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The EPDS may be used at six to eight weeks to screen postnatal women or during pregnancy. The child health clinic, postpartum check-up or a home visit may provide suitable opportunities for its completion.
Conclusions: An EPDS cut-off value of 11 or higher maximised combined sensitivity and specificity; a cut-off value of 13 or higher was less sensitive but more specific.
The PHQ-9 corresponds to major depression and was developed for clinical use. The CES-D full version and short forms were developed for large epidemiological studies and sample a wide array of aspects of depression (mood, somatic).
The PHQ-9 captures somatic symptoms, while EPDS detects depressive symptoms comorbid with anxiety during early pregnancy. Our findings suggest simultaneous administration of both scales may improve identification of antepartum depressive disorders in clinical settings.
One could argue that the PHQ-9 is more directly reflective of the DSM-IV criteria for major depressive episode, and thus better than the BDI-II for measuring depression severity.
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