 1
    • 3
  • Elaine Barrons
    • 1
  • Lana Bradley
    • 1
  • Allison Eady
    • 1
  • Alicja Fishell
    • 1
  • Lana Mamisachvili
    • 1
  • Greer Slyfield Cook
    • 1
  • Maura O’Keefe
    • 1
  • Sarah Romans
    • 1
    • 3
  • Lori E. Ross
    • 3
    • 4
  1. 1.Reproductive Life StagesWomen’s College HospitalTorontoCanada
  2. 2.PsychiatryUniversity Health NetworkTorontoCanada
  3. 3.Department of Psychiatry, Faculty of MedicineUniversity of TorontoTorontoCanada
  4. 4.Centre for Addiction and Mental Health (CAMH)University of TorontoTorontoCanada
  5. 5.Health PEICharlottetownCanada
  6. 6.Department of Psychological MedicineUniversity of OtagoWellingtonNew Zealand

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