Central European Journal of Medicine

, Volume 7, Issue 2, pp 216–223 | Cite as

Validation of a Romanian scale to detect antenatal depression

  • Anne B. Wallis
  • Roberto Fernandez
  • Florin Oprescu
  • Răzvan Cherecheş
  • Alina Zlati
  • Claibourne I. Dungy
Research Article

Abstract

The aim of this study was to develop and validate a linguistically and culturally appropriate version of the Edinburgh Postnatal Depression Scale (EPDS) for use with women attending antenatal care in Romania. We translated and tested a Romanian version of the EPDS (EPDS-R) in four hospitals in three Romanian cities: Cluj-Napoca, Satu Mare, and Sighetu-Marmatiei. The study population included third-trimester women attending antenatal clinics (n=418); 364 subjects were included in the analytic sample. We used the Center for Epidemiologic Studies Depression Scale (CES-D) as a “gold standard”. We assessed reliability, validity, and conducted sensitivity analysis to establish an EPDS-R cutpoint. We found that reliability was robust (α=0.89) and there was a significant linear relationship between EPDS-R and CES-D scores (r=0.77; p<0.001). We established an EPDS-R cutpoint of >12 to balance sensitivity and specificity. Principal component analysis revealed a two-factor solution. We detected antenatal depressive symptoms prevalence rates of 32% (CES-D) and 38% (EPDS-R). This is the first study to report exclusively on antenatal depression and the use of the EPDS in Central and Eastern Europe. The EPDS-R is easy to administer, reliable, and valid for screening depression among antenatal women in Romania.

Keywords

Perinatal depression EPDS Pregnancy Psychometrics Validity Reliability Central Europe Eastern Europe 

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Copyright information

© © Versita Warsaw and Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  • Anne B. Wallis
    • 1
    • 2
  • Roberto Fernandez
    • 3
  • Florin Oprescu
    • 2
  • Răzvan Cherecheş
    • 2
    • 4
  • Alina Zlati
    • 2
  • Claibourne I. Dungy
    • 1
    • 5
    • 6
  1. 1.Department of Epidemiology, College of Public HealthUniversity of IowaIowa CityUSA
  2. 2.Open Minds: Center for Mental Health ResearchCluj-NapocaRomania
  3. 3.College of Osteopathic MedicineDes Moines UniversityDes MoinesUSA
  4. 4.Department of Occupational and Environmental Health, College of Public HealthUniversity of IowaIowa CityUSA
  5. 5.Department of Pediatrics, Children’s Hospital of IowaUniversity of IowaIowa CityUSA
  6. 6.College of LawUniversity of IowaIowa CityUSA

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